Dental instrument

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Mouth mirror, a commonly used dental instrument Dentalmirror09-10-05.jpg
Mouth mirror, a commonly used dental instrument

Dental instruments are tools that dental professionals use to provide dental treatment. They include tools to examine, manipulate, treat, restore, and remove teeth and surrounding oral structures. [1]

Contents

Examination instruments

These tools allow dental professionals to manipulate tissues for better visual access during treatment or during dental examination.

Dental mirror

The dentist or dental auxiliary use dental mirrors to view a mirror image of the teeth in locations of the mouth where visibility is difficult or impossible. They also are used for reflecting light onto desired surfaces, and for retraction of soft tissues to improve access or vision.

Pig tail dental explorer Dental explorer05-11-08a.jpg
Pig tail dental explorer

Probes

Retractors

Cheek retractor Cheek retractor.jpg
Cheek retractor

Local anesthesia

Anesthesia is classified into three types: local, regional, and general, each of which affects the nervous system in some way and can be provided via a variety of methods and medications.

Local anaesthesia is a type of anaesthetic medicine that numbs just a small, specific area of the body (it can be administered as a shot, spray, or ointment). (for example, a foot, hand, or patch of skin). A person is awake while being drugged with local anaesthesia. Local anaesthesia has a short duration and is frequently utilised for simple outpatient operations. (when patients come in for surgery and can go home that same day). For someone having outpatient surgery in a clinic or doctor's office (such as the dentist or dermatologist), this anesthetic is likely used. The medicine can numb the area during the procedure and for a short time afterwards to help control post-surgery discomfort.

The function of this instrument involves successfully piercing the surface of the periodontal ligament so the patient can be distributed the anesthesia. [2] Past devices have proven to be insufficient because it instilled fear in patients and made it exhaustingly uncomfortable for dentists to use because of the bulky size. [2] With how simple it is to hide it in the hand due to the smaller size of modern day anesthetic syringes, dentists are successfully able to maneuver in a patient's mouth without causing harm to the patient being treated, allowing for a quick insert of the anesthesia followed by the dentist being able move on swiftly to the next task of the dental visit. [2] Another aspect of the syringe is the capability of use, which means dentists are able to easily insert fluid in the device and follow the color coded instructions that allow for efficient use of the dental instrument. [3] The device is so intricately sized that doctors are able to grip it well enough to get the job done. [3] Some anesthetic syringes also include a power handle that gives the doctor less of a responsibility over the amount of pressure needed to push in the medicine because the power handle has settings that let the dentist set an amount for how much anesthetic they want to be produced. [3]

Dental handpieces

A high-speed dental handpiece Dentalhandpiece0111-26-05.jpg
A high-speed dental handpiece

Dental handpieces are classified into several varieties, including high-speed air driven (also known as an airotor), slow-speed, friction grip, and surgical handpiece.

Dental laser

A dental laser is a type of laser designed specifically for use in oral surgery or dentistry.

The use of a laser can decrease morbidity after surgery, and reduces the need for anesthetics. Because of the cauterization of tissue there will be little bleeding following soft tissue procedures, and some risks of alternative electrosurgery procedures are avoided.

Dental torque wrench

A dental torque wrench or restorative torque wrench is a torque wrench used to precisely apply a specific torque to a fastener screw for fixation of an abutment, dentures, or prosthetics on a dental implant. [4]

Burs

The cutting surfaces of dental burs are made of a multi-fluted tungsten carbide, a diamond-coated tip, or a stainless steel multi-fluted rosehead. There are many types and classifications of burs. Some of the most common are the round bur (sizes ¼ to 10) or inverted cone (sizes 33½ to 90L).

Burs are also classified by:

- The type of material the bur is made of

- The shank type and total length of the bur

- The shape of the head

- The size of the grit

- The maximum diameter of the head

For instance, a latch type, or right angle bur, is only used in the slow-speed handpiece with contra-angle attachment. A long shank or shaft is only used in slow speed when the contra-angle is not in use, and finally, a friction grip bur, which is a small bur, is used only in the high-speed handpiece.

There are many bur shapes that are utilized in various specific procedures.

Operative burs

Flat fissure, pear-shaped, football, round, tapered, flame, chamfer, bevel, end cut, bud bur, steel, inverted cone, diamond, brown stone, and green-stone

Restorative instruments

Excavators

Burnishers

Burnishers are used for polishing and contouring amalgam fillings and to polish composite fillings. They include:

Pluggers

Pluggers are also known as amalgam condensers. They are used to achieve a well-condensed filling by compressing the filling material into the cavity and applying pressure. [6]

Periodontal instruments

Fine scalers

Fine scalers are used in the removal of soft deposits. They include:

Heavy scalers

These are seen as the scalers used in the removal for heavy tartar and stains which are not removed by the fine scalers. They include:

Curettes

Types include:

Prosthodontic instruments

Removable prosthodontics

Extraction and surgical instruments

Dental forceps

Ancient Greek and Roman dentists extracted teeth with lead pliers. In 1840, Sir John Tomes and his friend Evrard made the first pair of dental forceps. [7] In 1841, Tomes posted an article to tell the whole world about his discovery of new forceps that had never been seen before, successfully becoming the creator of the forceps and the concept of forceps. [7] In earlier times, or during the eighteenth and nineteenth centuries, elevators and pelicans were used as extraction devices because the idea of dental forceps did not exist, but the thought of extracting in the first place with some form of a tool was there. [8] With pelicans, their sharp talons were used to be placed down on the inside of the mouth near the gums while the elevator helped pull the tooth out of its socket. Then, a pair of pincers would do the rest of the job, wiggling the tooth out of the gum until the extraction was complete. [8] The functionality of today's dental forceps come from the need to remove items from the mouth such as the cotton balls dentists place next to a patient's teeth or the rubber bands a patient needs for their braces. [9] However, most dental forceps are not designed for comfort, nor do they take the account of the dental practitioners hand positions throughout the procedure to mind. [9] Dental forceps have been designed to the point where dentists experience medical complications of their own on the carpal scale considering their hands are always placed in an awkward angle while they remove items from the patient's mouth. [9]

List of dental forceps

  • Bayonet
  • Cow horns #23
  • Greyhound
  • Lower universals
  • Root
  • Upper canine
  • Upper left molar
  • Upper right molar
  • Upper straight long
  • Upper straight short
  • Upper universal fine
  • Upper universals
  • Upper wisdom tooth

Elevators

Chisels

Orthodontic instruments

Endodontic instruments

See also

Related Research Articles

<span class="mw-page-title-main">Dentistry</span> Branch of medicine

Dentistry, also known as dental medicine and oral medicine, is the branch of medicine focused on the teeth, gums, and mouth. It consists of the study, diagnosis, prevention, management, and treatment of diseases, disorders, and conditions of the mouth, most commonly focused on dentition as well as the oral mucosa. Dentistry may also encompass other aspects of the craniofacial complex including the temporomandibular joint. The practitioner is called a dentist.

<span class="mw-page-title-main">Local anesthetic</span> Medications to reversibly block pain

A local anesthetic (LA) is a medication that causes absence of all sensation in a specific body part without loss of consciousness, as opposed to a general anesthetic, which eliminates all sensation in the entire body and causes unconsciousness. Local anesthetics are most commonly used to eliminate pain during or after surgery. When it is used on specific nerve pathways, paralysis also can be induced.

<span class="mw-page-title-main">Dentist</span> Health care occupations caring for the mouth and teeth

A dentist, also known as a dental surgeon, is a health care professional who specializes in dentistry, the branch of medicine focused on the teeth, gums, and mouth. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.

<span class="mw-page-title-main">Crown (dental restoration)</span> Dental prosthetic that recreates the visible portion of a tooth

In dentistry, a crown or a dental cap is a type of dental restoration that completely caps or encircles a tooth or dental implant. A crown may be needed when a large dental cavity threatens the health of a tooth. Some dentists will also finish root canal treatment by covering the exposed tooth with a crown. A crown is typically bonded to the tooth by dental cement. They can be made from various materials, which are usually fabricated using indirect methods. Crowns are used to improve the strength or appearance of teeth and to halt deterioration. While beneficial to dental health, the procedure and materials can be costly.

<span class="mw-page-title-main">Dental extraction</span> Operation to remove a tooth

A dental extraction is the removal of teeth from the dental alveolus (socket) in the alveolar bone. Extractions are performed for a wide variety of reasons, but most commonly to remove teeth which have become unrestorable through tooth decay, periodontal disease, or dental trauma, especially when they are associated with toothache. Sometimes impacted wisdom teeth cause recurrent infections of the gum (pericoronitis), and may be removed when other conservative treatments have failed. In orthodontics, if the teeth are crowded, healthy teeth may be extracted to create space so the rest of the teeth can be straightened.

<span class="mw-page-title-main">Dental drill</span> Dental instrument

A dental drill or dental handpiece is a hand-held, mechanical instrument used to perform a variety of common dental procedures, including removing decay, polishing fillings, performing cosmetic dentistry, and altering prostheses. The handpiece itself consists of internal mechanical components which initiate a rotational force and provide power to the cutting instrument, usually a dental burr. The type of apparatus used clinically will vary depending on the required function dictated by the dental procedure. It is common for a light source and cooling water-spray system to also be incorporated into certain handpieces; this improves visibility, accuracy and overall success of the procedure. The burrs are usually made of tungsten carbide or diamond.

<span class="mw-page-title-main">Veterinary dentistry</span> Branch of veterinary medicine

Veterinary dentistry is the field of dentistry applied to the care of animals. It is the art and science of prevention, diagnosis, and treatment of conditions, diseases, and disorders of the oral cavity, the maxillofacial region, and its associated structures as it relates to animals.

<span class="mw-page-title-main">Scaling and root planing</span> Dental procedure

Scaling and root planing, also known as conventional periodontal therapy, non-surgical periodontal therapy or deep cleaning, is a procedure involving removal of dental plaque and calculus and then smoothing, or planing, of the (exposed) surfaces of the roots, removing cementum or dentine that is impregnated with calculus, toxins, or microorganisms, the agents that cause inflammation. It is a part of non-surgical periodontal therapy. This helps to establish a periodontium that is in remission of periodontal disease. Periodontal scalers and periodontal curettes are some of the tools involved.

<span class="mw-page-title-main">Root canal treatment</span> Dental treatment

Root canal treatment is a treatment sequence for the infected pulp of a tooth which is intended to result in the elimination of infection and the protection of the decontaminated tooth from future microbial invasion. Root canals, and their associated pulp chamber, are the physical hollows within a tooth that are naturally inhabited by nerve tissue, blood vessels and other cellular entities. Together, these items constitute the dental pulp.

Dental anesthesia is the application of anesthesia to dentistry. It includes local anesthetics, sedation, and general anesthesia.

The periodontal curette is a type of hand-activated instrument used in dentistry and dental hygiene for the purpose of scaling and root planing. The periodontal curette is considered a treatment instrument and is classified into two main categories: universal curettes and Gracey curettes. Periodontal curettes have one face, one or two cutting edges and a rounded back and rounded toe. They are typically the instrument of choice for subgingival calculus removal.

<span class="mw-page-title-main">Tooth polishing</span>

Tooth polishing procedures are done to smooth the surfaces of teeth and restorations. The purpose of polishing is to remove extrinsic stains, remove dental plaque accumulation, increase aesthetics and to reduce corrosion of metallic restorations. Tooth polishing has little therapeutic value and is usually done as a cosmetic procedure after debridement and before fluoride application. Common practice is to use a prophy cup—a small motorized rubber cup—along with an abrasive polishing compound.

<span class="mw-page-title-main">Debridement (dental)</span> Removal of plaque and calculus from teeth

In dentistry, debridement refers to the removal by dental cleaning of accumulations of plaque and calculus (tartar) in order to maintain dental health. Debridement may be performed using ultrasonic instruments, which fracture the calculus, thereby facilitating its removal, as well as hand tools, including periodontal scaler and curettes, or through the use of chemicals such as hydrogen peroxide.

In periodontics, there are four reasons to seek medication. Those four reasons include infection, swelling, pain, and sedation. Although some patients may experience pain, swelling, and infection as a result of an acute periodontal problem such as advanced periodontal disease, periodontic patients usually do not need medication until they are faced with surgery. For successful surgery, medication is then introduced prior to the operation, usually the morning before the procedure and is continued for up to two weeks after.

<span class="mw-page-title-main">W&H Dentalwerk</span>

The W&H Group, a family company whose registered office is in Bürmoos, Austria, is one of the world's leading manufacturers of dental handpieces and turbines. Its products are used in dental practices, dental clinics, dental laboratories, dental universities, hospitals and microsurgery. W&H is involved principally in B2B business. 95% of its products are exported to over 90 countries. The W&H Group employs around 980 staff worldwide, some 650 of whom work in the Austrian headquarters in Bürmoos. 30% of the Group's turnover comes from products that have come onto the market in the last three years.

Alveoloplasty is a surgical pre-prosthetic procedure performed to facilitate removal of teeth, and smoothen or reshape the jawbone for prosthetic and cosmetic purposes. In this procedure, the bony edges of the alveolar ridge and its surrounding structures is made smooth, redesigned or recontoured so that a well-fitting, comfortable, and esthetic prosthesis may be fabricated or implants may be surgically inserted. This pre-prosthetic surgery which may include bone grafting prepares the mouth to receive a prosthesis or implants by improving the condition and quality of the supporting structures so they can provide support, better retention and stability to the prosthesis.

Occupational hazards in dentistry are occupational hazards that are specifically associated with a dental care environment. Members of the dental team, including dentists, hygienists, dental nurses and radiographers, must ensure local protocols are followed to minimize risk.

<span class="mw-page-title-main">Elevator (dental)</span> Dental instrument

Elevators are instruments used in dental extractions. They may be used to loosen teeth prior to forcep extraction, to remove roots or impacted teeth, when teeth are compromised and susceptible to fracture or when they are malpositioned and cannot be reached with forceps.

<span class="mw-page-title-main">Dental aerosol</span> Hazardous biological compound

A dental aerosol is an aerosol that is produced from dental instrument, dental handpieces, three-way syringes, and other high-speed instruments. These aerosols may remain suspended in the clinical environment. Dental aerosols can pose risks to the clinician, staff, and other patients. The heavier particles contained within the aerosols are likely to remain suspended in the air for relatively short period and settle quickly onto surfaces, however, the lighter particles may remain suspended for longer periods and may travel some distance from the source. These smaller particles are capable of becoming deposited in the lungs when inhaled and provide a route of diseases transmission. Different dental instruments produce varying quantities of aerosol, and therefore are likely to pose differing risks of dispersing microbes from the mouth. Air turbine dental handpieces generally produce more aerosol, with electric micromotor handpieces producing less, although this depends on the configuration of water coolant used by the handpiece.

Root resection or root amputation is a type of periradicular surgery in which an entire root of a multiroot tooth is removed. It contrasts with an apicoectomy, where only the tip of the root is removed, and hemisection, where a root and its overlying portion of the crown are separated from the rest of the tooth, and optionally removed.

References

  1. Adaire, Diana. "Classification of Dental Instruments". Arkansas Tech University. Retrieved 2017-01-12.
  2. 1 2 3 USpatent 4444560,"Dental instrument-PDL syringe",issued 1983-05-20
  3. 1 2 3 USpatent 4472141,"All purpose dental syringe",issued 1981-10-26
  4. Mahmood Kazemi; Ahmad Rohanian; Abbas Monzavi; Mohammad Sadegh Nazari (March 2013). "Evaluation of the accuracy and related factors of the mechanical torque-limiting device for dental implants". Journal of Dentistry. 10 (2): 112–118. PMC   3666070 . PMID   23724209.
  5. "Types of Dental Excavators". drchetan.com. Retrieved 2017-01-12.
  6. "Common Instruments Used in Dental Examination" (PDF).
  7. 1 2 Cope, Z. (1957). "Sir John Tomes—A Great Dental Pioneer". Annals of the Royal College of Surgeons of England. 20 (1): 1–12. PMC   2413440 . PMID   13395278.
  8. 1 2 Atkinson, H. F. (2002). "Some Early Dental Extraction Instruments Including the Pelican, Bird or Axe?". Australian Dental Journal. 47 (2): 90–93. doi: 10.1111/j.1834-7819.2002.tb00310.x . ISSN   1834-7819. PMID   12139279.
  9. 1 2 3 USapplication 20020106609,"Dental forceps",issued 2002-02-05