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 not to grasp the tissue too tightly thereby crushing it Adson forceps are also available Without teeth.
Figure no. 6-5A, No.9 Molt periosteal elevator is most commonly used in oral surgery. B, A single-ended Molt periosteal elevator with a sharp round end may he used to elevate the mucoperiosteum. C and D, The double-ended Molt periosteal elevator has a large and small end to provide the surgeon the appropriate-size end for the specific task.
When working in the posterior part of the mouth, the Adson forceps may be too short. A longer forceps that has similar shape is the Stillies forceps. This forceps is usually . 7 to 9 inches long and can easily grasp tissue in the posterior part of the mouth and still leave enough of the instrument protruding beyond the lips for the surgeon to control it (Fig. 6-13, B).
Occasionally, it is more convenient to have an angled forceps. Such a forceps is the college, or cotton, forceps (Fig. 6-13, C). Although this forceps is not especially useful for handling tissue, it is an excelent instrument for picking up small fragments of tooth, amalgam, or other foreign material and for placing or removing gauze packs.This instrument is commonly used in tray systems.
In some types of surgery, especially when removing larger amounts of fibrous tissue, such as in an epulis fissuratum, forceps with locking handles and teeth that will grip the tissue firmly are necessary. In this situation the Allis tissue forceps are used (Fig. 6-H, A and B). The locking handle allows the forceps to be placed in the proper position and then to be held by an assistant to provide
the necessary tension for proper dissection of the tissue.The Allis forceps should never be used on ti~sue that is to be left in the mouth, because they cause a relatively large amount of tissue destruction as a result of crushing injury (Fig. 6-14. 0)
Russian tissue forceps are large, round-ended tissue forceps (Fig 6- 15) that are most useful in oral surgery to pick lip teeth that have been elevated from their sockets (Fig.6-15 B). The round end allows a positive grip on 3 tooth or toothth fragment so that it is not likely to slip out of the instrument’s grip, as commonly occurs with the hemostat the Russian forceps are also useful for placing gauze in the mouth when the surgeon is isolating a particular area for surgery.