Hello guys! I hope you’re doing well and surviving in your dental school effortlessly! 😀
This is your very own Dental Surgeon, back with another new bundle of info regarding dental surgery.
In the last article, we discussed the factors that are important to be followed for good oral surgery. Today we’ll be discussing about the “Instruments we see and use in oral surgery departments for different procedures”.
So let’s begin!
Every surgical procedure begins with an incision. For this purpose we’ll be using:
Scalpel (comprising of reusable handle and a sharp blade)
Most commonly used handle in oral surgery is No.3 handle and the most common blade used is No.15 blade.
To elevate the mucoperiosteum, the most commonly used instrument is No.9 Molt periosteal elevator (having one sharp pointed end and another broad rounded end).
Retraction of Soft Tissues:
To attain a good vision, retracting soft tissue and tongue is mandatory while to retract the cheek, we have:
• Right-angled Austin retractor.
• Broad off-set Minnesota retractor.
For retracting the tongue, we commonly use mouth mirror. Other than that, Weider retractor is also used for the same purpose.
To hold soft tissue, the forceps most commonly used are Adson forceps.
While working in the posterior part of the mouth, Stillies forceps work better.
And if you gotta remove a large amount of tissue for biopsies etc, Allis tissue forceps are used.
Blood Loss control and Bone removal:
In order to control blood loss if pressure isn’t enough , use a Curved Hemostat (It has long delicate beaks with locking handle).
Whereas, to remove the bone, most commonly used instrument is Rongeurs, shown in the first picture and to just smoothen out the bone, you must use Bone filer displayed in the second one.
For holding the mouth open, a Bite Block is placed in the posterior part of the mouth.
Regarding dental elevators, these are classified into 3 main types:
• Straight elevator (most commonly used)
• Triangular shaped elevator known as Cryer (east and west elevators)
• Crane pick elevator.
Now comes the actual task, the tooth extraction!
To do this, we need certain extraction forceps to luxate and pull the tooth from the socket.
It has 3 parts: Handle, Hinge and Beaks.
• For mandibular tooth extraction, hold the forceps with palm of the hand on the top of forceps.
• To extract maxillary tooth, hold the forceps with the palm underneath the forceps.
So how can one differentiate between maxillary and mandibular forceps? I’ll tell you.
• The beaks of maxillary forceps are ‘parallel’ to the forceps handle
• Whereas the beaks of mandibular forceps are ‘perpendicular’ to the forceps handle.
If you keep these points in your mind before starting, I’m sure you’ll never panic during extraction too!
This is all for today.
So now next time you guys ever visit your surgery department, I’m sure you’ll be familiar with these instruments very well!
And yes, don’t forget to like and share this article among your friends. See ya soon!