Oral Surgery Volume 2, Instruments

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Oral Surgery

Volume 2

Dental Surgery/Minor Oral Surgery

• Definition includes all surgical procedures within the

oral cavity that can be performed under local anesthesia on an outpatient basis.

As a specialized area within OMS all basic principles of this medical discipline apply

to Dental/Minor Oral Surgery as well.

Surgical procedure

-each surgical procedure represents an injury and only:- the intention to bring healing- the patients agreement to the procedure- responsible screening about own skills

and equipment

protects from legal action!!!!!

SURGICAL INSTRUMENTS

• INSTRUMENTS • FOR • GENERAL TREATMENT

• - ORAL INVESTIGATION• - PREOPERATIVE TREATMENT• - POSTOPERATIVE CARE

SURGICAL INSTRUMENTS

• FOR SURGICAL TREATMENT• A = EXTRACTION• B = SOFT TISSUE SURGERY• C = BONE SURGERY

• = MOST OF THE SURGICAL TREATMENTS ARE COMBINATIONS

A,B + C

SURGICAL INSTRUMENTSGeneral treatment

• Standard instruments for oral investigation• tweezer, probe and mouth mirror

Surgical instrumentspreop.treatment - anaesthesia

Surgical instrumentsanaesthesia

Tooth extractionInstruments

Forceps • Incisors - upper + lower• Canine\ bicuspid - upper + lower• molar - upper right + upper left + lower 3rd molar - upper + lower root forceps - upper + lower

forceps of smaller size for deciduous teeth

Surgical instrumentsextraction - forceps

• The forceps for upper incisors is straight with • closed beaks

• The forceps for upper canines and bicuspids• can be straight or slightly angled • beaks open about 2 mm

• The forceps for upper molars are angled• beaks are open about 2 mm• vestibular beak with tooth/ palate beak round• angle and toothed beak indicate right/left

• The cowhorn forceps is a special instruments upper molars. Two ended beak holds the palatal root firm, while the one ended beak inserts

between vestibular roots.

• The root forceps is angled and of slim design to be able to reach deep into the alveola,

• beaks small, pointy and closed

• The bone forceps has round beaks like a spoon with sharp edges in order to cut bone and not

compress

• The forceps for lower incisors are angled with small beaks. The beaks are

closed.

• The forceps for lower canines and bicuspids are angled with medium sized beaks. The beaks

are open about 2 mm.

• The forceps for lower molars are angled, the beaks are open about 3mm with teeth on

both beaks.

Surgical instrumentsextraction – forceps

tooth separator

Tooth extractionInstruments

ElevatorsToday there exists numerous elevators of

different shapes, we can identify 3 groups:1st> straight elevators2nd angled elevators3rd hooked\curved elevators

Surgical instrumentsExtraction - Elevators

Hooked Angled Straight

Surgical instrumentsextraction - elevators

Surgical instrumentsextraction - elevator

Surgical instrumentsextraction – elevatorsangled hooked

Surgical instrumentsextraction - elevators

• Some elevator handles are specially designed to enable the dentist to apply a higher force.

Surgical instrumentsSupport

-Mouth opener

Mouth opener

Silver probe

The silver probe is to examine a possible oral antral

communication.

Connection from the oral cavity into the maxillary sinus after extraction of upper bicuspids or molars

Tooth extraction- related factsBone resorption after extraction

Classification of procedures

The difficulties within each surgical treatment together with the actual demand for surgical skills and experience as well asequipment mark the classification of a surgical procedure: SAC – Classification S = Simple A= Advanced C= Complex

Oro-antral communication

Oro-Antral Communication

Oro-Antral communication

Oral Surgery Volume 2, Instruments

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