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Oral and Maxillofacial Instruments
Unit 7-1
PERIOSTEAL ELEVATOR- Seldin:
FUNCTION:
TRAY SET-UP:
To detach tissue from bone following an incision or to detach the periosteum and gingival tissues prior to placement of the extraction forceps
Used for most surgical procedures: extractions, gingivoplasty, alveoplasty, and cyst removal
VARIETIES:
Double ended with one round, blunted end
and one pointed end 7 A wax spatula may be used as a periosteal
elevator
COMMON DESIGNS:Seldin, Molt
Unit 7-4
STRAIGHT ELEVATORS:
FUNCTION:
TRAY SET-UP: VARIETIES:
To loosen tooth or root from bony socket prior to placement of the extraction forceps
Tooth and root extraction
Single-end rounded working end in several sizes
Often referred to by number- common sizes: 1, 34, 301
ANGULAR ELEVATORS- Potts:
FUNCTION: To loosen tooth or root from bony socket
prior to placement of the extraction forceps
TRAY SET-UP:     Tooth and root extraction
VARIETIES: Handles may be either large and straight
or T-bar design Working end may be rounded or pointed in
several sizes Used in pairs
COMMON DESIGNS:"flag" or Cryer, Potts, Crane Pick
ROOT TIP PICKS- Angled:
FUNCTION:
To loosen small root fragments from bony socket
TRAY SET-UP:
Tooth and root extraction
VARIETIES:
Thin, pointed working end which may be
straight or angled Single or double-ended
SURGICAL CURETTES- Double ended/angular:
FUNCTION: To remove tissue or debris from bony sockets
TRAY SET-UP:      Extraction and cyst removal
VARIETIES: Usually double-ended and angular in several
sizes
SURGICAL CURETTES- Molt:
FUNCTION: To remove tissue or debris from bony sockets
TRAY SET-UP:      Extraction and cyst removal
VARIETIES: Usually double-ended and angular in several
sizes
Unit 7-20
HEMOSTATS:
FUNCTION: To securely hold small items, clamp blood
vessels, remove small pieces of tooth or bone
TRAY SET-UP:     Almost all surgical set-ups
VARIETIES: Angled or straight with locking, scissor-like
handles
COMMON NAMES: Mosquito, Kelly Unit 7-22
NEEDLE HOLDERS:
FUNCTION: To hold suture needle
TRAY SET-UP:     Any surgical procedure requiring placement of sutures
VARIETIES: Similar to hemostat but with a concave area
on inside of each beak to allow for curve of suture needle
ii-:. 1 1A
SCALPEL- Handle:
FUNCTION: To cut soft tissue - a surgical knife
TRAY SET-UP:
VARIETIES:
Most surgical set-ups: impaction, extraction, biopsy, frenectomy, gingivoplasty, alveoplasty, incision and drainage, apicoectomy
Metal, sterilizable handle with replaceable blades
Disposable handle with attached blade Common blade sizes: # 11,12,15
SCALPEL- Blade #11:
FUNCTION: To cut soft tissue - a surgical knife
TRAY SET-UP:      Most surgical set-ups: impaction, extraction,
biopsy, frenectomy, gingivoplasty, alveoplasty, incision and drainage, apicoectomy
VARIETIES: Metal, sterilizable handle with replaceable
blades
Disposable handle with attached blade Common blade sizes: #11,12,15
it 7-9Q
SCALPEL- Blade #12:
FUNCTION: To cut soft tissue - a surgical knife
TRAY SET-UP:      Most surgical set-ups: impaction, extraction, biopsy, frenectomy, gingivoplasty, alveoplasty, incision and drainage, apicoectomy
VARIETIES: Metal, sterilizable handle with replaceable
blades
Disposable handle with attached blade Common blade sizes: # 11,12,15
Unit 7-30
SCALPEL- Blade #15:
FUNCTION: To cut soft tissue - a surgical knife
TRAY SET-UP:      Most surgical set-ups: impaction, extraction, biopsy, frenectomy, gingivoplasty, alveoplasty, incision and drainage, apicoectomy
VARIETIES: Metal, sterilizable handle with replaceable
blades
Disposable handle with attached blade Common blade sizes: #11,12,15
Unit 7-32
RONGEURS- End-cutting
FUNCTION:
TRAY SET-UP: VARIETIES:
To cut and contour bone, removes sharp edges of alveolar crest after extractions for better contour of alveolar ridge
Multiple extractions, alveolectomy/alveoplasty
Scissor type handles, either side-cutting or end-cutting
Unit 7-34
RONGEURS- Side-cutting:
FUNCTION:
To cut and contour bone, removes sharp edges of alveolar crest after extractions for better contour of alveolar ridge
TRAY SET-UP:      Multiple extractions, alveolectomy/alveoplasty
VARIETIES:
Scissor type handles, either side-cutting or end-cutting
BONE CHISEL AND MALLET- Bone chisel:
FUNCTION: To remove bone for better contour of
alveolar ridge
TRAY SET-UP:     Tori removal, alveoplasty
BONE CHISEL AND MALLET- Mallet:
FUNCTION: To remove bone for better contour of
alveolar ridge
TRAY SET-UP:     Tori removal, alveoplasty
Unit 7-40
Unit 7-41
BONE FILE:
FUNCTION: rongeurs TRAY SET-UP
VARIETIES:
To smooth bone for better contour of alveolar ridge often following use of
Multiple extractions and impactions that require bone removal, tori removal, alveoplasty
Double ended, straight or curved working ends
I Tr.it 1.A0
TISSUE SCISSORS- Dean:
FUNCTION: To remove soft tissue and cut sutures
TRAY SET-UP:     Gingivectomy/gingivoplasty, frenectomy,
multiple extractions
VARIETIES: Iris, Dean, Kelly
Straight or curved, 4 Vz inch and 7 inch
TISSUE SCISSORS- Iris:
FUNCTION: TRAY SET-UP:
VARIETIES:
To remove soft tissue and cut sutures
Gingivectomy/gingivoplasty, frenectomy, multiple extractions
Iris, Dean, Kelly
Straight or curved, 4 % inch and 7 inch
TISSUE SCISSORS- Kelly:
FUNCTION: To remove soft tissue and cut sutures
TRAY SET-UP:
VARIETIES:
Gingivectomy/gingivoplasty, frenectomy, multiple extractions
Iris, Dean, Kelly
Straight or curved, 4 Vfe inch and 7 inch
Unit 7-49
SUTURE SCISSORS:
FUNCTION: To cut sutures for removal
TRAY SET-UP:     Suture removal VARIETIES: 3 Vz inch and 5 Vz inch
IT I    C 1
TOWEL CLAMPS:
FUNCTION: TRAY SET-UP:
VARIETIES:
ADDITIONAL USES:
To secure surgical drapes and to secure plastic and rubber tubing to drapes
Any procedure when face and head are draped to isolate surgical area
3 Vz inch and 5 Va inch
To remove temporary crowns
Unit 7-52