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SURGICAL INSTRUMENTS
EXTRACTION FORCEPSES
ELEVATORS
SURGICAL INSRUMENTS
LOCAL ANESTHESIA INSTRUMENTATION
Upper forceps
Straight forceps
On straight line
lower forceps
Angulated forceps
Upper Forcepses
Anterior Premolar Molar Others
Components
Forceps consist of :
Handel
Hinge = joint
Beaks = blades
Upper anterior forceps
Upper anterior forceps used for :
Extraction of upper anterior teeth
Beaks are symmetrical & are placed in
thesame line as...
Upper premolar forceps :
:Upper premolar forceps
Used for extraction upeer premolars teeth
Beaks are symmetrical , concave, not
pointed
The forc...
FORCEPS FOR UPPER PREMOLARS
Upper molar forceps :
Maxillary molar forceps
Used to extraction upper molar
teeth
There are two maxillary molar forceps: one for the
left and o...
FORCEPS FOR UPPER MOLARS
FORCEPS FOR UPPER REMANING ROOT
REED’S FORCEPS
Use: Extraction of upper remaining rootsin
posterior teeth
FORCEPS FOR UPPER
REMANING ROOT
• BAYONET
Use: 1-Extraction of upperremaining roots
2- Extraction of rudimentary upper wis...
FORCEPS FOR UPPER THIRD MOLAR
JOCKYFORCEPS
Use: Extraction of upper third
molars
Bayonet forceps jocky forceps
Upper canine forceps
Used for extraction of upper canine
As upper anterior forceps but their blades more wider
Lower Forceps
Anterior Premolar Molar Others
Lower anterior forceps
Lower anterior forceps
• Lower anterior forceps have identical , short closed beaks
• Beaks are narrower than lower molar ...
LOWER ANTERIOR FORCEPS
2- FORCEPS FOR LOWER PREMOLAR
• The mandibular premolar forceps have
• identical long and broad open beaks
Mandibular premolar forceps
3- FORCEPS FOR LOWER MOLAR
Lower molar forceps
• Beaks are at right angles to the handles
• Beaks are symmetrically pointed & the sharp pointed tips ...
FORCEPS FOR LOWER MOLAR
FORCEPS FOR LOWER MOLAR
4- FORCEPS FOR LOWER REMAINING ROOTS
Use: Extraction of lower remaining roots
ELEVATORS
Classification of
elevators (3 categories)
According to shape
1. Lever Principle
three basic components:
Fulcrum
Effort
Load
Wedge Principle
Wheel and Axle
Principle
USES:
• 1 luxate a mesio-angular
impacted lower third molar with distally
curved roots. fulcrum is interdental bone
• 2 mu...
STRAIGHT APEXO
COUPLAND CHISEL
CURVED APEXO
Come in pair … one luxate
mesial root in right side
and distal root in left side
and the other luxate distal
...
CRYER
• EX. If extract 7 or
6 tooth .. useful when a
broken root remains in
the tooth socket and
the adjacent socket is
em...
MILLER
R L
CROSS BAR
Socket applicator
CROSS BAR
Buccal applicator
CROSS BAR
SURGICAL INSTRUMENTS
BARD-BARKER BLADE HANDLE
Handle: The most commonly used handle in
oral surgery is the Bard Parker blade handle
no. 3.
Its ...
BARD BARKER BLADES
Blade no. 11 is used for small incisions
, such as those used for incising abscesses (stap incision)
Bl...
Blade loaded
Blade removed
Scalpel
PERIOSTEAL ELEVATOR
Use: reflection of flap
Retractors
Minnesota retractors for
retraction of the cheek and tongue and
mucoperiosteal flap
MOUTH GAG
Use: forceful
mouth
opening …
open the
mouth with
uncooperative
patients.
TONGUE DEPRESSOR
TONGUE HOLDER
Mouth props:
Rubber bite blocks used
to hold the mouth open.
RETRACTOR
Use: retraction of flaps or
cheek
Retractors
RETRACTOR
RETRACTOR
CHISELS
• BEVELED CHISEL
▫ UNIBEVELED removal of bone in
flanks
▫ BIBEVELED (OSTEOTOME):
• tooth division
• Condylotomy
• ...
MALLET AND CHISELS
• MALLET
MALLET AND CHISELS
CHISELS
• GROVED CHISEL
Use: removal of soft bone
or biopsy
BONE RONGEURS forceps
Use: bone
cutting forceps
1. Side-cutting; suitable for trimming
& cutting sharp edges of the alv.
Plates.
2. End-cutting; suitable for cutting
bone...
SURGICAL BURS
Round burs are used to drill holes in the
bones which are then connected by the
Fissure bur
BONE FILE
Use: smoothening of sharp
bony edges
oRemoves bone: pull stroke
BONE FILE
ARTERY FORCEPS
• CURVED • MOSQUITO HEMOSTAT
Use: ligation of blood
Vessels and blunt
dissection during I&D
ALLIS FORCEPS with ratchet lock
Use: handling pathological
soft tissues
TISSUE FORCEPS
Used to hold normal soft tissue & stabilize it
for suturing or dissection.
BONE CURRETTE
Use: 1-bone curettage
2-cyst removal
SUTURING INSTRUMENTS
SUTURING INSTRUMENTS
• NEEDLE HOLDER
Needle holder
SUTURING INSTRUMENTS
• NEEDLE
Round suture needles
Round cross section
May be straight, curved or half circle
Suturing of fragile and delicate tissu...
Suture materials
INTERRUPTED SUTURE
Simple Interrupted Sutures
SimpleInterruptedSutures
• CONTINOUS SUTURES
SUTURING TECHNIQUES
Continuous Sutures
CONTINOUS LOCKED SUTURE
BLANKET SUTURE
Continuous with Lock Sutures
SUTURING TECHNIQUES
• MATTRESS SUTURE
HORIZONTAL
Horizontal Mattress Sutures
SUTURING TECHNIQUES
• MATTRESS SUTURE VERTICAL
POSITIONS OF THE OPERATOR
AND THE PATIENT
• INFILTRATION
ANAESTHESIA
• NERVE BLOCK
INFILTRATION ANAESTHESIA
INFILTRATION ANAESTHESIA
PALATAL INF. BUCCAL INFILTRATION
INFERIOR ALVEOLAR NERVE
BLOCK
RIGHT SIDE
INFERIOR ALVEOLAR NERVE
BLOCK
• LEFT SIDE THR CROSS HAND TECHNIQUE
INFERIOR ALVEOLAR NERVE
BLOCK
• LEFT SIDE THE BEHIND TECHNIQUE
INFERIOR ALVEOLAR NERVE
BLOCK
• LEFT SIDE THE LEFT HAND
TECHNIQUE
Mucoperiosteal Flaps
1. Pyramidal flaps
A. Triangular Flap (2 incision lines)
1. Pyramidal flaps
B. Trapezoidal Flap (3 incision lines)
2. Semilunar flaps
3. Gingival (Envelope) flaps
4. Palatal flaps
Y-shaped Palatal Flap Double Y-shaped Palatal Flaps
5. Pedicle Flaps
Surgical Instruments
Surgical Instruments
Surgical Instruments
Surgical Instruments
Surgical Instruments
Surgical Instruments
Surgical Instruments
Surgical Instruments
Surgical Instruments
Surgical Instruments
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Surgical Instruments

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Surgical Instruments

  1. 1. SURGICAL INSTRUMENTS EXTRACTION FORCEPSES ELEVATORS SURGICAL INSRUMENTS LOCAL ANESTHESIA INSTRUMENTATION
  2. 2. Upper forceps Straight forceps On straight line lower forceps Angulated forceps
  3. 3. Upper Forcepses Anterior Premolar Molar Others Components
  4. 4. Forceps consist of : Handel Hinge = joint Beaks = blades
  5. 5. Upper anterior forceps
  6. 6. Upper anterior forceps used for : Extraction of upper anterior teeth Beaks are symmetrical & are placed in thesame line as the handles ( on straight line ) beaks are concave and not pointed
  7. 7. Upper premolar forceps :
  8. 8. :Upper premolar forceps Used for extraction upeer premolars teeth Beaks are symmetrical , concave, not pointed The forcep have a slightly curved shape and look like an “S.” Holding the forceps in the hand, the concave part of the curved handle faces the palm , while the concave part of the beaks is turned upwards sCurve due to accessibility
  9. 9. FORCEPS FOR UPPER PREMOLARS
  10. 10. Upper molar forceps :
  11. 11. Maxillary molar forceps Used to extraction upper molar teeth There are two maxillary molar forceps: one for the left and one for the right side R & L Forceps have a slightly curved shape The have asymmetrical beaks : sharply pointed buccal beak and rounded palatal beak Beaks are broader than anterior forceps Holding the forceps in the hand, the concave part of the curved handle faces the palm , while the concave part of the beaks is turned upwards R L
  12. 12. FORCEPS FOR UPPER MOLARS
  13. 13. FORCEPS FOR UPPER REMANING ROOT REED’S FORCEPS Use: Extraction of upper remaining rootsin posterior teeth
  14. 14. FORCEPS FOR UPPER REMANING ROOT • BAYONET Use: 1-Extraction of upperremaining roots 2- Extraction of rudimentary upper wisdom tooth
  15. 15. FORCEPS FOR UPPER THIRD MOLAR JOCKYFORCEPS Use: Extraction of upper third molars
  16. 16. Bayonet forceps jocky forceps
  17. 17. Upper canine forceps Used for extraction of upper canine As upper anterior forceps but their blades more wider
  18. 18. Lower Forceps Anterior Premolar Molar Others
  19. 19. Lower anterior forceps
  20. 20. Lower anterior forceps • Lower anterior forceps have identical , short closed beaks • Beaks are narrower than lower molar forceps, similar to upper root forceps • Beaks are at right angles to the handles • They can also be used as lower root forceps
  21. 21. LOWER ANTERIOR FORCEPS
  22. 22. 2- FORCEPS FOR LOWER PREMOLAR
  23. 23. • The mandibular premolar forceps have • identical long and broad open beaks Mandibular premolar forceps
  24. 24. 3- FORCEPS FOR LOWER MOLAR
  25. 25. Lower molar forceps • Beaks are at right angles to the handles • Beaks are symmetrically pointed & the sharp pointed tips engage the bifurcation at the buccal & lingual surfaces • Beaks are more broader & stout
  26. 26. FORCEPS FOR LOWER MOLAR
  27. 27. FORCEPS FOR LOWER MOLAR
  28. 28. 4- FORCEPS FOR LOWER REMAINING ROOTS Use: Extraction of lower remaining roots
  29. 29. ELEVATORS Classification of elevators (3 categories) According to shape
  30. 30. 1. Lever Principle three basic components: Fulcrum Effort Load
  31. 31. Wedge Principle
  32. 32. Wheel and Axle Principle
  33. 33. USES: • 1 luxate a mesio-angular impacted lower third molar with distally curved roots. fulcrum is interdental bone • 2 mult. ext. of neighboring teeth • 3 luxation of last abutment • Mesial application of force. Most commonly used Blade: concave surface on one side-the tooth to be elevated Principle: Wedging & lever & wheel & axel = rotational forces STRAIGHT ELEVATOR
  34. 34. STRAIGHT APEXO COUPLAND CHISEL
  35. 35. CURVED APEXO Come in pair … one luxate mesial root in right side and distal root in left side and the other luxate distal root in right side and mesial root in left side … So its come in pair but not used as R and L Principal of action wedging
  36. 36. CRYER • EX. If extract 7 or 6 tooth .. useful when a broken root remains in the tooth socket and the adjacent socket is empty • concave surface on one side to root to be elevated • Come in pairs • Curved elevator
  37. 37. MILLER R L
  38. 38. CROSS BAR Socket applicator
  39. 39. CROSS BAR Buccal applicator
  40. 40. CROSS BAR
  41. 41. SURGICAL INSTRUMENTS
  42. 42. BARD-BARKER BLADE HANDLE Handle: The most commonly used handle in oral surgery is the Bard Parker blade handle no. 3. Its tip may receive different types of blades.
  43. 43. BARD BARKER BLADES Blade no. 11 is used for small incisions , such as those used for incising abscesses (stap incision) Blade no. 12 is indicated for incisions in inaccessible areas such as the maxillary tuberosity & retromolar areas. Blade is no. 15 The most common type used for flaps and incisions on edentulous alveolar ridges. No.10- similar to No.15 oLarge skin incisions
  44. 44. Blade loaded Blade removed
  45. 45. Scalpel
  46. 46. PERIOSTEAL ELEVATOR Use: reflection of flap
  47. 47. Retractors Minnesota retractors for retraction of the cheek and tongue and mucoperiosteal flap
  48. 48. MOUTH GAG Use: forceful mouth opening … open the mouth with uncooperative patients.
  49. 49. TONGUE DEPRESSOR
  50. 50. TONGUE HOLDER
  51. 51. Mouth props: Rubber bite blocks used to hold the mouth open.
  52. 52. RETRACTOR Use: retraction of flaps or cheek
  53. 53. Retractors
  54. 54. RETRACTOR
  55. 55. RETRACTOR
  56. 56. CHISELS • BEVELED CHISEL ▫ UNIBEVELED removal of bone in flanks ▫ BIBEVELED (OSTEOTOME): • tooth division • Condylotomy • Re-fracturing malunion bone
  57. 57. MALLET AND CHISELS • MALLET
  58. 58. MALLET AND CHISELS
  59. 59. CHISELS • GROVED CHISEL Use: removal of soft bone or biopsy
  60. 60. BONE RONGEURS forceps Use: bone cutting forceps
  61. 61. 1. Side-cutting; suitable for trimming & cutting sharp edges of the alv. Plates. 2. End-cutting; suitable for cutting bone septum projecting in the socket of extracted teeth. 3. Side and end cutting.
  62. 62. SURGICAL BURS Round burs are used to drill holes in the bones which are then connected by the Fissure bur
  63. 63. BONE FILE Use: smoothening of sharp bony edges
  64. 64. oRemoves bone: pull stroke BONE FILE
  65. 65. ARTERY FORCEPS • CURVED • MOSQUITO HEMOSTAT Use: ligation of blood Vessels and blunt dissection during I&D
  66. 66. ALLIS FORCEPS with ratchet lock Use: handling pathological soft tissues
  67. 67. TISSUE FORCEPS Used to hold normal soft tissue & stabilize it for suturing or dissection.
  68. 68. BONE CURRETTE Use: 1-bone curettage 2-cyst removal
  69. 69. SUTURING INSTRUMENTS
  70. 70. SUTURING INSTRUMENTS • NEEDLE HOLDER
  71. 71. Needle holder
  72. 72. SUTURING INSTRUMENTS • NEEDLE
  73. 73. Round suture needles Round cross section May be straight, curved or half circle Suturing of fragile and delicate tissues e.g. oral mucosa and mucous membranes Cutting (Atraumatic) suture needles Triangular cross section May be straight, curved or half circle Suturing of dense tissues e.g. oral mucoperiosteum Types ofneedle
  74. 74. Suture materials
  75. 75. INTERRUPTED SUTURE
  76. 76. Simple Interrupted Sutures
  77. 77. SimpleInterruptedSutures
  78. 78. • CONTINOUS SUTURES SUTURING TECHNIQUES
  79. 79. Continuous Sutures
  80. 80. CONTINOUS LOCKED SUTURE BLANKET SUTURE
  81. 81. Continuous with Lock Sutures
  82. 82. SUTURING TECHNIQUES • MATTRESS SUTURE HORIZONTAL
  83. 83. Horizontal Mattress Sutures
  84. 84. SUTURING TECHNIQUES • MATTRESS SUTURE VERTICAL
  85. 85. POSITIONS OF THE OPERATOR AND THE PATIENT • INFILTRATION ANAESTHESIA • NERVE BLOCK
  86. 86. INFILTRATION ANAESTHESIA
  87. 87. INFILTRATION ANAESTHESIA PALATAL INF. BUCCAL INFILTRATION
  88. 88. INFERIOR ALVEOLAR NERVE BLOCK RIGHT SIDE
  89. 89. INFERIOR ALVEOLAR NERVE BLOCK • LEFT SIDE THR CROSS HAND TECHNIQUE
  90. 90. INFERIOR ALVEOLAR NERVE BLOCK • LEFT SIDE THE BEHIND TECHNIQUE
  91. 91. INFERIOR ALVEOLAR NERVE BLOCK • LEFT SIDE THE LEFT HAND TECHNIQUE
  92. 92. Mucoperiosteal Flaps
  93. 93. 1. Pyramidal flaps A. Triangular Flap (2 incision lines)
  94. 94. 1. Pyramidal flaps B. Trapezoidal Flap (3 incision lines)
  95. 95. 2. Semilunar flaps
  96. 96. 3. Gingival (Envelope) flaps
  97. 97. 4. Palatal flaps Y-shaped Palatal Flap Double Y-shaped Palatal Flaps
  98. 98. 5. Pedicle Flaps

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