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IInnssttrruummeennttss iinn OOrraall SSuurrggeerryy 
UUppllooaadd BByy :: AAhhmmeedd AAllii AAbbbbaass .. 
BBaabbyylloonn UUnniivveerrssiittyy CCoolllleeggee ooff DDeennttiissttrryy .. 
ddoowwnnllooaadd tthhiiss ffiillee ffrroomm WWeebbssiittee oonn ggooooggllee .. 
tthheeooppttiimmaallssmmiillee..wwiixx..ccoomm//ddeennttiissttrryy
v Hemostats vss.. NNeeeeddllee HHoollddeerrss 
 HHeemmoossttaattss 
 UUsseedd ffoorr ppllaacciinngg aanndd rreemmoovviinngg ssuurrggiiccaall 
bbllaaddeess 
 NNeeeeddllee hhoollddeerrss 
 HHaavvee ggoolldd llooooppss 
 UUsseedd ssppeecciiffiiccaallllyy ffoorr ppuusshhiinngg nneeeeddlleess 
aanndd ssuuttuurriinngg
v Hemostats vss.. NNeeeeddllee HHoollddeerrss
FFuullll TThhiicckknneessss FFllaappss 
 MMuuccoossaa,, SSuubbmmuuccoossaa aanndd PPeerriioosstteeuumm 
 SSuubbmmuuccoossaa ccoonnttaaiinnss nneerrvveess,, aarrtteerriieess,, 
vveeiinnss aanndd llyymmpphhaattiiccss 
 WWee rraaiissee ffuullll tthhiicckknneessss ffllaappss iinn OO..SS.. 
 LLeessss sswweelllliinngg 
 LLeessss bblleeeeddiinngg 
 LLeessss ppaaiinn
CChhiisseellss 
 MMoonnoobbeevveell-- 
 RReemmoovvee bboonnee 
 BBiibbeevveell 
 SSpplliitt TTeeeetthh
EElleevvaattoorrss 
 330011--ssmmaalllleesstt 
 3344 
 4466SS--LLaarrggeesstt
330011 EElleevvaattoorr 
 LLeevveerr aaccttiioonn 
 DDiissppllaacceemmeenntt 
 SSmmaalllleerr rroooott ttiippss
3344 EElleevvaattoorr 
 LLeevveerr aaccttiioonn 
 DDiissppllaacceemmeenntt 
 MMoosstt tteeeetthh aanndd llaarrggeerr rroooott ttiippss
4466SS EElleevvaattoorr 
 LLeevveerr aaccttiioonn 
 DDiissppllaacceemmeenntt 
 MMoosstt tteeeetthh aanndd llaarrggeerr rroooott ttiippss
CCuurrvveedd CCrryyeerrss 
 MMaaxx.. IImmppaacctteedd 33rrddss MMoollaarrss OONNLLYY 
 LLiikkee aa ssppoooonn,, rroollll tthheemm oouutt
CCrryyeerr EElleevvaattoorr 
 WWhheeeell aanndd aaxxllee 
 AAddjjaacceenntt eemmppttyy ssoocckkeett 
 MMaannddiibbuullaarr ffiirrsstt mmoollaarrss 
 NNeeeeddss sshhaarrpp ttiipp ii..ee.. nnoo ppuurrcchhaassee 
ppooiinntt
EEaasstt//WWeesstt 
 WWhheeeell aanndd aaxxllee 
 AAddjjaacceenntt eemmppttyy ssoocckkeett 
 MMaannddiibbuullaarr ffiirrsstt mmoollaarrss 
 NNeeeeddss sshhaarrpp ttiipp ii..ee.. nnoo ppuurrcchhaassee 
ppooiinntt
MMiilllleerr EElleevvaattoorr 
 WWhheeeell aanndd aaxxllee 
 IImmppaacctteedd mmaaxxiillllaarryy tthhiirrddss 
 NNOOTT eerruupptteedd mmaaxxiillllaarryy tthhiirrddss 
 PPllaaccee aatt MMBB ooff tthhiirrdd mmoollaarr bbeellooww 
HHOOCC aanndd rroollll ttoo tthhee ddiissttaall
PPoottttss EElleevvaattoorrss 
 MMaaxx.. IImmppaacctteedd 33rrddss MMoollaarrss OONNLLYY 
 WWhheeeell aanndd aaxxllee 
 MMiilllleerr eelleevvaattoorr wwiitthh ““TT”” hhaannddllee 
 CCaann ddeelliivveerr mmoorree ffoorrccee
BBoonnee FFiillee 
 UUsseedd ffoorr ssuuppeerrffiicciiaall ssmmooootthhiinngg 
 OOnnllyy uusseedd wwiitthh aa ppuullll--ssttrrookkee 
 OOtthheerrwwiissee yyoouu bbuurrnniisshh tthhee bboonnee
RRoonnggeeuurr ##44AA 
Side cutting and end-cutting rongeurs 
Used by general dentists 
Cut bone by means of pinching
RRoonnggeeuurr ##55 
Large-bladed, side cutting rongeurs 
“Bone forceps”- cuts bone rather than pinching 
bone 
Can easily pinch or cut lips and cheek tissue
MMoolltt CCuurreettttee 22//44 
 ##22 eenndd iiss ssmmaalllleerr ttoo eennuucclleeaattee aa 
ccaavviittyy,, ccyysstt,, ggrraannuulloommaass,, eettcc..
MMiinnnneessoottaa RReettrraaccttoorr 
 RReettrraacctt mmuuccooppeerriioosstteeaall ffllaapp 
 PPrrootteecctt mmuuccoossaa dduurriinngg ccuuttttiinngg 
 RReesstt oonn bboonnee OONNLLYY
PPeerriioosstteeaall EElleevvaattoorr 
 SSttaarrtt wwiitthh tthhee ppooiinntteedd eeddggee 
 RReefflleecctt tthhee ffllaapp wwiitthh tthhee bbrrooaadd eenndd
CClloovveerr LLeeaaff 
 SSwweeeetthheeaarrtt rreettrraaccttoorr,, ““WWeeiiddeerr””
AAuussttiinn RReettrraaccttoorr 
 PPllaaccee ddoowwnn oonn bboonnee,, rreettrraaccttss cchheeeekk 
aanndd pprrootteeccttss
BBoonnee TThhiicckknneessss 
 TThhee tthhiinnnneesstt bboonnee iiss oonn tthhee lliinngguuaall ooff 
tthhee tthhiirrdd mmoollaarr rreeggiioonn 
 MMoosstt ccoommmmoonn ppllaaccee ttoo ffiinndd bboonnee 
ssppiiccuulleess 
 IIff bboonnee ssppiiccuullee iiss aattttaacchheedd ttoo bboonnee,, 
rreefflleecctt ffllaapp 
 IIff bboonnee ssppiiccuullee iiss sseeppaarraatteedd,, ppuullll iitt oouutt 
wwiitthh ttwweeeezzeerrss,, aaddssoonn ffoorrcceeppss
FFoorrcceeppss 
 DDeessiiggnneedd ttoo aattttaacchheedd ttoo tthhee 
aannaattoommiiccaall ccrroowwnn ooff tteeeetthh 
 115500 mmaaxx.. uunniivveerrssaall 
 115511 mmaanndd.. uunniivveerrssaall 
 115500SS//115511SS-- ppeeddoo mmaaxx.. aanndd mmaanndd..
FFoorrcceeppss 
 MMaaxxiillllaarryy ffoorrcceeppss hhaavvee aa ggrraadduuaall SS-- 
sshhaappeedd ccuurrvvee 
 MMaannddiibbuullaarr ffoorrcceeppss hhaavvee 9900 ddeeggrreeee 
bbeenndd
115500//115511 FFoorrcceeppss
AAnntteerriioorr FFoorrcceeppss 
 MMaaxxiillllaarryy-- ##11 oorr ##9999 AAnntteerriioorr CCuussppiidd 
ttoo CCuussppiidd-- ssppeecciiffiicc!! 
 MMaannddiibbuullaarr-- 7744 ((AAsshh)) ccaann aallssoo uussee oonn 
tthhee pprreemmoollaarrss
##11,, ##9999 FFoorrcceeppss
7744NN FFoorrcceeppss
BBrrookkeenn CCrroowwnnss 
 DDuuee ttoo IIRRMM,, DDeeeepp ddeeccaayy,, TTeemmpp.. 
ccrroowwnnss,, RRCCTT ““bbrriittttllee tteeeetthh”” 
 8888RR,, 8888LL-- mmaaxxiillllaarryy 11sstt aanndd 22nndd mmoollaarrss 
 NNeeeedd ffuurrccaattiioonn ttoo eennggaaggee ffoorrcceeppss 
 11 pprroonngg bbeettwweeeenn bbuuccccaall rroooottss 
 22 pprroonnggss ccrraaddllee tthhee ppaallaattaall rroooott 
 EExxppaannddss tthhee bbuuccccaall ppllaattee,, ccaann bbrreeaakk 
rroooottss aanndd ccrruusshh ttiissssuuee
8888RR aanndd 8888LL

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Anatomy of Face and scalp
 

Instruments in oral surgery

  • 1. IInnssttrruummeennttss iinn OOrraall SSuurrggeerryy UUppllooaadd BByy :: AAhhmmeedd AAllii AAbbbbaass .. BBaabbyylloonn UUnniivveerrssiittyy CCoolllleeggee ooff DDeennttiissttrryy .. ddoowwnnllooaadd tthhiiss ffiillee ffrroomm WWeebbssiittee oonn ggooooggllee .. tthheeooppttiimmaallssmmiillee..wwiixx..ccoomm//ddeennttiissttrryy
  • 2. v Hemostats vss.. NNeeeeddllee HHoollddeerrss  HHeemmoossttaattss  UUsseedd ffoorr ppllaacciinngg aanndd rreemmoovviinngg ssuurrggiiccaall bbllaaddeess  NNeeeeddllee hhoollddeerrss  HHaavvee ggoolldd llooooppss  UUsseedd ssppeecciiffiiccaallllyy ffoorr ppuusshhiinngg nneeeeddlleess aanndd ssuuttuurriinngg
  • 3. v Hemostats vss.. NNeeeeddllee HHoollddeerrss
  • 4. FFuullll TThhiicckknneessss FFllaappss  MMuuccoossaa,, SSuubbmmuuccoossaa aanndd PPeerriioosstteeuumm  SSuubbmmuuccoossaa ccoonnttaaiinnss nneerrvveess,, aarrtteerriieess,, vveeiinnss aanndd llyymmpphhaattiiccss  WWee rraaiissee ffuullll tthhiicckknneessss ffllaappss iinn OO..SS..  LLeessss sswweelllliinngg  LLeessss bblleeeeddiinngg  LLeessss ppaaiinn
  • 5. CChhiisseellss  MMoonnoobbeevveell--  RReemmoovvee bboonnee  BBiibbeevveell  SSpplliitt TTeeeetthh
  • 6. EElleevvaattoorrss  330011--ssmmaalllleesstt  3344  4466SS--LLaarrggeesstt
  • 7. 330011 EElleevvaattoorr  LLeevveerr aaccttiioonn  DDiissppllaacceemmeenntt  SSmmaalllleerr rroooott ttiippss
  • 8. 3344 EElleevvaattoorr  LLeevveerr aaccttiioonn  DDiissppllaacceemmeenntt  MMoosstt tteeeetthh aanndd llaarrggeerr rroooott ttiippss
  • 9. 4466SS EElleevvaattoorr  LLeevveerr aaccttiioonn  DDiissppllaacceemmeenntt  MMoosstt tteeeetthh aanndd llaarrggeerr rroooott ttiippss
  • 10. CCuurrvveedd CCrryyeerrss  MMaaxx.. IImmppaacctteedd 33rrddss MMoollaarrss OONNLLYY  LLiikkee aa ssppoooonn,, rroollll tthheemm oouutt
  • 11. CCrryyeerr EElleevvaattoorr  WWhheeeell aanndd aaxxllee  AAddjjaacceenntt eemmppttyy ssoocckkeett  MMaannddiibbuullaarr ffiirrsstt mmoollaarrss  NNeeeeddss sshhaarrpp ttiipp ii..ee.. nnoo ppuurrcchhaassee ppooiinntt
  • 12. EEaasstt//WWeesstt  WWhheeeell aanndd aaxxllee  AAddjjaacceenntt eemmppttyy ssoocckkeett  MMaannddiibbuullaarr ffiirrsstt mmoollaarrss  NNeeeeddss sshhaarrpp ttiipp ii..ee.. nnoo ppuurrcchhaassee ppooiinntt
  • 13. MMiilllleerr EElleevvaattoorr  WWhheeeell aanndd aaxxllee  IImmppaacctteedd mmaaxxiillllaarryy tthhiirrddss  NNOOTT eerruupptteedd mmaaxxiillllaarryy tthhiirrddss  PPllaaccee aatt MMBB ooff tthhiirrdd mmoollaarr bbeellooww HHOOCC aanndd rroollll ttoo tthhee ddiissttaall
  • 14. PPoottttss EElleevvaattoorrss  MMaaxx.. IImmppaacctteedd 33rrddss MMoollaarrss OONNLLYY  WWhheeeell aanndd aaxxllee  MMiilllleerr eelleevvaattoorr wwiitthh ““TT”” hhaannddllee  CCaann ddeelliivveerr mmoorree ffoorrccee
  • 15. BBoonnee FFiillee  UUsseedd ffoorr ssuuppeerrffiicciiaall ssmmooootthhiinngg  OOnnllyy uusseedd wwiitthh aa ppuullll--ssttrrookkee  OOtthheerrwwiissee yyoouu bbuurrnniisshh tthhee bboonnee
  • 16. RRoonnggeeuurr ##44AA Side cutting and end-cutting rongeurs Used by general dentists Cut bone by means of pinching
  • 17. RRoonnggeeuurr ##55 Large-bladed, side cutting rongeurs “Bone forceps”- cuts bone rather than pinching bone Can easily pinch or cut lips and cheek tissue
  • 18. MMoolltt CCuurreettttee 22//44  ##22 eenndd iiss ssmmaalllleerr ttoo eennuucclleeaattee aa ccaavviittyy,, ccyysstt,, ggrraannuulloommaass,, eettcc..
  • 19. MMiinnnneessoottaa RReettrraaccttoorr  RReettrraacctt mmuuccooppeerriioosstteeaall ffllaapp  PPrrootteecctt mmuuccoossaa dduurriinngg ccuuttttiinngg  RReesstt oonn bboonnee OONNLLYY
  • 20. PPeerriioosstteeaall EElleevvaattoorr  SSttaarrtt wwiitthh tthhee ppooiinntteedd eeddggee  RReefflleecctt tthhee ffllaapp wwiitthh tthhee bbrrooaadd eenndd
  • 21. CClloovveerr LLeeaaff  SSwweeeetthheeaarrtt rreettrraaccttoorr,, ““WWeeiiddeerr””
  • 22. AAuussttiinn RReettrraaccttoorr  PPllaaccee ddoowwnn oonn bboonnee,, rreettrraaccttss cchheeeekk aanndd pprrootteeccttss
  • 23. BBoonnee TThhiicckknneessss  TThhee tthhiinnnneesstt bboonnee iiss oonn tthhee lliinngguuaall ooff tthhee tthhiirrdd mmoollaarr rreeggiioonn  MMoosstt ccoommmmoonn ppllaaccee ttoo ffiinndd bboonnee ssppiiccuulleess  IIff bboonnee ssppiiccuullee iiss aattttaacchheedd ttoo bboonnee,, rreefflleecctt ffllaapp  IIff bboonnee ssppiiccuullee iiss sseeppaarraatteedd,, ppuullll iitt oouutt wwiitthh ttwweeeezzeerrss,, aaddssoonn ffoorrcceeppss
  • 24. FFoorrcceeppss  DDeessiiggnneedd ttoo aattttaacchheedd ttoo tthhee aannaattoommiiccaall ccrroowwnn ooff tteeeetthh  115500 mmaaxx.. uunniivveerrssaall  115511 mmaanndd.. uunniivveerrssaall  115500SS//115511SS-- ppeeddoo mmaaxx.. aanndd mmaanndd..
  • 25. FFoorrcceeppss  MMaaxxiillllaarryy ffoorrcceeppss hhaavvee aa ggrraadduuaall SS-- sshhaappeedd ccuurrvvee  MMaannddiibbuullaarr ffoorrcceeppss hhaavvee 9900 ddeeggrreeee bbeenndd
  • 27. AAnntteerriioorr FFoorrcceeppss  MMaaxxiillllaarryy-- ##11 oorr ##9999 AAnntteerriioorr CCuussppiidd ttoo CCuussppiidd-- ssppeecciiffiicc!!  MMaannddiibbuullaarr-- 7744 ((AAsshh)) ccaann aallssoo uussee oonn tthhee pprreemmoollaarrss
  • 30. BBrrookkeenn CCrroowwnnss  DDuuee ttoo IIRRMM,, DDeeeepp ddeeccaayy,, TTeemmpp.. ccrroowwnnss,, RRCCTT ““bbrriittttllee tteeeetthh””  8888RR,, 8888LL-- mmaaxxiillllaarryy 11sstt aanndd 22nndd mmoollaarrss  NNeeeedd ffuurrccaattiioonn ttoo eennggaaggee ffoorrcceeppss  11 pprroonngg bbeettwweeeenn bbuuccccaall rroooottss  22 pprroonnggss ccrraaddllee tthhee ppaallaattaall rroooott  EExxppaannddss tthhee bbuuccccaall ppllaattee,, ccaann bbrreeaakk rroooottss aanndd ccrruusshh ttiissssuuee