Category Archives: Armamentarium for Basic Oral-Surgery

INSTRUMENTS FOR IRRIGATION

INSTRUMENTS FOR IRRIGATION When a handpiece and bur are used to remove bone, it is essential that the area be irrigated with a steady stream of irrigating solution, usually sterile saline. THe irrigation cools the bur and’ prevents bone-damaging heat buildup. The irrigation also ncreases the efficiency of the bur by washing away bone chips from the flutes of the bur and by providing a certain amount of l

INSTRUMENTS FOR HOLDING TOWELS AND DRAPES IN POSITION

INSTRUMENTS FOR HOLDING TOWELS AND DRAPES IN POSITION When drapes are placed around a patient, they must be held together with a towel clip (Fig, 6-33). This instrument has a locking handle and finger and thumb rings.The action ends of the towel clip are sharp, curved points that penetrate the towels and drapes. When this instrument is used the operator must take extreme caution not to pinch the patient’s

INSTRUMENTS FOR TRANSFERRING STERILE INSTRUMENTS

INSTRUMENTS FOR TRANSFERRING STERILE INSTRUMENTS The transfer forceps are heavy forceps used to move instruments from one sterile area to another (Fig. 6-32,A), These forceps are usually right-angled forceps with heavy jaws, so instruments such as extraction forceps can be. moved from one area to another and small items can be handled without dropping them (Fig. 6-32, B and C). The transfer forceps are store

INSTRUMENTS FOR PROVIDING SUCTION

INSTRUMENTS FOR PROVIDING SUCTION To provide adequate visualization, blood, saliva, and. irrigating.solutions must be suctioned from the operative site. The surgical suction is one that has a smaller orifice then the type used in general dentistry so that the tooth sockets can be suctioned in case a root tip is fractured and adequate visualization is necessary. Many of these suctions are designed with several

INSTRUMENTS FOR HOLDING MOUTH OPEN

INSTRUMENTS FOR HOLDING MOUTH OPEN When performing extractions of mandibular teeth, it is necessary to support the mandible to prevent stress on the temporomandibular joints (TMJs) By having the patient’s jaw supported on a bite block, the joints wilt be protected. The bite block is just what the name implies (Fig. 6·29, A and 8). It is a rubber block on which the patient can rest the teeth. The patien

SCISSORS

SCISSORS The final instruments necessary for placing sutures are suture scissors (Fig. 6-26). Suture scissors usually have relatively long handles and thumb and finger rings. They are held in the same way as the needle holder. The suture scissors usually have short cutting edges because their sale purpose is to cut sutures (Fig. 6-27). The most commonly used suture scissors are the Dean scissors. These have

SUTURE MATERIAL

SUTURE MATERIAL Many types of suture materials are available. The materials are classified by size, resorbability, and whether or not they are monofilament or polyfilament. The size of suture is designated by a series of zeros. The size most commonly used in ‘the suturing of oral mucosa is 3-0 (000). A larger size suture would be 2-0, or O. Smaller sizes would be 4-0, 5-0, and 6-0 sutures. Sutures of ver

NEEDLE

NEEDLE The needle used in closing mucosal incisions is usually a small half-circle or three eighths-circle-suture needle. It is curved to allow the needle to pass through a limited space, where a straight needle could not reach. Suture needles come in a large variety of shapes, from very small to very large (Fig. 6-24, A). The tips of suture needles are either tapered, such as a sewing needle, or they have tr

NEEDLE HOLDER

NEEDLE HOLDER The needle holder is an instrument with a locking handle and a short, stout beak. For intraoral placement of sutures, a 6-inch (15-cm) needle holder is usually recommended (Fig. 6-21). The beak of the needle holder is shorter and stronger than the beak of the hemostat (Fig.6-22, A). The face of the beak of the needle holder is crosshatched to permit a positive grasp of the suture needle and sutu

INSTRUMENTS FOR SUTURING MUCOSA

INSTRUMENTS FOR SUTURING MUCOSA Once a surgical procedure has been completed, the mucoperiosteal flap is returned to its original position and held in place by sutures. The needle holder is the instrument used to place the sutures.