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INSTRUMENTS & EQUIPMENTS
Definition
Instruments:
Small hand held
devices that are
used for various
procedures while
treating a patient.
E.g. Mouth
mirrors, probes,
dressing pliers
and condensers.
Equipments:
Larger devices
that help the
clinician while
treating a
patient.
E.g.dental
chair,operating
stool,amalgamat
or, X-ray unit.
Materials used for
manufacturing
instruments.
1. Carbon steel:
• they contain
0.5-1.5%
carbon .
• They are harder
and sharper
than stainless
steel, but tend
to corrode and
are prone for
fracture.
2.Stainless steel
a) Pure stainless steel
• they are alloys composed
of 70-85% iron, 15-25%
chromium & 1-2% carbon.
Most commonly used
material for making dental
instruments. They tend to
lose their sharpness due to
its repeated use.
b) Stainless steel with
teflon/titanium nitride coating
• This type of instruments are
specially used for
placement and handling of
dental composites.
• Main advantage : composite
does not stick to this
coating and make
placement of composites
simplified.
3) Carbide inserts:
Some instruments are
made with carbide
inserts to provide more
durable cutting edges.
4) Others:
Other alloys of titanium,
nickel,cobalt,chromium
are used in
manufacturing of hand
instruments.
Classification of Operative dental
Instruments.
Instruments are classified into 2
categories :
1) Hand Instruments:
Instruments which are used
manually.
2) Rotary Instruments :
Instruments which are engine-
driven.
Sturdevant classification
GV Black’s Classification
Parts of Hand
cutting
instruments:
Hand cutting
instruments are
made up of three
parts:
1) Handle/shaft
2) Shank
3) Blade
Shank
It connects the handle to blade . It is
smooth , round and tapers from handle to
blade .generally shanks have one or more
bend angles .
Based on shank angles GV Black clalssified
hand cutting instruments:
A) Straight: No angles in the shank
B) Monangle: One angle in the shank
C) Bin-angle: Two angles in the shank D) Triple-angle: three angles in shank
Blade
It is the working end of the hand cutting
instrument. It is connected to handle by the
means of shank. It ends in the cutting edge.
a)Cutting edge: Edge of blade mainly for cutting
action.
b)Blade angle : angle between long axis of blade
and shaft
c)Cutting edge angle : angle between margin of
cutting edge and long axis of shaft.
INSTRUMENT
NOMENCLATURE
According to G.V. Black,
Instruments can be named as……..
1.Order: Purpose or Function of instrument . Eg, Excavator
2.Sub-order: Position or Manner of Use of instrument. Eg, pull and
push
3.Class: Form of working end of instrument. Eg, Chisel, Hatchet
4. Sub-class: Shape of the shank. Eg, Bin-angle
Combining all these points, the Instruments can be named.
Naming- usually moves from 4 to 1
Example……
Bin-angle hatchet push excavator.
Generally sub-order is not useful and thus
omitted.
Thus, named as Bin-angle hatchet excavator
Bin angle- Shank angle
hatchet- Working end
excavator- Purpose
INSTRUMENT
DESIGNS
1. DIRECT CUTTING AND LATERAL
CUTTING INSTRUMENTS
1. Direct Cutting Instruments:
• The force is aplied in same plane as that of the
blade and handle.
• Uses:For both direct and lateral cutting.
2.Lateral cutting Instruments:
• The force is applied at a right angle to the
plane of the blade and the handle.
• Usually have a curved blade
• Uses:Only in lateral cutting
2.INSTRUMENT ENDS
1. Single-Ended:
• Working end is confined to only one side of
the instrument.
2.Double-Ended:
• Working end is present on both the sides of
the instrument.
3.CUTTING INSTRUMENT BEVELS
1. Single-Bevelled Instruments
• Have a single bevel the forms the primary
cutting edge at the end of the blade
• Can be either
(i)Right or left bevelled.Eg: Enamel Hatchets
(ii)Mesial or distal bevelled instruments.Eg:
Binangle chisel,Wedelstaedt chisel,Hoes)
2.BiBevelled Instruments
• Only hatchets and straight chisels are
bibevelled
• They cut by pushing them in the direction of
the long axis of the blade.
3.Triple-Bevelled instruments
• Bevelling the blade at the working end along
with the blade,laterally makes them into a
triple-bevelled instrument.
• Results in three distinct cutting edges.
• This increases the cutting efficiency.
3. Circumferentially-Bevelled instruments:
• This is produced by bevelling the blade at all
its peripheries.
• Eg:A spoon excavator.
CLASSIFICATION
OF INSTRUMENTS
BASED ON THEIR
USAGE
• Instruments are broadly classified into:
1. Exploratory instruments
• Mouth mirror
• Explorer
• Probes
• Dressing pliers.
2.Cutting instruments
• Excavators
• Chisels
• Special Chisels
3.Noncutting restorative instruments
• Cement spatulas
• Plastic filling instruments
• Amalgam carriers
• Condensers
• Carvers
• Burnishers
Exploratory
Instruments
• MOUTH MIRROR
1. Has a handle,a shank,and a mirror attached
to a round metal disc at one end.
• A bright light can illuminate
the translucent tooth
structure.
•Helps to reveal changes in
tooth color,the presence of
cracks and fractures as well
as other defects.
Types of Mirrors:
• Plane Mirrors:Provides distoration-free
images.
• (Most commonly used).
• Concave Mirrors
• Front-surface Mirrors
• One-sided Mirrors
• Twin-sided Mirrors
EXPLORERS
2.Most used common explorers are:
Straight explorer: Has a mild curvature near the
exploring tip.
Uses:To examine the occlusal surfaces of teeth for
caries and margins of restorations for any
irregularities.
Arch explorer(Shepherd’s hook):Has a semi
circle or an arch shaped working end with the exploring tip
at right angle to the handle.
Uses:For examination of dental caries and irregular
margins of the restoration.
For supragingival examination of caries and irregular
restoration
• Interproximal explorer(Briault’s probe):The shank has
two or more angles and the exploring tip pointed towards the
handle.
• Uses:
1. Detecting proximal various lesions.
2. Accessing marginal fit of restorations.
3. Removing excess restorative material,while shaping the
occlusal measure in proximal cavities.
Periodontal Probe
• Periodontal Probes
1. Similar to explorers but working tip is blunt and marked with
graduations.
Locking Plier (COTTON TWEEZERS)
• COTTON TWEEZERS /Locking plier
1. Have angled tips.
Uses:1.To place and remove cotton rolls used
for isolation of teeth.
2.To carry small items like cotton pellets to dry
the teeth.
2.Are available in different sizes to suit different
needs.
Cutting
Instruments
• EXCAVATORS
1. These Instruments are designed to
excavate and remove carious dentin and to
shape the internal parts of cavities.
2.Types: a)Hatchet excavator
b)Hoe excavator
c) Spoon excavator
A)Hatchet excavator:
• Aka ordinary hatchet or the bi-beveled
hatchet.
• The cutting edge of the blade is in the same
plane as the long axis of the handle and is
bi-bevelled.
• Applications:To sharpen the internal angles
and prepare retentive areas for direct filing
gold restorations in the anterior teeth
Hatchet excavator
B)Hoe excavator
• Has primary cutting edge of the blade
perpendicular to the long axis of the handle.
• Applications:For planning cavity walls and
forming line angles in Cl III and Cl V cavity
preprations for direct filling gold restorations.
Commonly used to plane the pulpal floor in
amalgam cavity preparation
Hoe Excavators
C)Spoon excavator
• A spoon excavator is a double-planed
instrument and is usually paired.
• Has a semi circular cutting edge.
• Blades are slightly curved and shanks may be
biangled or triple angled to facilitate
accessibility.
• Uses:For scooping out carious dentin.
Also for carving amalgam or direct inlay wax
patterns.
Spoon excavator
Applications: All these types are used to
cleave or split undermined Enamel
•Chisel:
Chisels
• Special Chisels
1. Enamel hatchet:
• Single-planed paired instruments(Right & left
types)
• They can be Binangled,triple-angled,or parallel
with the shaft.
• They are single-planed and used with push/pull
vertical movements.
• It is beveled on one side.
• Uses:To cut or cleave undermined Enamel in
proximal cavities and on buccal or lingual walls.
Enamel Hatchet
2.Gingival Marginal Trimmer:
2.Gingival Margin Trimmer:
• This is a paired double-planed instrument.
• GMT is similar in design to the enamel
hatchet, except that the blade is curved and
the bevel for the cutting edge at the end of
the blade is always on the outside of the
curve with the face of the instrument being
on the inside of the curve.
It is available as double-ended mesial and distal
pair instrument with each one having a (Right &
left end for use).
Mesial gingival marginal trimmer: The cutting
edge of these instruments makes an acute
angle with the edge of the blade nearer to the
handle.
Distal gingival marginal trimmer:The cutting
edge makes an acute angle with the edge of
the blade furthest from the handle.
Distal GMT
Mesial GMT
•The GMT’s are designed to
produce:
1. Proper bevel on gingival enamel
margins of the proximoocclusal
preparations.
2.Rounding or bevelling of the
axiopulpal line angle in Cl II cavity
preparation.
•Uses
•They are used in a lateral scraping
motion.
•They are used for creating the proper
bevel of the gingival floors and also for
forming sharp angles in internal parts of
cavity preparations.
•Used for planning gingival cavosurface
margin that is removal of unsupported
enamel and to bevel axiopulpal line
angle in Cl II tooth preparation.
Uses:
Noncutting
restorative
instruments
1.Cement Spatulas:
• Have flat and wide nib with blunt or pointed
edges.
• May be single or double ended Instruments.
• Stainless steel spatulas are employed for
mixing zinc phosphate and zinc
polycarboxylate cements while plastic spatulas
are used to mix Glass Ionomer Cements(GIC).
• Uses:To mix dental cements on a glass slab or
paper pad.
Cement Spatulas
2. Plastic filling instruments
• Called “Cement carriers” as they are used to carry
the mixed Cement into the prepared cavity.
• They are double-ended having a flat nib with
blunt edges on each end,one at 90 degrees to the
other.
• Some plastic instruments have a flat nib on one
end and a condenser nib on the other end.
• They are usually made of stainless steel.
• Plastic or teflon coated plastic filing instruments
are used to place composite resins.
Plastic Filling instruments
3.Amalgam carriers
• Have hollow cylinder into which triturated dental
amalgam can be loaded.
• A plunger operated with a finger lever pushes the
amalgam out of the carrier into the prepared cavity.
• Uses:To insert mixed amalgam into the prepared cavity.
To carry some of the packable composite resins,
carriers with plastic cylinders are used so that the resin
material can be delivered easily into the cavity
preparation without sticking to the internal walls of the
cylinder.
Amalgam Carriers
4.Condensers
• Available as hand or mechanical instruments.
• Presently only hand condensers are used.
• Nibs of condensers may be round,
rectangular,parallelogram etc and they are of different
sizes.
• Amalgam condensers Have smooth faces while direct
gold condensers have serrations on their faces.
• Uses:To compact/condense amalgam,direct gold or
composite resins into the prepared cavity.
• Used to push GIC or resin composite into the prepared
cavity.
Condensers
Round condensers
Used in Cl 1 and Cl 2.Flat
faced round condenser
allow maximum
condensation pressure.
Rectangular condensers
Parallelogram condensers
Used to condense amalgam in narrow
cavities like MO and DO IN Cl 2.
Angular faces provide convience in
buccal and lingual surfaces.
5.Carvers
• Are used to shape/carve amalgam and resin composite
restoration.The sharp end is used for carving the
occlusal anatomy like grooves and marginal ridge.
1. Hollenbeck Carver
• Double-ended Binangled instrument, which is used to
remove excess amalgam and shape amalgam to the
natural tooth contour.
• It is also used for carving inlay wax during fabrication of
inlays.
2.Wards carver:
Is double ended,round
handle dental
instrument ,used for
placing ,carving and
contouring amalgam.
3.Diamond carver or Frahm’s carver:
• Bibevelled cutting edges used primarily for
occlusal carving of amalgam restorations.
4.Cleoid-discoid carver:
• Also used primarily for occlusal carving of amalgam
restorations
5.Interproximal carver:
• It has very think blades and is valuable for carving
proximal amalgam surfaces near the interproximal
contact area
Interproximal carver:
6.Burnishes
• Available in various shapes.
• The nibs may be ball-shaped,egg-
shaped,conical, beaver tail shaped etc.
• Uses:To make the surface of the restorations
smooth and shiny.
Also used to contour metal bands so as to
provide the desirable contours for the
restorations.
Burnishes (Ball and conical shaped
burnishes)
Instrument
Grasps
• Different instrument Grasps recommended
are:
1. Modified pen Grasp
2. Inverted pen Grasp
3. Palm and thumb Grasp
4. Modified palm and thumb Grasp
1. Modified pen Grasp
• The grasp is similar to holding a pen while writing,with
slight variations.
• Here the pads of the thumb,index and middle fingers
contact the instrument.
• The tip of the ring finger rests on a near by tooth
surface for stability.
• The pad of the middle finger is near the “top side"of
the instrument for good control and cutting pressure.
The palm of the hand faces away from the operator.
• Uses: To allow precise control over the instrument.
2.Inverted pen Grasp
• Similar to Modified pen Grasp except for that
the hand is rotated so that the palm faces
more toward the operator.
• Used: while working on the lingual aspect of
maxillary anterior teeth and occlusal aspect of
maxillary posterior teeth.
3. Palm and thumb Grasp:
• The handle of the instrument is placed in the
palm of the hand and grasped by all the
fingers, while the thumb is used to rest on a
nearby tooth of the same arch for support
• Used for holding handpiece ,while cuttinng
incisal retention for Cl III CAVITY
PREPARATION.
5.Modified palm and thumb Grasp
• The same as in palm and thumb grasp but the
thumb is rested on the tooth being prepared.
• Used in upper arch
• Rests
• Used to stabilize the working hand while
instrumentation and help in confining the
instrument to the working area.
• They help in preventing accidental injury due
to slippage of the instrument.
• Rests should be placed on teeth or bony
support and not on soft tissues.
Ring fingers
used as a test
on the
adjacent teeth
Ring finger used as a
test while using a
hand cutting
instrument with the
modified pen Grasp
Rotatory Cutting
instruments
Rotatory speed ranges
• Measured in revolution per min(rpm)
• As per Sturdevant Classified as:
1.Low or slow speed(<12000rpm)
2.Medium or intermediate speed (12000-
200000rpm)
3.High or ultra high speed (>200000rpm)
Uses of high speed range
1.Tooth preparation
2.Old restoration removal
• Other Advantages:
1.Diamond and carbide instruments for faster removal of
tooth structure with less pressure and heat.
2.No. of cutting instrument reduced –smaller size Universally
accepted.
3.Convenient for operator.
4.Long life of instrument.
5.Patients are less apprehensive.
6.Several teeth in same arch can be treated at same time.
Uses of low speed range
1.Carries excavation
2.Finishing and polishing procedures.
Evaluated in two parameters:
• Handpiece
• Rotatory bladed / cutting instrument
1.Handpiece
It is defined as a device for holding rotating
instruments , transmitting power to them,and for
positioning them intraorally.
Can be motor or air driven .
• Two types :
1.Contra-angled handpiece
2.Straight Handpiece
Contra-Angled handpiece
Airotor Contra-Angled handpiece
Contra-Angled micromotor Handpiece
Airotor Contra-Angled handpiece
• High speed
• Compressed air driven and internal coolant
system
• Speed=100000-300000rpm
• Uses-cavity preparation and old restoration
removal
• Operates with friction grips burs and diamonds
• Recent advance -LED fixed.
Contra-Angled micromotor.
Handpiece• Slow speed
• Used in finishing and polishing
• Powered by airmotor or electrical micromotor
Straight handpiece
• Slow speed with less use in oral cavity
• Long axis of bur similar to that of Handpiece
• Used in preclinical works
• Attched to micromotor or airmotor
2.rotatory-bladed/abrasive cutting
instruments
• Two types:
1.Dental burs (bladed)
2.Diamond points(abrasive)
• Though have great variation have common
design feature:
1.Shank
2.Neck
3.Head
Shank
• Part fits into handpiece
• Designs and dimensions varies with
handpiece
• 3 classes are Commonly used:
Straight Handpiece shank
• Shape – simple cylinder
• Held by metal Chuck that accept different
diameter
• Rarely used except caries excavation
• Used for polishing and finishing
Latch-type angle Handpiece shank
• Posterior portion is flattered inorder to fit
instrument into D-shaped socket
• Not retained bin handpiece by chuck
• Predominantly used at low and medium
speed Ranges
Friction-grip angle Handpiece
• For use with high speed handpiece
• Smaller in length
• Simple cylinderical
• Have metal chucks for Positive contact with
bur shank
Dental burs
• They are cutting instruments having Bladed
cutting heads that are used in handpiece.
• Made from:
1.Steel-Single piece if tungsten vanadium alloy
steel
2.Tungsten carbide- stainless steel shank welded to
tungsten carbide
Classification of burs
• Mode of attachment
1. Friction grip
2. Latch type
• Handpiece used
1. Slow speed contra-angle bur
2. Straight handpiece bur
3. Airotor bur
• Depending on shape
1. Round
2. Inverted cone
3. Straight fissure
4. Tapered fissure
5. Pear shaped
Diamond points
• Consist of inner blank with industrially crushed
diamonds of various grits are electroplated with nickel
• Consist of:
1. Metal blank
2. Powdered diamond Abrasive
3. Metallic bonding material
• Based on grit classified as:
1. Coarse grit(125-150microns)
2. Medium grit(88-125microns)
3. Fine grit (60-74microns)
4. Very fine grit(38-44microns)
• Grit size of diamond point is classified by the color
coded rin:g on its shank:
1.White-ultra fine
2.Yellow-extra fine
3.Red-fine
4.Blue –medium
5.Green -coarse
6.Black-extra coarse
Procedures for forming proper contact
and contours
Tooth movement Matrixing
1. Tooth Movement
• It is the separation of involved teeth from each other,
bringing them closer , or changing their spatial position
in one or more dimensions.
There are two methods of tooth movement.
1. Rapid or immediate tooth movement
a. Wedge method
b. Traction method
2. Slower delayed tooth movement
a. Separating wires
b. Oversized temporaries
c. Orthodontics appliances
2. Matrixing
• Matrixing is a procedure , whereby a temporary wall is created
opposite to axial walls and surrounding areas of tooth structure
that were lost during tooth preparation .
It should be immobile during the setting of the restorative
material and should not react with or adhere to it.
i. Matrix band : it is a piece of metal or polymeric material, which
is used to support and gives form to the restorative material in
recreating the lost contact and contour of the tooth structure .
ii. Matrix band retainer : It is a device by which the band can be
retained in its designated position and shape.
Classification of Matrix
1. Mode of retention
a. With retainer, e.g. Tofflemire matrix
b. Without retainer, e.g. Automatrix
2. Type of tooth preparation for which it is used
A. Matrix for class I tooth preparation
a. Double-banded tofflemire
B. Matrices for class II tooth preparation
a. Single-banded tofflemire
b. Ivory matrix no.1
c. Ivory matrix no.8
d. Copper band matrix
e. Anatomical matrix
f. Automatrix
g. S-shaped matrix band
C. Matrices for class III tooth preparation
a. Transparent plastic matrix strips
b. Mylar strips
c. S-shaped matrix
D. Matrices for class IV tooth preparation
a. Cellophane strips
b. Transparent crown from matrix
c. Anatomic matrix
d.Modified S-shaped band
E . Matrices for class V tooth preparation
a. Window matrix
b. S-shaped matrix
c. Cervical matrix
Description of various matrices
1. Ivory no. 1 matrix
• Used to restore one proximal
surface of posterior tooth.
• Available in various sizes.
• Matrix attached to retainer
via a wedge-shaped
projection.
• As the adjusted screw is
rotated, the wedge-shaped
projections engage the tooth
at the embrasures of the
proximal surface.
2 Ivory no. 8 matrix
- Band encircles the
entire crown of the
tooth.
- Used for restoring
both the proximal
surfaces of the
posterior tooth.
3. Tofflemire matrix retainer : Universal matrix
• It is also known as the universal matrix
•It is the most popularly used matrix system for restoring class II
amalgam restorations
•It consist of :
a. smaller outer nut : it helps in adjusting pointed spindle
to the locking vise. Used to tighten or loosen the spindle and
to hold the matrix band
b. larger inner nut : it adjust the loop size and change the
size of the matrix band
c. Rotating spindle : It adjust the distance between the head and
the guide slot
d. Frame : holds the parts of the matrix retainer together.
e. Guide slot : Diagonal slot where the matrix band is placed
and secured by the spindle.
f. Head : It is U shaped . It has a close and open end which
contain guide slot .
Types of tofflemire retainer are
1. Universal/straight
2. Contra-angle
3. Contra-angle junior
4. Compound – supported matrix
• Custom-made matrix/anatomical matrix
• Employs 5/16 inch wide, 0.002 inch thick stainless steel
band cut to a length such that it wraps around the 1/3rd
of the facial and lingual side beyond the prepared
proximal side.
• Band is wedge and stabilized by applying softened
impression compound facially , lingually, and occlusally on
the adjacent tooth.
5. T-band matrix
• preformed T-shaped
stainless steel matrix band
is used without a retainer.
• Long arm is bent to
surround the tooth and it
overlaps the short arm ,
which is then bent bent
over the long arm and
thus retains the shape
• Band is supported by
wedging and low –fusing
compound .
6. Precontoured matrix
• Small ,dead soft metal
matrices in various sizes
are held in place by
flexible metal ring . It is
used for both amalgam
and composite restoration
7. copper band matrix
• Various sizes are available
and are selected according
to the diameter of the
tooth.
• Used in badly broken
teeth
• Provides excellent contour,
but it is time-consuming .
8. Automatrix
• Retainers matrix system
indicated for complex
amalgam restoration
• It is convenient to use,
but it is expensive
9. Clear plastic matrix/mylar
strips
• These are matrices for
tooth-coloured restorations
, as they allow the light to
be transmitted during
polymerization of
composite resin.
• Band should extend at
least 1mm beyond the
gingival margin of the
cavity preparation .
• Stabilized by wooden or
light transmitting wedges.
10. Cellophane strips
• Transparent strips thinner
than mylar strips can be
used for class V, class III ,
and class IV restorations.
11. Transparent plastic
• crown form matrices
• Indicated for large class IV cavities and oblique
fractures of anterior teeth
• Available in various size
• Suitable crown form is selected to fit the tooth and
the cavity 1mm beyond the prepared margins .
• Crown form matrices are expensive .
12. S-shaped band
• Indicated for class III restorations and class II slot
preparations
• It is difficult to apply
13. Window matrix
• It is a modification of the
tofflemire matrix and it is
used for class V amalgam
restorations .
• A window is cut smaller
than a cavity and applied
around the tooth using
contra-angled tofflemire
retainer.
14. Tin foil matrix
• Indicated for class V
restoration with glass
ionomer cements.
• Band is preshaped and
cut to extend 1mm beyond
cavity margins and peeled
after setting of the
restoration
• Not used for resin
cements
15. Preformed transparent
cervical matrices
• Indicated for class V
restorations with
composite resin and resin
modified GICs
• It is available in various
contours.
• It has a knob , which
helps to hold the matrix
on to the tooth by a
tweezer
Separators
Elliot separators
• Mechanical device for active tooth separation.
• Immediate tooth separation by wedging
principle
• Have single bow with two jaws which can be
adjusted by knob
Ferrier Double Bow Seperator
• This device separates both the contacting
teeth by traction principle .
• It has two bows and jaws of each bow engages
the embrasures of contacting teeth and has a
wrench which turns the threaded bars to
create the necessary tooth separation .
Wedges
Types Of wedges
1. Wooden wedges
2. Plastic wedges
• Normal wedges
• Wave-shaped wedges
3.Light transmitting wedges
Wooden wedges
• Easy to trim,adapt well,& adopt moisture well to provide
stabilization.
• Ready made & custom-made wedges are available in different
shapes and sizes.
• Premier Sycamore wedges are shaped to impart physiologic
contour to matrix and are color coded.
• Approx 1/5 inch of tooth pick or a tongue blade is cut to form
custom made wedges.
Plastic wedges
1. Normal wedges
Similar to wooden wedges
2.Wave-Shaped Wedges
• Three size-small(white), medium (pink), large
(purple).
• Flexible tips for easy placement. Spring back to
seal both buccal and lingual embrasures
• Curved profile to protect gingiva from piercing.
Light transmitting Wedges
• Transparent wedges that transmit light into
proximal cavity region .
• Used to ensure polymerization of aesthetic
tooth-coloured composite restoration
FINISHING AND POLISHING
(MATERIALS AND EQUIPMENTS)
FINISHING: Removal of surface
irregularities by grinding or cutting
POLISHING: To produce perfectly
smooth and shiny surface by filling
scratches on surface
NATURAL ABRASIVES:
Arkansas stone
Chalk
Natural diamond
Garnet
Pumice
Quartz
Sand
Tripoli
Zirconium silicate
Cuttle
Kieselguhr
MANUFACTURED OR
SYNTHETIC ABRASIVESl:
Silicon carbide
Aluminium oxide
Rouge
Tin oxide
1)LIGHT CURING UNITS
-Initiate polymerization of light activated composite resin.
-hand held devices
light source equipped with rigid ligt guide made of fused
optical fibres
-quartz bulb with tungsten filament in halogen
environment (widely used)
-Light emitting diodes(LEDs), plasma arc cutting(PAC) and
laser lamps developed
-LED lamps: require less power and do not produce heat
-blue light (wavelength: 400-500nm) used
2)AMALGAMATOR
-Mechanical triturating device for amalgum alloy and
mercury
-Save time, triturate with low mercury/alloy ratio
-Amalgum capsule placed serves as mortar, cylindrical
metal or plastic piston serves as pestle
-high speed oscillation
3)CASTING FURNACE
-Invested rings are placed at room temp. and heated to
maximum temp. for melting wax and form a mould.
-temp. varies as:
Gypsum-bonded:500-700°C
Phosphate-bonded:700-1030°C
-eliminate wax by heating
-also called burn-out furnace
-after dewaxing, rings-placed wherein molten alloyis
sent into mould for casting restoration.
4)CASTING MACHINES
-Alloys are melted and casted
-Various types:
i]Electrical resistance-Heating casting machine
ii]Induction melting machine
iii]Centrifugal casting machine
iv]Direct current arc melting machine
v]Vacuum or pressure-arrested casting machine
Instruments used in Conservative Dentistry

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Instruments used in Conservative Dentistry

  • 2. Definition Instruments: Small hand held devices that are used for various procedures while treating a patient. E.g. Mouth mirrors, probes, dressing pliers and condensers.
  • 3. Equipments: Larger devices that help the clinician while treating a patient. E.g.dental chair,operating stool,amalgamat or, X-ray unit.
  • 4. Materials used for manufacturing instruments. 1. Carbon steel: • they contain 0.5-1.5% carbon . • They are harder and sharper than stainless steel, but tend to corrode and are prone for fracture.
  • 5. 2.Stainless steel a) Pure stainless steel • they are alloys composed of 70-85% iron, 15-25% chromium & 1-2% carbon. Most commonly used material for making dental instruments. They tend to lose their sharpness due to its repeated use. b) Stainless steel with teflon/titanium nitride coating • This type of instruments are specially used for placement and handling of dental composites. • Main advantage : composite does not stick to this coating and make placement of composites simplified.
  • 6. 3) Carbide inserts: Some instruments are made with carbide inserts to provide more durable cutting edges. 4) Others: Other alloys of titanium, nickel,cobalt,chromium are used in manufacturing of hand instruments.
  • 7. Classification of Operative dental Instruments. Instruments are classified into 2 categories : 1) Hand Instruments: Instruments which are used manually. 2) Rotary Instruments : Instruments which are engine- driven.
  • 10.
  • 11. Parts of Hand cutting instruments: Hand cutting instruments are made up of three parts: 1) Handle/shaft 2) Shank 3) Blade
  • 12. Shank It connects the handle to blade . It is smooth , round and tapers from handle to blade .generally shanks have one or more bend angles .
  • 13. Based on shank angles GV Black clalssified hand cutting instruments: A) Straight: No angles in the shank B) Monangle: One angle in the shank C) Bin-angle: Two angles in the shank D) Triple-angle: three angles in shank
  • 14. Blade It is the working end of the hand cutting instrument. It is connected to handle by the means of shank. It ends in the cutting edge. a)Cutting edge: Edge of blade mainly for cutting action. b)Blade angle : angle between long axis of blade and shaft c)Cutting edge angle : angle between margin of cutting edge and long axis of shaft.
  • 16. According to G.V. Black, Instruments can be named as…….. 1.Order: Purpose or Function of instrument . Eg, Excavator 2.Sub-order: Position or Manner of Use of instrument. Eg, pull and push 3.Class: Form of working end of instrument. Eg, Chisel, Hatchet 4. Sub-class: Shape of the shank. Eg, Bin-angle Combining all these points, the Instruments can be named. Naming- usually moves from 4 to 1
  • 17. Example…… Bin-angle hatchet push excavator. Generally sub-order is not useful and thus omitted. Thus, named as Bin-angle hatchet excavator Bin angle- Shank angle hatchet- Working end excavator- Purpose
  • 18.
  • 19.
  • 20.
  • 22. 1. DIRECT CUTTING AND LATERAL CUTTING INSTRUMENTS 1. Direct Cutting Instruments: • The force is aplied in same plane as that of the blade and handle. • Uses:For both direct and lateral cutting.
  • 23. 2.Lateral cutting Instruments: • The force is applied at a right angle to the plane of the blade and the handle. • Usually have a curved blade • Uses:Only in lateral cutting
  • 24.
  • 25. 2.INSTRUMENT ENDS 1. Single-Ended: • Working end is confined to only one side of the instrument. 2.Double-Ended: • Working end is present on both the sides of the instrument.
  • 26. 3.CUTTING INSTRUMENT BEVELS 1. Single-Bevelled Instruments • Have a single bevel the forms the primary cutting edge at the end of the blade • Can be either (i)Right or left bevelled.Eg: Enamel Hatchets (ii)Mesial or distal bevelled instruments.Eg: Binangle chisel,Wedelstaedt chisel,Hoes)
  • 27. 2.BiBevelled Instruments • Only hatchets and straight chisels are bibevelled • They cut by pushing them in the direction of the long axis of the blade.
  • 28. 3.Triple-Bevelled instruments • Bevelling the blade at the working end along with the blade,laterally makes them into a triple-bevelled instrument. • Results in three distinct cutting edges. • This increases the cutting efficiency.
  • 29. 3. Circumferentially-Bevelled instruments: • This is produced by bevelling the blade at all its peripheries. • Eg:A spoon excavator.
  • 31. • Instruments are broadly classified into: 1. Exploratory instruments • Mouth mirror • Explorer • Probes • Dressing pliers. 2.Cutting instruments • Excavators • Chisels • Special Chisels
  • 32. 3.Noncutting restorative instruments • Cement spatulas • Plastic filling instruments • Amalgam carriers • Condensers • Carvers • Burnishers
  • 34. • MOUTH MIRROR 1. Has a handle,a shank,and a mirror attached to a round metal disc at one end.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41. • A bright light can illuminate the translucent tooth structure. •Helps to reveal changes in tooth color,the presence of cracks and fractures as well as other defects.
  • 42. Types of Mirrors: • Plane Mirrors:Provides distoration-free images. • (Most commonly used). • Concave Mirrors • Front-surface Mirrors • One-sided Mirrors • Twin-sided Mirrors
  • 44. 2.Most used common explorers are:
  • 45. Straight explorer: Has a mild curvature near the exploring tip. Uses:To examine the occlusal surfaces of teeth for caries and margins of restorations for any irregularities.
  • 46. Arch explorer(Shepherd’s hook):Has a semi circle or an arch shaped working end with the exploring tip at right angle to the handle. Uses:For examination of dental caries and irregular margins of the restoration. For supragingival examination of caries and irregular restoration
  • 47. • Interproximal explorer(Briault’s probe):The shank has two or more angles and the exploring tip pointed towards the handle. • Uses: 1. Detecting proximal various lesions. 2. Accessing marginal fit of restorations. 3. Removing excess restorative material,while shaping the occlusal measure in proximal cavities.
  • 49. • Periodontal Probes 1. Similar to explorers but working tip is blunt and marked with graduations.
  • 51. • COTTON TWEEZERS /Locking plier 1. Have angled tips. Uses:1.To place and remove cotton rolls used for isolation of teeth. 2.To carry small items like cotton pellets to dry the teeth. 2.Are available in different sizes to suit different needs.
  • 53. • EXCAVATORS 1. These Instruments are designed to excavate and remove carious dentin and to shape the internal parts of cavities. 2.Types: a)Hatchet excavator b)Hoe excavator c) Spoon excavator
  • 54. A)Hatchet excavator: • Aka ordinary hatchet or the bi-beveled hatchet. • The cutting edge of the blade is in the same plane as the long axis of the handle and is bi-bevelled. • Applications:To sharpen the internal angles and prepare retentive areas for direct filing gold restorations in the anterior teeth
  • 56. B)Hoe excavator • Has primary cutting edge of the blade perpendicular to the long axis of the handle. • Applications:For planning cavity walls and forming line angles in Cl III and Cl V cavity preprations for direct filling gold restorations. Commonly used to plane the pulpal floor in amalgam cavity preparation
  • 58. C)Spoon excavator • A spoon excavator is a double-planed instrument and is usually paired. • Has a semi circular cutting edge. • Blades are slightly curved and shanks may be biangled or triple angled to facilitate accessibility. • Uses:For scooping out carious dentin. Also for carving amalgam or direct inlay wax patterns.
  • 60. Applications: All these types are used to cleave or split undermined Enamel •Chisel:
  • 62. • Special Chisels 1. Enamel hatchet: • Single-planed paired instruments(Right & left types) • They can be Binangled,triple-angled,or parallel with the shaft. • They are single-planed and used with push/pull vertical movements. • It is beveled on one side. • Uses:To cut or cleave undermined Enamel in proximal cavities and on buccal or lingual walls.
  • 65. 2.Gingival Margin Trimmer: • This is a paired double-planed instrument. • GMT is similar in design to the enamel hatchet, except that the blade is curved and the bevel for the cutting edge at the end of the blade is always on the outside of the curve with the face of the instrument being on the inside of the curve.
  • 66. It is available as double-ended mesial and distal pair instrument with each one having a (Right & left end for use). Mesial gingival marginal trimmer: The cutting edge of these instruments makes an acute angle with the edge of the blade nearer to the handle. Distal gingival marginal trimmer:The cutting edge makes an acute angle with the edge of the blade furthest from the handle.
  • 68. •The GMT’s are designed to produce: 1. Proper bevel on gingival enamel margins of the proximoocclusal preparations. 2.Rounding or bevelling of the axiopulpal line angle in Cl II cavity preparation.
  • 70. •They are used in a lateral scraping motion. •They are used for creating the proper bevel of the gingival floors and also for forming sharp angles in internal parts of cavity preparations. •Used for planning gingival cavosurface margin that is removal of unsupported enamel and to bevel axiopulpal line angle in Cl II tooth preparation. Uses:
  • 72. 1.Cement Spatulas: • Have flat and wide nib with blunt or pointed edges. • May be single or double ended Instruments. • Stainless steel spatulas are employed for mixing zinc phosphate and zinc polycarboxylate cements while plastic spatulas are used to mix Glass Ionomer Cements(GIC). • Uses:To mix dental cements on a glass slab or paper pad.
  • 74. 2. Plastic filling instruments • Called “Cement carriers” as they are used to carry the mixed Cement into the prepared cavity. • They are double-ended having a flat nib with blunt edges on each end,one at 90 degrees to the other. • Some plastic instruments have a flat nib on one end and a condenser nib on the other end. • They are usually made of stainless steel. • Plastic or teflon coated plastic filing instruments are used to place composite resins.
  • 76. 3.Amalgam carriers • Have hollow cylinder into which triturated dental amalgam can be loaded. • A plunger operated with a finger lever pushes the amalgam out of the carrier into the prepared cavity. • Uses:To insert mixed amalgam into the prepared cavity. To carry some of the packable composite resins, carriers with plastic cylinders are used so that the resin material can be delivered easily into the cavity preparation without sticking to the internal walls of the cylinder.
  • 78. 4.Condensers • Available as hand or mechanical instruments. • Presently only hand condensers are used. • Nibs of condensers may be round, rectangular,parallelogram etc and they are of different sizes. • Amalgam condensers Have smooth faces while direct gold condensers have serrations on their faces. • Uses:To compact/condense amalgam,direct gold or composite resins into the prepared cavity. • Used to push GIC or resin composite into the prepared cavity.
  • 79. Condensers Round condensers Used in Cl 1 and Cl 2.Flat faced round condenser allow maximum condensation pressure. Rectangular condensers Parallelogram condensers Used to condense amalgam in narrow cavities like MO and DO IN Cl 2. Angular faces provide convience in buccal and lingual surfaces.
  • 80. 5.Carvers • Are used to shape/carve amalgam and resin composite restoration.The sharp end is used for carving the occlusal anatomy like grooves and marginal ridge. 1. Hollenbeck Carver • Double-ended Binangled instrument, which is used to remove excess amalgam and shape amalgam to the natural tooth contour. • It is also used for carving inlay wax during fabrication of inlays.
  • 81. 2.Wards carver: Is double ended,round handle dental instrument ,used for placing ,carving and contouring amalgam.
  • 82. 3.Diamond carver or Frahm’s carver: • Bibevelled cutting edges used primarily for occlusal carving of amalgam restorations.
  • 83. 4.Cleoid-discoid carver: • Also used primarily for occlusal carving of amalgam restorations 5.Interproximal carver: • It has very think blades and is valuable for carving proximal amalgam surfaces near the interproximal contact area
  • 85. 6.Burnishes • Available in various shapes. • The nibs may be ball-shaped,egg- shaped,conical, beaver tail shaped etc. • Uses:To make the surface of the restorations smooth and shiny. Also used to contour metal bands so as to provide the desirable contours for the restorations.
  • 86. Burnishes (Ball and conical shaped burnishes)
  • 88. • Different instrument Grasps recommended are: 1. Modified pen Grasp 2. Inverted pen Grasp 3. Palm and thumb Grasp 4. Modified palm and thumb Grasp
  • 89. 1. Modified pen Grasp • The grasp is similar to holding a pen while writing,with slight variations. • Here the pads of the thumb,index and middle fingers contact the instrument. • The tip of the ring finger rests on a near by tooth surface for stability. • The pad of the middle finger is near the “top side"of the instrument for good control and cutting pressure. The palm of the hand faces away from the operator. • Uses: To allow precise control over the instrument.
  • 90.
  • 91. 2.Inverted pen Grasp • Similar to Modified pen Grasp except for that the hand is rotated so that the palm faces more toward the operator. • Used: while working on the lingual aspect of maxillary anterior teeth and occlusal aspect of maxillary posterior teeth.
  • 92.
  • 93. 3. Palm and thumb Grasp: • The handle of the instrument is placed in the palm of the hand and grasped by all the fingers, while the thumb is used to rest on a nearby tooth of the same arch for support • Used for holding handpiece ,while cuttinng incisal retention for Cl III CAVITY PREPARATION.
  • 94.
  • 95. 5.Modified palm and thumb Grasp • The same as in palm and thumb grasp but the thumb is rested on the tooth being prepared. • Used in upper arch
  • 96. • Rests • Used to stabilize the working hand while instrumentation and help in confining the instrument to the working area. • They help in preventing accidental injury due to slippage of the instrument. • Rests should be placed on teeth or bony support and not on soft tissues.
  • 97.
  • 98. Ring fingers used as a test on the adjacent teeth
  • 99. Ring finger used as a test while using a hand cutting instrument with the modified pen Grasp
  • 100.
  • 102. Rotatory speed ranges • Measured in revolution per min(rpm) • As per Sturdevant Classified as: 1.Low or slow speed(<12000rpm) 2.Medium or intermediate speed (12000- 200000rpm) 3.High or ultra high speed (>200000rpm)
  • 103. Uses of high speed range 1.Tooth preparation 2.Old restoration removal • Other Advantages: 1.Diamond and carbide instruments for faster removal of tooth structure with less pressure and heat. 2.No. of cutting instrument reduced –smaller size Universally accepted. 3.Convenient for operator. 4.Long life of instrument. 5.Patients are less apprehensive. 6.Several teeth in same arch can be treated at same time.
  • 104. Uses of low speed range 1.Carries excavation 2.Finishing and polishing procedures.
  • 105. Evaluated in two parameters: • Handpiece • Rotatory bladed / cutting instrument
  • 106. 1.Handpiece It is defined as a device for holding rotating instruments , transmitting power to them,and for positioning them intraorally. Can be motor or air driven . • Two types : 1.Contra-angled handpiece 2.Straight Handpiece
  • 107. Contra-Angled handpiece Airotor Contra-Angled handpiece Contra-Angled micromotor Handpiece
  • 108. Airotor Contra-Angled handpiece • High speed • Compressed air driven and internal coolant system • Speed=100000-300000rpm • Uses-cavity preparation and old restoration removal • Operates with friction grips burs and diamonds • Recent advance -LED fixed.
  • 109. Contra-Angled micromotor. Handpiece• Slow speed • Used in finishing and polishing • Powered by airmotor or electrical micromotor
  • 110. Straight handpiece • Slow speed with less use in oral cavity • Long axis of bur similar to that of Handpiece • Used in preclinical works • Attched to micromotor or airmotor
  • 111. 2.rotatory-bladed/abrasive cutting instruments • Two types: 1.Dental burs (bladed) 2.Diamond points(abrasive) • Though have great variation have common design feature: 1.Shank 2.Neck 3.Head
  • 112. Shank • Part fits into handpiece • Designs and dimensions varies with handpiece • 3 classes are Commonly used:
  • 113. Straight Handpiece shank • Shape – simple cylinder • Held by metal Chuck that accept different diameter • Rarely used except caries excavation • Used for polishing and finishing
  • 114. Latch-type angle Handpiece shank • Posterior portion is flattered inorder to fit instrument into D-shaped socket • Not retained bin handpiece by chuck • Predominantly used at low and medium speed Ranges
  • 115. Friction-grip angle Handpiece • For use with high speed handpiece • Smaller in length • Simple cylinderical • Have metal chucks for Positive contact with bur shank
  • 116. Dental burs • They are cutting instruments having Bladed cutting heads that are used in handpiece. • Made from: 1.Steel-Single piece if tungsten vanadium alloy steel 2.Tungsten carbide- stainless steel shank welded to tungsten carbide
  • 117. Classification of burs • Mode of attachment 1. Friction grip 2. Latch type • Handpiece used 1. Slow speed contra-angle bur 2. Straight handpiece bur 3. Airotor bur • Depending on shape 1. Round 2. Inverted cone 3. Straight fissure 4. Tapered fissure 5. Pear shaped
  • 118. Diamond points • Consist of inner blank with industrially crushed diamonds of various grits are electroplated with nickel • Consist of: 1. Metal blank 2. Powdered diamond Abrasive 3. Metallic bonding material • Based on grit classified as: 1. Coarse grit(125-150microns) 2. Medium grit(88-125microns) 3. Fine grit (60-74microns) 4. Very fine grit(38-44microns)
  • 119. • Grit size of diamond point is classified by the color coded rin:g on its shank: 1.White-ultra fine 2.Yellow-extra fine 3.Red-fine 4.Blue –medium 5.Green -coarse 6.Black-extra coarse
  • 120. Procedures for forming proper contact and contours Tooth movement Matrixing
  • 121. 1. Tooth Movement • It is the separation of involved teeth from each other, bringing them closer , or changing their spatial position in one or more dimensions. There are two methods of tooth movement. 1. Rapid or immediate tooth movement a. Wedge method b. Traction method 2. Slower delayed tooth movement a. Separating wires b. Oversized temporaries c. Orthodontics appliances
  • 122. 2. Matrixing • Matrixing is a procedure , whereby a temporary wall is created opposite to axial walls and surrounding areas of tooth structure that were lost during tooth preparation . It should be immobile during the setting of the restorative material and should not react with or adhere to it. i. Matrix band : it is a piece of metal or polymeric material, which is used to support and gives form to the restorative material in recreating the lost contact and contour of the tooth structure . ii. Matrix band retainer : It is a device by which the band can be retained in its designated position and shape.
  • 123. Classification of Matrix 1. Mode of retention a. With retainer, e.g. Tofflemire matrix b. Without retainer, e.g. Automatrix 2. Type of tooth preparation for which it is used A. Matrix for class I tooth preparation a. Double-banded tofflemire B. Matrices for class II tooth preparation a. Single-banded tofflemire b. Ivory matrix no.1 c. Ivory matrix no.8 d. Copper band matrix e. Anatomical matrix f. Automatrix g. S-shaped matrix band
  • 124. C. Matrices for class III tooth preparation a. Transparent plastic matrix strips b. Mylar strips c. S-shaped matrix D. Matrices for class IV tooth preparation a. Cellophane strips b. Transparent crown from matrix c. Anatomic matrix d.Modified S-shaped band E . Matrices for class V tooth preparation a. Window matrix b. S-shaped matrix c. Cervical matrix
  • 125. Description of various matrices 1. Ivory no. 1 matrix • Used to restore one proximal surface of posterior tooth. • Available in various sizes. • Matrix attached to retainer via a wedge-shaped projection. • As the adjusted screw is rotated, the wedge-shaped projections engage the tooth at the embrasures of the proximal surface.
  • 126. 2 Ivory no. 8 matrix - Band encircles the entire crown of the tooth. - Used for restoring both the proximal surfaces of the posterior tooth.
  • 127. 3. Tofflemire matrix retainer : Universal matrix • It is also known as the universal matrix •It is the most popularly used matrix system for restoring class II amalgam restorations •It consist of : a. smaller outer nut : it helps in adjusting pointed spindle to the locking vise. Used to tighten or loosen the spindle and to hold the matrix band b. larger inner nut : it adjust the loop size and change the size of the matrix band c. Rotating spindle : It adjust the distance between the head and the guide slot
  • 128. d. Frame : holds the parts of the matrix retainer together. e. Guide slot : Diagonal slot where the matrix band is placed and secured by the spindle. f. Head : It is U shaped . It has a close and open end which contain guide slot . Types of tofflemire retainer are 1. Universal/straight 2. Contra-angle 3. Contra-angle junior
  • 129. 4. Compound – supported matrix • Custom-made matrix/anatomical matrix • Employs 5/16 inch wide, 0.002 inch thick stainless steel band cut to a length such that it wraps around the 1/3rd of the facial and lingual side beyond the prepared proximal side. • Band is wedge and stabilized by applying softened impression compound facially , lingually, and occlusally on the adjacent tooth.
  • 130. 5. T-band matrix • preformed T-shaped stainless steel matrix band is used without a retainer. • Long arm is bent to surround the tooth and it overlaps the short arm , which is then bent bent over the long arm and thus retains the shape • Band is supported by wedging and low –fusing compound .
  • 131. 6. Precontoured matrix • Small ,dead soft metal matrices in various sizes are held in place by flexible metal ring . It is used for both amalgam and composite restoration
  • 132. 7. copper band matrix • Various sizes are available and are selected according to the diameter of the tooth. • Used in badly broken teeth • Provides excellent contour, but it is time-consuming .
  • 133. 8. Automatrix • Retainers matrix system indicated for complex amalgam restoration • It is convenient to use, but it is expensive
  • 134. 9. Clear plastic matrix/mylar strips • These are matrices for tooth-coloured restorations , as they allow the light to be transmitted during polymerization of composite resin. • Band should extend at least 1mm beyond the gingival margin of the cavity preparation . • Stabilized by wooden or light transmitting wedges.
  • 135. 10. Cellophane strips • Transparent strips thinner than mylar strips can be used for class V, class III , and class IV restorations.
  • 136. 11. Transparent plastic • crown form matrices • Indicated for large class IV cavities and oblique fractures of anterior teeth • Available in various size • Suitable crown form is selected to fit the tooth and the cavity 1mm beyond the prepared margins . • Crown form matrices are expensive .
  • 137. 12. S-shaped band • Indicated for class III restorations and class II slot preparations • It is difficult to apply
  • 138. 13. Window matrix • It is a modification of the tofflemire matrix and it is used for class V amalgam restorations . • A window is cut smaller than a cavity and applied around the tooth using contra-angled tofflemire retainer.
  • 139. 14. Tin foil matrix • Indicated for class V restoration with glass ionomer cements. • Band is preshaped and cut to extend 1mm beyond cavity margins and peeled after setting of the restoration • Not used for resin cements
  • 140. 15. Preformed transparent cervical matrices • Indicated for class V restorations with composite resin and resin modified GICs • It is available in various contours. • It has a knob , which helps to hold the matrix on to the tooth by a tweezer
  • 142. Elliot separators • Mechanical device for active tooth separation. • Immediate tooth separation by wedging principle • Have single bow with two jaws which can be adjusted by knob
  • 143. Ferrier Double Bow Seperator • This device separates both the contacting teeth by traction principle . • It has two bows and jaws of each bow engages the embrasures of contacting teeth and has a wrench which turns the threaded bars to create the necessary tooth separation .
  • 144. Wedges
  • 145. Types Of wedges 1. Wooden wedges 2. Plastic wedges • Normal wedges • Wave-shaped wedges 3.Light transmitting wedges
  • 146. Wooden wedges • Easy to trim,adapt well,& adopt moisture well to provide stabilization. • Ready made & custom-made wedges are available in different shapes and sizes. • Premier Sycamore wedges are shaped to impart physiologic contour to matrix and are color coded. • Approx 1/5 inch of tooth pick or a tongue blade is cut to form custom made wedges.
  • 147. Plastic wedges 1. Normal wedges Similar to wooden wedges 2.Wave-Shaped Wedges • Three size-small(white), medium (pink), large (purple). • Flexible tips for easy placement. Spring back to seal both buccal and lingual embrasures • Curved profile to protect gingiva from piercing.
  • 148. Light transmitting Wedges • Transparent wedges that transmit light into proximal cavity region . • Used to ensure polymerization of aesthetic tooth-coloured composite restoration
  • 150. FINISHING: Removal of surface irregularities by grinding or cutting POLISHING: To produce perfectly smooth and shiny surface by filling scratches on surface
  • 151. NATURAL ABRASIVES: Arkansas stone Chalk Natural diamond Garnet Pumice Quartz Sand Tripoli Zirconium silicate Cuttle Kieselguhr MANUFACTURED OR SYNTHETIC ABRASIVESl: Silicon carbide Aluminium oxide Rouge Tin oxide
  • 152. 1)LIGHT CURING UNITS -Initiate polymerization of light activated composite resin. -hand held devices light source equipped with rigid ligt guide made of fused optical fibres -quartz bulb with tungsten filament in halogen environment (widely used) -Light emitting diodes(LEDs), plasma arc cutting(PAC) and laser lamps developed -LED lamps: require less power and do not produce heat -blue light (wavelength: 400-500nm) used
  • 153.
  • 154. 2)AMALGAMATOR -Mechanical triturating device for amalgum alloy and mercury -Save time, triturate with low mercury/alloy ratio -Amalgum capsule placed serves as mortar, cylindrical metal or plastic piston serves as pestle -high speed oscillation
  • 155. 3)CASTING FURNACE -Invested rings are placed at room temp. and heated to maximum temp. for melting wax and form a mould. -temp. varies as: Gypsum-bonded:500-700°C Phosphate-bonded:700-1030°C -eliminate wax by heating -also called burn-out furnace -after dewaxing, rings-placed wherein molten alloyis sent into mould for casting restoration.
  • 156. 4)CASTING MACHINES -Alloys are melted and casted -Various types: i]Electrical resistance-Heating casting machine ii]Induction melting machine iii]Centrifugal casting machine iv]Direct current arc melting machine v]Vacuum or pressure-arrested casting machine