Surgical Instruments 2007-2008
101
Dr Abdelaziz 1 BY A.AZIZ BAIOMY A.ALLAH
description
surgery instruments
Transcript of Surgical Instruments 2007-2008
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BY
A.AZIZ BAIOMY A.ALLAH
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SIMPLE EXTRACTION
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Extraction Forceps
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Basic components of extraction forceps
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Maxillary Extraction Forceps
Maxillary anterior forceps
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Upper Premolar Forceps
Upper Molar Forceps
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Maxillary right molar forceps,Maxillary left molar forceps,
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Maxillary third molar forceps
Maxillary root tip forceps
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Mandibular premolar forceps
Mandibular anterior forceps
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Surgical procedures
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INSTRUMENTS FOR INCISINGTISSUE
INSTRUMENTS FOR INCISINGTISSUE
• SCALPEL HANDIE NO 3
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• SCALPEL HANDIE NO 7
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Scalpel Handle #4: To hold scalpel blade
Scalpel Blade Seating Area
Grooved Grip Area
Shank
Pattern Number
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• blades
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Scalpel Handle # 4&# 3
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Disposable Scalpel
Clinical Tip: Because scalpel blades dull rapidly afterbeing pressed against bone they should be changedbetween incisions if more than one flap is to bereflected.
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Handling of blade to scalpel handle
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Scalpel is held in a pen grasp
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INSTRUMENTS FOR ELEVATINGMUCOPERIOSTEUM Flaps
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No. 9 Molt periosteal elevator is most commonly used in oral surgery
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Clinical Tips for periosteal Elevators
Pry Stroke: Using the tooth as a fulcrum, the sharp pointed endof the elevator is used to reflect the MPF by first prying the IDPfree from the underlying bone.
Push Stroke: Using the broad end of the elevator in a pushstroke, the attached gingiva and alveolar mucosa arereflected to the desired extent.
Pull Stroke: Using the periosteal elevator in a pull stroke cansometimes shred the periosteum.
Periosteal elevators are used to reflect mucoperiosteum, to loosensoft tissue from teeth before extraction, and to retract small flaps
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Pry Stroke
Push Stroke
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INSTRUMENTS FOR RETRACTIONSOFT TISSUE
• Tissue retractor
Minnesota Seldin
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Seldin retractor
Minnesota retractor
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INSTRUMENTS FOR CONTROLEBLEEDING
Straight Hemostat Curved Hemostat
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Needleholder
Curvedhemostat
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INSTRUMENTS FOR GRASPINGTISSUE
• Allis forceps
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TISSUE HOLDER
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Tissue Forceps
Adson Brown Adson
Rat tooth
Russian
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Tongue depressor
Wieder retractor
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Rubber bite blocks
Side action adjustablemouth props
Mouth probe and gauge
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Bone Rongeur
Side CuttingRongeur Blumenthal
Rongeur
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Rongeur forceps with side-cutting/end-cutting edge
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• End Cutting Rongeur
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Bone Crushers-Macho
Mallet
Unibevel Osteotome
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Osteotomes (bibevel): To shape and sculptbone, or section a toothChisels (unibevel): To cut a window in thebone cortex for access or to allow harvestingof pure soft boneGouges (grooved ): To scoop away strips ofsoft bone, especially in bone grafting
Chisels and Gouges
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Surgical mallet and chisels.a Monobevel chisel.b Lucas chisel with concave end.c Bibevel chisel
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Bone Curette and File
Curette Bone File Crosscut
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Double end bone curette
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Double-ended bone file
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Needle holder
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a . Mayo–Hegar needle holder.b . Mathieu needle holder
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Mathieu needleholder
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Needle holder
Hemostat
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Scissors
Suture scissors
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Dental Elevators-Handle
Bulb T-Handle Cross-bar
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Dental Elevators-Shank
Straight Angled
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Dental Elevators-Blade
Straight/gouge
Triangle/pennant
Pick
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Principle of elevators
Lever principle
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Wedgeprinciple
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Axial & wheelprinciple
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Root tip elevator
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Apexo elevators
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Cryer elevators
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Buccal applicator
Socket applicator
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Cryers
Warwick JamesCouplands.
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INSTRUMENTS FOR BONE FRACTURE
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Wire cutter
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Simple “Bridle” Wire
•Temporaryreduction and
stabilization•25 or 26 gauge wire
and local anesthesia•Wrap around two
teeth on either sideof fracture
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Ivy Loops
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Continuous Loop
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Splints for Fixation
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MMF: Case Presentation
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L.A INSTRUMENTS
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PRESSURE SYRING
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BRACH LOADING METALIC CARTRIDGE(METALIC ASPIRATION TYPE)
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JET INJECTOR
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COMPUTER CONTROLLED L.A DELIVARY SYSTEM
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SAFTY SYRING
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NEEDL
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CARTRIDGE
