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Instrumental en cirugia oral

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Generalidades sobre instrumental utilizado en cirugia oral

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  • muchas graciassssssss
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Instrumental en cirugia oral

  1. 1. Dr. Luis Alberto Quintana Salgado
  2. 2. INSTRUMENTAL Conjunto de útiles manuales diseñadospara ejecutar diferentes maniobras ogestos quirúrgicos. Vega del Barrio: «prolongaciones de lasmanos y los dedos del operador». Actividad motora más eficaz y potente.
  3. 3. CLASIFICACIÓNSIMPLESLos que elcirujanoacciona por sisoloCOMPUESTOSLos que llevanelevado niveltecnológico
  4. 4. InstrumentossimplesUncomponenteDoscomponenteMás de doscomponentes
  5. 5. PARTES DEL INSTRUMENTOPARTEACTIVAZONAINTERMEDIA,CUELLO O TALLOPARTE PASIVA,MANGO OEMPUÑADURA
  6. 6. ANESTESIA LOCORREGIONAL
  7. 7. JERINGAMETÁLICA TIPOCARPULE Son las de elección. Permiten la aspiración mediante la tracciónhacia atrás del émbolo de goma. Se cambian las agujas para cada paciente. Su limpieza y su esterilización son fáciles. La infiltración es bajo presión manual através del émbolo, y puede por tanto,controlarse. Se cambian la solución anestésica porcada paciente.
  8. 8. Agujas Dirige la solución anestésica del carpule alos tejidos Calibre fino 27 Longitud 25 mm y 40 mm Pta biselada para mejor penetración Son desechables y estériles de fábrica
  9. 9. Carpules Cartucho vidrio o plástico de 1.8 cc 3 partes:tubo cilíndricodiafragmaémboloSolución preparada con o sin vasoconstrictorRevisar siempre la fecha de caducidad
  10. 10. ?Qué nos hará desechar unCarpule? Pasada la fecha de caducidad Corrosión de la tapa de aluminio Coloración de la solución anestésica Extrusión del émbolo
  11. 11. ABREBOCAS Cuñas de goma, cauchoo plástico. Abreboca metálicode cremallera
  12. 12. SEPARADORES Facilitan la visibilidad del campo operatorio,retrayendo labios, mejillas y colgajosmucoperiósticos.SEPARADORES DECOMISURASSEPARADOR DEFARABEUF CON VALVASPARA LABIOS
  13. 13. LANGENBECK, RETRAERCOLGAJOSMUCOPERIÓSTICOS.MINNESOTA, PROTEGER YRETIRAR COLGAJOS.SEPARADOR DE AUSTIN,
  14. 14. DEPRESORES DE LENGUA
  15. 15. BISTURÍBISTURÍES
  16. 16. TIJERASPunta rectaPunta curvaCorte de tejidosvivosMateriales (hilo desutura)
  17. 17. PERIOSTÓTOMOSSeparación ydespegamientomucoperióstico
  18. 18. PERIOSTÓTOMOS
  19. 19. PINZAS: Prensión y fijación.Pinzas decampoPinzas dedisecciónPinzashemostáticasPinzasdeforcipresión
  20. 20. Pinzas de campo o pincetsSujetartoallas ycamposoperatorios
  21. 21. PINZAS ADSON, DE DISECCIÓN CON DIENTES Y SINDIENTES, PARA ESTABILIZAR COLGAJOS, ESPECIALMENTE ALSUTURAR.
  22. 22. PinzaHemostáticaRecta o curvaCon o sin dientesCierre decremalleraLigadura de vasosSujetar y manipulartejidos
  23. 23. Forcipresión:Portaaguja
  24. 24. HILO Y AGUJA PARA SUTURA
  25. 25. INSTRUMENTAL PROPIO PARALA EXODONCIAFÓRCEPSELEVADORES
  26. 26. FÓRCEPSMango Cuello Parte ActivaSegún el paciente: Según el diente:Adulto SuperioresNiño Inferiores
  27. 27. El cuello del fórceps varía según sea para extraer piezasdel maxilar superior o inferior.Fórceps maxilarFórceps mandibularParte activa recta en incisivos.enpremolares y molares 30º a 45º conreferencia al mango.parte activa y el mango formanun ángulo de 90º
  28. 28. FORCEPSNo. MAXILARES No.MANDIBULARESMORFOLOGIA OESTRUCTURADENTARIAORGANODENTARIO150,62,101 151,101 UNIRRADICULARES INCISIVOS,CANINOS Y 2DO.PREMOLAR24 1ER PREMOLARSUPERIOR88(R)(L) TRICORNEO(DIVERGENTES)MOLARES53(R)(L) 17(CUERNO VACA)10, 23FUSIONADOS MOLARES210 3ER. MOLAR65(BAYONETA) 65 RESTOSRADICULARESINCISIVOS YCANINOS69(RAIGONERA) 69 RESTOSRADICULARESPOSTERIORERS
  29. 29. UniversalInferior 151Universal Superior150
  30. 30. Pico deLoroRecto Anterior
  31. 31. Cuerno devacaTricornioBayoneta
  32. 32. ELEVADORES
  33. 33. Son instrumentos que se usan para extraer piezasdentarias, para producir la sindesmotomía, paraextraer raíces y restos radiculares enteros ofracturados.RECTO SINDESMOTOMIATRIANGULAR O BANDERA RESTOS RADICULARESANGULADA O APICAL RESTOS RADICULARES
  34. 34. ELEVADORES3 partes en línea rectaPta pequeña en mediacañaSuperficie cóncavaFino, mediano, gruesoLuxación, extracción
  35. 35. ELEVADORESDe banderaPta con Ángulo de 90° con respecto altalloHoja triangular y puntiagudaLuxación y extracción de restosraadicuales, molares inferiores
  36. 36. ELEVADORESANGULADA O APICAL RESTOS RADICULARES
  37. 37. CURETAS ó CUCHARILLASALVEOLARES:Para tejidos patológicos
  38. 38. PINZA GUBIA:Exéresis de tejidos duros.
  39. 39. LIMAS DE HUESO
  40. 40. ESCOPLOS O CINCELES:Ostectomía
  41. 41. MARTILLO
  42. 42. Extracciones en dientessuperioresIncisivoscaninos• Elevadorrecto• Fórcep rectoanteriorPremolares• Elevadorrecto• Fórcep 1501ra y 2damolar• Elevadorrecto ancho• Fórcep 150• Tricornio
  43. 43. Extracciones en dientesinferioresIncisivoscaninos• Elevadorrecto• Fórcep picode loroPremolares• Elevadorrecto• Pico de loro• Fórcep 1511ra y 2damolar• Elevadorrecto ancho• Fórcep 151• Cuerno devaca• Fórcep 222
  44. 44. Extracción de tercerosmolares erupcionadosUso de elevadores rectosSup: fórcep en bayoneta, elevadorapicalInf: fórcep 151
  45. 45. AnestesiaIncisiónLevantamientodecolgajoOsteotomiaOdontoseccion yextraccionSuturaTIEMPOS QUIRÚRGICOSSíntesisExeresisDiéresis
  46. 46. Investigar organización delinstrumental para exodonciacomplejas (quirófano)
  47. 47. GRACIAS

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