Category Archives: Armamentarium for Basic Oral-Surgery


INSTRUMENTS FOR  REMOVING SOFT TISSUE FROM BONY DEFECTS The periapical curette is an angled, double-ended instrument used to remove soft tissue from bony defects (Fig. 6-20). The principal use is to remove granulomas or small cysts from periapical lesions, but it is also used to remove small amounts of granulation tissue debris from the tooth socket. The periapical curette is distinctly different from. the pe

Bur and Handpiece

Bur and Handpiece A final method for removing bone is with a bur and hand-piece.This is the technique that most surgeons use when removing bone for surgical removal of teeth. Relatively high-speed hand-pieces with sharp carbide burs remove cortical bone efficiently, Burs such as no. 557 or no. 703 fissure bur or a no. 8 round bur are used. When large amounts of bone must be removed, such as in torus reduction,

Bone File

Bone File Final smoothing of bone before suturing’ the mucoperiosteal flap back into position is usually performed with a small bone file (Fig. 6-18, A). The bone file is usually a double-ended instrument with a small and large end. It cannot be used efficiently for removal of large amounts of bone therefore it is used only for final smoothing. The teeth of the bone file are arranged in such a fashion

Chisel and mallet

Chisel and mallet One of the obvious methods of bone removal is to use a surgical chisel and mallet (Fig. 11·17, A-C). Bone is usually removed with a monobevel chisel, and-teeth are usually sectioned with a bibevel chisel. The success of chisel use depends on the sharpness of the instrument. Therefore it is necessary to sharpen the chisel before it is sterilized for the next patient. Some chisels have carbid


INSTRUMENTS FOR REMOVING BONE Rongeur Forceps The instrument most commonly used for removing bone is the rongeur forceps. This instrument has sharp blades that are squeezed together by the handles, cutting or pinching through the bone. Rongeur forceps have a leaf spring between the handle so that when hand pressure is released, the instrument will open. This allows the surgeon to make repeated cuts of bone wi


INSTRUMENTS FOR GRASPING TISSUE In performing soft tissue surgery it is frequently necessary to stabilize soft tissue flaps to pass a suture needle. Tissue forceps most commonly used for this purpose are the Adson forceps (pickups) (Fig. 6-13, A). These are delicate forceps with small teeth, which can be used to gently hold tissue and thereby stabilize it. When this instrument is used care should be taken no


INSTRUMENTS FOR CONTROLLING HEMORRHAGE When incisions are made through tissue, small arteries and veins are incised causing bleeding that may require more than simple pressure to control. When this is necessary an instrument called a hemostat is used (Fig. 6-12, A). Hemostats come in a variety of shapes, may be relatively small and delicate or larger, and are either straight or curved. The hemostat most commonl


INSTRUMENTS FOR RETRACTING SOFT TISSUE It is critical to have good vision and good access to perform good surgery. To this end a variety of retractors have been designed to retract the cheeks, tongue, and mucoperiosteal flaps. The two most popular cheek retractors are (1) the right-angle Austin retractor (Fig. 6-7) and (2) the offset broad Minnesota retractor (Fig. 6-8). Both of these retractors can retract t


INSTRUMENTS FOR ELEVATING MUCOPERIOSTEUM  After an incision through mucoperiosteum has been made the mucosa and periosteum should be reflected from the underlying bone in a single layer with a periosteal elevator. The instrument that is most commonly used is the no. 9 Molt periosteal elevator (Fig. 6-5, A), This instrument has a sharp, pointed end and a broader flat end. The pointed end is used to reflect den


INSTRUMENTS FOR INCISING TISSUE Most surgical procedures begin with an incision. The instrument for making an incision is the scalpel, which is composed of a handle and a disposable, sterile sharp blade. The most commonly used handle is the no. 3 handle, but occasionally the longer, more slender no. 7 handle will be used (Fig. 6-1), The tip of the scalpel handle is prepared to receive a variety of differently