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The dental key is an instrument that was used in dentistry to extract diseased teeth. Before the era of antibiotics, dental extraction was often the method of choice to treat dental infections, and extraction instruments date back several centuries.
The dental key, (also known as Clef de Garengeot, Fothergill-Key, English-Key, Dimppel Extractor or Tooth Key) was first mentioned in Alexander Monro's Medical Essays and Observations in 1742, but had probably been in use since around 1730. It remained popular into the 20th century when it was replaced by the more modern forceps.
Modeled after a door key, the dental key was used by first inserting the instrument horizontally into the mouth, then its "claw" would be tightened over a tooth. The instrument was rotated to loosen the tooth. This often resulted in the tooth breaking, causing jaw fractures and soft tissue damage.
The design of the dental key evolved over the years. The original design featured a straight shaft, which caused it to exert pressure on the tooth next to the one being extracted. This led to a newer design in 1765 by F. J. Leber where the shaft was slightly bent. In 1796 the claw was fixed via a swivel enabling it to be set in various positions by a spring-catch. Newer designs, such as those manufactured by medical instrument maker Charriere featured interchangeable claws. By the end of the 19th century, the introduction of forceps made popular notably by Sir John Tomes, rendered the tooth key mostly obsolete. However, a modern version of the dental key, the Dimppel Extractor, briefly revitalized its use later in the 20th century.
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.
A hemostat is a surgical tool used in many surgical procedures to control bleeding. For this reason, it is common in the initial phases of surgery for the initial incision to be lined with hemostats which close blood vessels awaiting ligation. Hemostats belong to a group of instruments that pivot where the structure of the tip determines its function.
Dental braces are devices used in orthodontics that align and straighten teeth and help position them with regard to a person's bite, while also aiming to improve dental health. They are often used to correct underbites, as well as malocclusions, overbites, open bites, gaps, deep bites, cross bites, crooked teeth, and various other flaws of the teeth and jaw. Braces can be either cosmetic or structural. Dental braces are often used in conjunction with other orthodontic appliances to help widen the palate or jaws and to otherwise assist in shaping the teeth and jaws.
Dental surgery is any of a number of medical procedures that involve artificially modifying dentition; in other words, surgery of the teeth, gums and jaw bones.
Vacuum extraction (VE), also known as ventouse, is a method to assist delivery of a baby using a vacuum device. It is used in the second stage of labor if it has not progressed adequately. It may be an alternative to a forceps delivery and caesarean section. It cannot be used when the baby is in the breech position or for premature births. The use of VE is generally safe, but it can occasionally have negative effects on either the mother or the child. The term comes from the French word for "suction cup".
Toothache, also known as dental pain, is pain in the teeth or their supporting structures, caused by dental diseases or pain referred to the teeth by non-dental diseases. When severe it may impact sleep, eating, and other daily activities.
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.
Pierre Fauchard was a French physician, credited as being the "father of modern dentistry". He is widely known for writing the first complete scientific description of dentistry, Le Chirurgien Dentiste, published in 1728. The book described basic oral anatomy and function, signs and symptoms of oral pathology, operative methods for removing decay and restoring teeth, periodontal disease (pyorrhea), orthodontics, replacement of missing teeth, and tooth transplantation.
Pericoronitis is inflammation of the soft tissues surrounding the crown of a partially erupted tooth, including the gingiva (gums) and the dental follicle. The soft tissue covering a partially erupted tooth is known as an operculum, an area which can be difficult to access with normal oral hygiene methods. The hyponym operculitis technically refers to inflammation of the operculum alone.
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.
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.
Focal infection theory is the historical concept that many chronic diseases, including systemic and common ones, are caused by focal infections. In present medical consensus, a focal infection is a localized infection, often asymptomatic, that causes disease elsewhere in the host, but focal infections are fairly infrequent and limited to fairly uncommon diseases. Focal infection theory, rather, so explained virtually all diseases, including arthritis, atherosclerosis, cancer, and mental illnesses.
Obstetrical forceps are a medical instrument used in childbirth. Their use can serve as an alternative to the ventouse method.
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.
An impacted tooth is one that fails to erupt into the dental arch within the expected developmental window. Because impacted teeth do not erupt, they are retained throughout the individual's lifetime unless extracted or exposed surgically. Teeth may become impacted because of adjacent teeth, dense overlying bone, excessive soft tissue or a genetic abnormality. Most often, the cause of impaction is inadequate arch length and space in which to erupt. That is the total length of the alveolar arch is smaller than the tooth arch. The wisdom teeth are frequently impacted because they are the last teeth to erupt in the oral cavity. Mandibular third molars are more commonly impacted than their maxillary counterparts.
A tenaculum is a surgical instrument, usually classified as a type of forceps. It consists of a slender sharp-pointed hook attached to a handle and is used mainly in surgery for seizing and holding parts, such as blood vessels.
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.
Tooth ablation is the deliberate removal of a person's healthy teeth, and has been recorded in a variety of ancient and modern societies around the world. This type of dental modification is visually very striking and immediately obvious to other people from the same or different communities. There are numerous reasons for performing tooth ablation, including group identification, ornamentation, and rites of passage such as coming of age, marriage and mourning. The social meaning of tooth evulsion is likely to remain unknown for ancient populations and may have changed over time within those groups. Dental evulsion can significantly effect the emergence, occlusion and wear patterns of the remaining teeth.
Ancient Roman surgical practices developed from Greek techniques. Roman surgeons and doctors usually learned through apprenticeships or studying. Ancient Roman doctors such as Galen and Celsus described Roman surgical techniques in their medical literature, such as De Medicina. These methods encompassed modern oral surgery, cosmetic surgery, sutures, ligatures, amputations, tonsillectomies, mastectomies, cataract surgeries, lithotomies, hernia repair, gynecology, neurosurgery, and others. Surgery was a rare practice, as it was dangerous and often had fatal results. To perform these procedures, they used tools such as specula, catheters, enemas, bone levers, osteotomes, phlebotomes, probes, curettes, bone drills, bone forceps, cupping vessels, knives, scalpels, scissors, and spathas.
Dentistry developed during the early parts of Roman history, possibly due to the arrival of a Greek doctor named Archagathus. Ancient Roman oral surgical tools included the dental drill, chisels, bone levers, tooth and stump forceps. The ancient Romans invented the usage of narcotics during dental surgery. These tools were used to treat conditions such as toothache and to extract teeth. It was believed in ancient Rome that the cause of the conditions that necessitated such treatment was a "toothworm."
