DENTAL INSTRUMENTS PACKET

Transcription

University of California, San Diego Pre-Dental SocietyDENTAL INSTRUMENTS PACKETCREATED BY: SUMEI MAISUPERVISED BY: DR. RANDALL TAYLOR1

TABLE OF CONTENTPAGE #:BASIC DENTAL INSTRUMENTS & SUPPLIES3-6BASIC TRAY SET-UP4INSTRUMENTS & SUPPLIES FOR PROPHY AND SRP7-9PROPHYLAXIS TRAY SET-UP8SRP (SCALING & ROOT PLANING) TRAY SET-UP9OPERATIVE INSTRUMENTS & SUPPLIES10 – 24AMALGAM TRAY SET-UP15RUBBER DAM TRAY SET-UP17COMPOSITE TRAY SET-UP20RESTORATIVE BUR BLOCK SET-UP21X-RAY INSTRUMENTS25UNIVERSAL SURGICAL INSTRUMENTS26 - 33SUTURE TRAY SET-UP27SUTURE REMOVAL TRAY SET-UP28EXTRACTION INSTRUMENTS29EXTRACTION TRAY SET-UP32BURS34 - 36PULPOTOMY/ OPEN & MED. TRAY SET-UP37ROOT CANAL TRAY SET-UP39DRY SOCKET TRAY SET-UP41FULL DENTURE ALIGINATE IMPRESSION TRAY SET-UP42CROWN PREP TRAY SEP-UPCREDITS43452

BASIC DENTAL INSTRUMENTS & SUPPLIESInstrument:Dental TrayInstrument:Mouth MirrorFunction:To provide an area specific forinstrumentsFunction:To provide indirect visionTo retract lips, cheeks, and tongueTo reflect light into the mouthCharacteristics: Different designs for differentCharacteristics: Accurate image from flat surfacemirrors, image magnified withconcave mirrors.procedures, e.g. hygiene tray,operative tray, surgical tray.Instrument:Cotton ForcepsInstrument:ExplorersFunction:To Grasp and/or transfermaterial in and out of the oralcavity.Function:To Examine teeth for decay(caries), calculus, furcation, orcanals and other anomaliesCharacteristics: Plain or serrated tipsCharacteristics: Pointed tips: sharp, thin andvariety of sizes, angled tip.flexible.1. Orbin; 2. Shepherds; 3. PigtailInstrument:PerioprobeInstrument:Bib holderFunction:An instrument with incrementalmarks on the tip to measurethe periodontal pocketsFunction:To attach the patient bib aroundthe patient’s neckCharacteristics: Disposable snap/adhesive clipsCharacteristics: Designed with differentincrements, e.g. 1mm, 3 mm,PSR probeAlligator clip (not disposable)3

BASIC DENTAL INSTRUMENTS & SUPPLIESInstrument:Instrument HandlesInstrument:Patient BibFunction:Handles for detachableinstrument, heads screw intohandleFunction:To prevent materials, debris, fluidsfrom contacting the patientCharacteristics: Differs in colors, shapes anddesigns; has a protective liquidbarrier side and an absorbentsideCharacteristics: E.g. mouth mirrorInstrument:Cotton RollsInstrument:2 x 2 gauzeFunction:To isolate teeth and absorb salivaAct as a protective tissue barrier;aid in endodontic diagnosticsFunction:Absorbent cloth, aid inhomeostasis, clean instruments,used in all aspects of dentistryCharacteristics: Fluid absorbent roll 1 in long1.2.3.4.5.2x2 GauzesCotton RollsMouth MirrorExplorerCotton Forcep1Characteristics: 2 x 2 inches in size, white,thinly/thick woven absorbentfiber3452Basic Tray Set - Up4

BASIC DENTAL INSTRUMENTS & SUPPLIESInstrument:High Velocity SalivaEvacuation (HVE)Function:To evacuate large volumes of fluidand debris from oral cavityCharacteristics: Straight or slightly angled at oneor both end; stainless steel,autoclavable plastic, or disposableplastics; attaches to tubing ondental unitInstrument:Instrument:Low Velocity SalivaEvacuation (LVE)Function:To evacuate reduced volumes offluid from oral cavityCharacteristics: Disposable plastic for single use;can be bent or used straight;attaches to tubing on dental unitAir/Water Syringe TipFunction:To rinse and dry specific teeth orentire oral cavityCharacteristics: Three-way syringe: air, water, orspray with water and air; Syringetip: Disposable plastic orautoclavable metal; attaches toair/water syringe on dental unit5

INSTRUMENTS & SUPPLIES FOR PROPHY AND SRPInstrument:Ultrasonic Scaler UnitInstrument:Ultrasonic Scaler TipsFunction:To use with water-cooledultrasonic tips, to remove calculusFunction:To remove supra/subgingivalcalculus on teeth, remove bacteriafrom periodontal pockets and stain.Characteristics: Has ultra-high frequency tipmovement that also sprayswater, attaches to dental chairCharacteristics: Used with Ultrasonic Scaler Unit,water is used to cool tips, 25 k30 k size tips. Not interchableInstrument:Universal CuretteInstrument:Area-Specific CuretteFunction:To Scale and remove depositsand stain, remove calculusFunction:To scale and remove depositsfrom specific sub gingival surfaces.Characteristics: Blade has two cutting edges,rounded toe, round on the backSingle or double ended.Characteristics: Anterior and Posterior specificcurettesInstrument:Sickle ScalerInstrument:0.12 % ChlorhexidineFunction:To remove large amounts ofdeposits from supragingivalsurfaces, ideal for anteriorinterproximal areaFunction:Oral rinse before treatment, aidwith lowering patients oralbioburdenCharacteristics: Variety of sizes, sharp edges withsharp point.Characteristics: Blue or Pink liquid, 15 ml oralrinse before and after cleaning6

HYGIENE SET UP FOR PROPHY AND SRPInstrument:Prophy Cup & PasteInstrument:Fluoride VarnishFunction:To polish coronal surface aftercleaning or before certainoperative proceduresFunction:To decrease post cleaningsensitivity, remineralize incipientcarious lesions, caries preventionCharacteristics: Different prophy cups/pointsfluoridated or non-fluoridatedpastes, also differ in gritCharacteristics: Differs in color, sticky, resin based,some patients may be allergic to theresin in the varnishInstrument:Patient Tooth BrushInstrument:Patient FlossFunction:To allow the patient to continuegood oral home careFunction:To allow the patient to continuegood oral home careCharacteristics: Soft bristle tooth brushInstrument:Prophy AngleFunction:To polish teeth with prophy cup orbrushCharacteristics: An attachment for straight orprophy handpiece; types: prophycup for polishing all surfaces ofteeth, prophy brush for polishingocclusal surfaces and lingualsurfaces of anterior teethCharacteristics: Waxed or non-waxed floss7

PROPHYLAXIS TRAY SET-UP109812356741. Cavitron Tip2. Mouth Mirror3. Perioprobe4. Scalars5. Straight Nose6. Prohpy Angle7. Prophy Paste8. 2x2 Gauzes9. Cotton Rolls10. Floss8

SRP (SCALING & ROOT PLANING) TRAY SET-UP11021311364 5879121.2.3.4.5.6.7.8.9.Cotton Rolls2x2 GauzesTopical AnestheticLong NeedleShort NeedleAnesthetic CarpuleChlorohexidineSyringeFloss10. Mouth Mirror11. Perioprobe12. Scalars13. Cavitron Tip9

OPERATIVE INSTRUMENTS - AMALGAM - COMPOSITEInstrument:Q-tipInstrument:Topical AnestheticFunction:To apply topical anesthetic, bitestick, aid in perio and endodiagnosticsFunction:To aid in painless anesthesiaCharacteristics: cotton tipped wooden/plasticstickCharacteristics: Gel consistency, applied withQ-tip to the injection site, differsin color and tasteInstrument:Lidocaine - RedInstrument:Polocaine - TanFunction:An anesthetic with epinephrineFunction:A non-epinephrine anesthetic,used when patients can’t haveepinephrine, e.g. HTN patientsCharacteristics: 2 % Lidocaine 1:100,000epinephrine; has a red band on thecarpule; most used anestheticCharacteristics: 3 % Polocaine Plain; has a tan bandon the carpuleInstrument:Anesthetic NeedleInstrument:Needle Stick ProtectorFunction:To inject anesthetic into softtissueFunction:To hold needle sheath forone-handed recapping afterinjection, Prevent needle stickCharacteristics: Varies in Gauge and LengthTypically short for maxillaryTypically long for mandibularCharacteristics: Metal and card board protector10

OPERATIVE INSTRUMENTS - AMALGAM - COMPOSITEInstrument:Anesthetic SyringeInstrument:Amalgam CapsuleFunction:To administer local anestheticFunction:Material used to restore a cavity,build up for crownCharacteristics: Aspirating and self-aspiratingsyringe. Aspirating syringes havea barb that inserts in the carpuleCharacteristics: Contains amalgam, has to betriturated, times differ on typesof amalgamsInstrument:Amalgam WellInstrument:Amalgam CarrierFunction:To hold amalgam before it isplaced in the preparationFunction:To carry and dispense amalgamfor cavity preparationCharacteristics: Metal, plastic, or glassCharacteristics: Amalgam is placed in hollowtubes, and is then placed incavity preparation, double orsingle sidedSmooth CondenserInstrument:HatchetInstrument:Function:An instrument to accentuateline and point angles of internaland external outlines, removeunsupported enamelFunction:To pack and condense amalgaminto cavity preparationCharacteristics: Cutting edges at differing anglesCharacteristics: Has smooth ends, round, flat,small and large sizes, single ordouble sided11

OPERATIVE INSTRUMENTS - AMALGAM - COMPOSITEInstrument:Serrated CondenserInstrument:Interproximal CondenserFunction:To pack and condense amalgaminto cavity preparationFunction:To pack and condense amalgaminto interproximal areas of thecavity preparationCharacteristics: Ends are serrated, round, flat,small and large sizes, single ordouble sidedCharacteristics: Ends are shaped to fit in themesial or distal box. Smooth orserrated endsInstrument:Football BurnisherInstrument:Acorn BurnisherFunction:To smooth Amalgam aftercondensing, to contour matrixband, to burnish amalgamFunction:To smooth amalgam aftercondensing, used to createocclusal anatomy, burnishamalgamCharacteristics: Smooth football shaped metalinstrument, single or doublesidedInstrument:Function:T-Ball BurnisherTo Smooth amalgam aftercondensing; to contour matrixband, initiate carving and occlusalanatomyCharacteristics: Smooth metal, has a ball and paddlesingle or double sidedCharacteristics: Acorn shaped tip, metal, single ordouble sidedInstrument:Beavertail BurnisherFunction:To smooth amalgam aftercondensing; to burnish the lingual,facial amalgam walls of arestorationCharacteristics: Similar shape to beaver tail,smooth metal, single or doublesided12

OPERATIVE INSTRUMENTS - AMALGAM - COMPOSITEInstrument:Ball BurnisherInstrument:Tanner CarverFunction:To smooth amalgam aftercondensingTo contour matrix band beforeamalgam placementFunction:To carve occlusal anatomy intoamalgam restorationsCharacteristics: Double ended, ends are shapedto carve alloy restorations, sharpCharacteristics: Burnishes alloy restorations,single or double sidedInstrument:Discoid-Cleoid CarverInstrument:WoodsonFunction:To carve occlusal anatomy intoamalgam restorationsFunction:Used as a burnisher andcondenserCharacteristics: Double ended; Discoid is diskshaped; cleoid is pointed, sharpCharacteristics: Doubled ended, one end acondenser while other is paddleshaped12Instrument:Hollenback CarverInstrument:Function:To contour and carve occlusaland interproximal anatomy inamalgam restorationsFunction:Characteristics: Double ended, sharp stiff metalblade, sharp point; ends areprotrude at different angles; carvesother restorative materialsHalf-Hollenback Carver (2)To contour and carve occlusaland interproximal anatomy inamalgam restorationsCharacteristics: Half the size of Hollenback (1);double ended, sharp stiff metalblade, sharp point; ends areprotrude at different angles; carves13other restorative materials

OPERATIVE INSTRUMENTS - AMALGAM - COMPOSITEInstrument:Function:Dycal/Liner ApplicatorTo Place Calcium Hydroxide or GlassIonomerCharacteristics: Has short or long handle, similarto a tiny ball burnisherInstrument:Tofflemire/Matrix BandRetainerFunction:To maintain stability of matrixband during condensation ofrestorationsCharacteristics: Has a guide slot, spindle, outerand inner knobInstrument:Interproximal KnifeFunction:To Carve interproximal wallsof amalgams, to restore contourof proximal wallsInstrument:Function:Articulating Paper HolderTo hold articulating paper inchecking patients biteCharacteristics: Articulating paper is blue orred, thin to thickInstrument:Function:Matrix BandTo replace missing proximal walls ofcavity preparation for condensationof restorative materialCharacteristics: Universal, premolar, molar, andpediatric bandsCharacteristics: Double ended, Sharp carvinghard metal blade14

15463152987102322211112 13141524161718261920AMALGAM TRAY SET-UP25

AMALGAM TRAY SET-UP INSTRUMENTS1. 2x2 Gauzes2. Topical Anesthetics3. Cotton Rolls4. Needle5. Anesthetic Carpules6. Floss7. Syringe8. Restorative Bur Block9. Articulating Paper10. Amalgam pellets11. Mouth Mirror12. Explorer/ Perioprobe13. Spoon Excavator14. Condenser15. Plastic16. Discloid-Celoid Carver17. Ball Burnisher18. Cotton Forcep19. Articulating Paper Holder20. Amalgam Carrier21. Wood Wedges22. Matrix Band23. Tofflemier24. Amalgam Well25. High Speed Handpiece26. Low Speed Handpiece16

RUBBER DAM TRAY SET-UP21453RUBBER DAM TRAY SET-UP INSTRUMENTS1.2.3.4.5.Rubber DamClamp holderRubber Dam HolderRubber Dam Hole PuncherClamp17

OPERATIVE INSTRUMENTS - AMALGAM - COMPOSITEInstrument:Spoon ExcavatorFunction:To remove carious dentinTo remove temp cement,provisional crownsCharacteristics: Spoon-shaped with a cuttingedge, small and large sizesInstrument:Plastic InstrumentFunction:To carry composite material forcavity preparation, and shapecomposite, not for any other useCharacteristics: Specially coated instrument, notfor amalgam or any other useInstrument:Mylar StripFunction:Thin clear strip used to isolate cavityprep, able to use cure lightCharacteristics: Similar size to matrix band, clearInstrument:Wood WedgesFunction:To hold matrix band in placealong gingival margin of class IICharacteristics: Triangular or rounded plastic orwooden, various sizes and colorInstrument:Micro BrushFunction:Use to apply primer, dentin bondenamel bond, sealantsCharacteristics: Small plastic instrument withsmall fiber bristled headInstrument:Composite WellFunction:Plastic well used to hold composite,etch, bond, cavity conditionerCharacteristics: Plastic well, smaller than amalgamwell18

OPERATIVE INSTRUMENTS - AMALGAM - COMPOSITEInstrument:Curing LightInstrument:Protective Eye WearFunction:To harden light-cure materials,bonding, composites, sealants,cements, build upFunction:To protect operator’s andassistant’s eyes during proceduresCharacteristics: Material must be cured inincrements of 2 mm or less, need tobe above 300 wavelengthCharacteristics: Orange, dark, clear, protectseyesInstrument:Finishing StripsInstrument:Bonding AgentsFunction:To finish and smoothinterproximal surfacesFunction:Acts as an adhesive between thetooth and the composite materialCharacteristics: Differs in grit, coarse, fine, extrafine. AbrasiveCharacteristics: Differs in generation, all in oneunit, 3 step, 2 step, brands requiredifferent techniques19

2031304 52678910112312132014152416 181725261921COMPOSITE TRAY SET-UP2827292220

Composite Tray Set-up Instruments1. 2x2 Gauzes2. Topical Anesthetic3. Anesthetic carpules4. Needle5. Cotton Rolls6. Syringe7. High Speed Handpiece8. Restorative Bur Block9. Cotton Forcep10. Floss11. Hand Mirror12. Perioprobe13. Spoon Excavator14. Acorn Burnisher15. Ball/ Football Burnisher16. Condenser17. Plastic Instrument18. Discloid-Cleoid Carver19. Beavertail Carver20. Bonding Agents21. Microbrush22. Mixing Well23. Articulating Paper24. Wooden Wedges25. Matrix Band26. Packable Composite27. Tofflemire28. Flowable Composite29. Etch30. Slow speedRESTORATIVE BUR BLOCK123465781.2.3.4.5.6.7.8.Diamond FootballRound BurLatch Round BurDiamond Round-NosedWhite Stone330557Diamond Tree Top21

OPERATIVE INSTRUMENTS - AMALGAM - COMPOSITEInstrument:EtchInstrument:Cavity ConditionerFunction:To remove the smear layer,prepare the tooth for bondingFunction:Works similar as etch, used toprepare the tooth for a GlassIonomer restorationCharacteristics: Differs in color and pH level.Concentrations of PhosphoricAcid typically 37 % and blueInstrument:Dycal (Calcium HydroxideComposition)Function:Used for indirect pulp cap,protective liner for deep cavitiesCharacteristics: A base and catalyst paste, mixestogether to form a tan paste, selfsets. 1:1 ratio mixCharacteristics: 20 % Polyacrylic Acid, Deep bluetintInstrument:Vitrabond linerFunction:A glass ionomer material usedto make a linerCharacteristics: Powder and liquid mixed 1:1ratio, light cure and self settingInstrument:IRM (ZOE)Instrument:Fuji IX or Fuji IIFunction:Used as a temporary fillingmaterial, sedative fillingFunction:Used for restorative materialfor high caries risk, releasesfluorideCharacteristics: White powder mixed witheugenol, 1:1 mixture, mix so it isnot sticky to gloved fingerCharacteristics: Triturable capsules or liquidpowder22

OPERATIVE INSTRUMENTS - AMALGAM - COMPOSITEInstrument:Flowable CompositeInstrument:Packable CompositeFunction:High viscosity, low fillercomposite, used small areas orbefore placement of packablecomposite, differs in shadeFunction:Low viscosity, high filler,permanent restorative materialCharacteristics: Fluid like composite, with in asyringe used with a syringe tipCharacteristics: Either in a syringe or compositetip. Composite tip requirescomposite gunInstrument:Composite GunInstrument:Composite Shade GuideFunction:Holds composite tip, used todeliver composite to the cavityprepFunction:To allow the patient to seethe shade they would likethe filling to be.Characteristics: Composite tip inserts in thebarrel of the composite gunCharacteristics: Has different color teeth with ashade, e.g. A2, B1, C3, D2 Instrument:High Speed HandpieceInstrument:Low Speed HandpieceFunction:To be used with a bur to cut acavity/crown prepFunction:To remove decay, polish, openpulpal access, endo, refine prepCharacteristics: Runs on air pressure, up to400,000 rpm’s, sprays water,friction gripCharacteristics: Runs on air, up to 30,000 rpm’s,latch and friction grip23

OPERATIVE INSTRUMENTS - AMALGAM - COMPOSITEInstrument:Contra AngleInstrument:Function:To use with slow speed motorFunction:Characteristics: Different designs for differentprocedures, e.g. hygiene tray,operative tray, surgical tray.Straight Nose ConeTo use with or withoutattachments. Examples ofattachments: Contra angle orprophy angle; To use with a longshank straight burCharacteristics: Runs at maximum 30,000 rpm; useoutside oral cavity unless used withattachments24

X-RAY1423Instrument:Anterior X-rayInstrument:Function:To take X-ray for Anterior teethFunction:Characteristics: 1. Plastic aiming ring; 2. metalindicator arm; 3. plastic bite-block;4. film31Digital SensorTo be placed in mouth and capturedigital image of teeth; used in placeof traditional X-ray filmsCharacteristics: Variety sizes and types425Instrument:Posterior X-RayFunction:To take X-ray for Posterior teethCharacteristics: 1&5. Plastic bite-block; 2.Plasticaiming ring; 3. metal indicator arm;4. film25

UNIVERSAL SURGICAL INSTRUMENTSInstrument:Scalpel Handle withBladesFunction:To Hold blade in place, cut tissuewith blade, trim interproximalrestorationCharacteristics: Blades are disposable after eachuse. Handle can be autoclaved ordisposable.Instrument:Tissue ForcepFunction:proceduresTo hold tissue during surgicalCharacteristics: Has serrated or rat-tooth tipsInstrument:HemostatInstrument:Tongue and CheekRetractorFunction:To grasp tissue or bone fragmentFunction:To hold and retract tongue or cheekCharacteristics: Has variety of functions. Workingend is serrated and it locks. Can bestraight or curvedCharacteristics: Styles and sizes vary. Also called theMinnesota.Instrument:Tissue ScissorsInstrument:Needle Holder/ DriverFunction:To cut tissueFunction:To grasp and manipulate sutureneedle during suturingCharacteristics: Can be straight or curved. Variety ofshapes and sizesCharacteristics: Working end has different lengths.Ends are notched to accommodateneedle.26

UNIVERSAL SURGICAL INSTRUMENTSInstrument:Suture Needles and SuturesInstrument:Suture ScissorsFunction:To suture surgical siteFunction:To cut suturesCharacteristics: Reabsorbable sutures: gut andchromic gut. Non-reabsorbable:silk, nylon, polypropylene.Available in packages.Characteristics: Has straight or angled cutting edges.May have a notch on end of cuttingedge.SUTURE TRAY SET-UP124351.2.3.4.Suture and Needle2x2 GauzeCotton RollsHemostat675. Suture Scissors6. Cotton Forcep7. Mouth Mirror27

UNIVERSAL SURGICAL INSTRUMENTSSUTURE REMOVAL TRAY SET-UP1234651. Explorer/ Perioprobe2. Mouth Mirror3. C

occlusal anatomy, burnish amalgam Characteristics: Acorn shaped tip, metal, single or double sided Instrument: T-Ball Burnisher Function: To Smooth amalgam after condensing; to contour matrix band, initiate carving and occlusal