Instrumentation Flashcards

(47 cards)

1
Q

(elevating tissue)
• For interdental papillas, attached gingiva,
crestal periodontal fibers
- Fine/ precise mvmnts

A

WOODSON NO. 1

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2
Q

(elevating tissue)
• Pointed end for interdental papilla
• Broad end for free alveolar mucosa
elevation and flap retraction

A

MOLT NO. 9

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3
Q

(TECHNIQUE FOR ELEVATING MUCOPERIOSTEUM)

• Most common technique used, especially when combined with rolling/lifting component

A

• Push stroke

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4
Q

(TECHNIQUE FOR ELEVATING MUCOPERIOSTEUM)

• Good for interdental papilla

A

• Rolling/lifting

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5
Q

____ retractor

  • Great for tongue retraction, and flap retraction
  • Not used as a periosteal elevator (blunt ends)
A

• Seldin retractor

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6
Q

_____ retractor

  • Cheek, flap retractor
  • Workhorse of retractors in OMS
A

• Minnesota retractor

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7
Q

• Wieder retractor, a.k.a. “Sweetheart” retractor is used for _____ retraction

A

TOngue

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8
Q

• Any flap instrument for compressing bone around a nutrient ves

A

Burnisher

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9
Q
  • Three teeth opposed
  • Stabilize tissue while passing suture needle
  • Not good for grasping needle
  • Used on skin
A

ADSON FORCEPS

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10
Q
  • Multiple serrated tips
  • Grasping keratinized mucosal edges
  • Good for grasping needle
  • Not for skin or fine tissue
A

BROWN FORCEPS

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11
Q

• Grasping and manipulating large portions of tissue that are going to be removed from the
body
• I.E. epulis fissuratum, lesions, bone
• Not for grasping tissue that will remain
• Too much trauma from beaks

A

Allis tissue forceps

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12
Q
  • Most commonly used for alveoloplasties
  • Will crush/cut lips if not paying attention
  • A relatively atraumatic means of removing bone
  • Quick cut, does not create heat like a handpiece and bur
  • Types:
  • Side cutting
  • End cutting
A

Rongeurs

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13
Q
  • Used for final smoothing of small areas of sharpness
  • Pull stroke is the action stroke
  • Crosscut or parallel grooves
A

• Bone file

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14
Q
  • MUST NOT EXHAUST AIR INTO OPERATIVE FIELD
  • Electric vs Nitrogen powered
  • Completely sterilizable
  • High speed and torque
A

• Handpiece:

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15
Q
  • Air-driven handpiece during surgical extraction
  • Sudden edema
  • Crepitus to area
  • Possible for air embolus
  • Air forced through venous system
  • Possibly requires airway protection
  • ABX to prevent secondary infection
  • Resolves 3-7 days
A

Air emphysema

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16
Q
• Carbide
• One time use, then throw away
• #6 or #8 for bone removal or grooves
• #702 or #703 for sectioning teeth/contouring 
alveolus/troughing
• #703 has larger radius versus #702
A

Burs

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17
Q
  • Surgical handpiece must be done under copious irrigation
  • Will generate heat and kill superficial bone
  • Thermal necrosis occurs at ____
A

47°C

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18
Q

• 6” or 15 cm
• Grasping surface on beak is crosshatched (prevent
needle spinning)
• As opposed to hemostats which are parallel
• Needle prone to spin

A

• Needle holder

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19
Q

• Tissue cutting only, do not use for suture cutting

A

• Iris scissors

20
Q
  • Tissue and suture cutting

* Serrated

A

• Dean angled scissors

21
Q
  • Passively placed to hold mouth open

* Decreases stress on TMJs

A

• Bite block

22
Q

Holding mouth open
• Ratcheting system to remain open
• Can severely damage TMJs and teeth

A

• Molt mouth prop

23
Q
  • Uses:
  • Luxate teeth, NOT to remove teeth
  • Minimizes root fractures
  • Requires a fulcrum point
  • Types:
  • Straight
  • Flag/Cryer
  • Pick
A

Dental elevators

24
Q

Dental elevator

• Offset shank to aid in luxation force

A

• MAGIC STICK!! (E-92)

25
• Primary instrument for tooth delivery
• Forceps
26
______ Forceps • Beaks parallel to handle • Palm under handle
• Maxillary
27
______ forceps • Beaks almost perpendicular to handle • Palm on top of handle
• Mandibular
28
_____ forceps • Beaks adapt to root structure • Beak aligned parallel to long axis of tooth • Acts as a wedge to expand alveolar bone
Extraction forceps
29
What motion is used with the ASH 13/Charlene forceps?
Twisting, turning motion
30
SHould the forceps contact the crown or the root?
Root only
31
What does ______ mean? | • Any strand of material that is utilized to ligate blood vessels or approximate tissues
‘suture’
32
* Sterile * All-purpose * composed of material that can be used in any surgical procedure * Causes minimal tissue injury or tissue reaction * ie, nonelectrolytic, noncapillary, nonallergenic, noncarcinogenic * Easy to handle * Holds securely when knotted * ie, no fraying or cutting * High tensile strength * Favorable absorption profile * Resistant to infection
Ideal Sutures
33
ESSENTIAL _____ CHARACTERISTICS • Sterility • Uniform diameter and size • Pliability for ease of handling and knot security • Uniform tensile strength by suture type and size • Freedom from irritants or impurities that would elicit tissue reaction
SUTURE
34
_____ response to sutures (4-7 days) • Invokes inflammatory response • PMNL, mononeuclear cells, fibroblasts
• Initial response
35
``` • Suture made of single filament • Less inflammatory response • Less wicking • Requires more ties to assure an adequate knot ```
Monofilament
36
* Multifilament * Greater inflammatory response * Greater wicking * Fewer ties for adequate knot
Braided
37
How are gut sutures absorbed?
proteolytic enzymatic digestive process
38
How are monocryl and vicryl sutures absorbed?
Hydrolysis
39
The more zeroes characterizing a suture size, the _____ the resultant strand diameter
smaller
40
• Straight line distance between the point of | the curved needle and swage
• Chord length
41
• Distance between point to end along needle
• Needle length
42
What type of needle point is used at UMKC?
Tapered
43
• Maintains strength and tissue position if one portion fails • Requires more time and suture material • Has minimal holding power against stress
Simple interrupted sutures
44
* Tension suture * Rapid * Minimizes number of sutures needed * Less suture material used
HORIZONTAL MATTRESS SUTURE
45
* Tension suture * Brings tissue into good apposition * Good to secure socket dressings
FIGURE OF EIGHT SUTURE
46
``` • Easy for linear long span wounds • I.e. alveoloplasty full thickness mucoperiosteal flap approximation • Involves one diagonal pass and one perpendicular pass • Uses less material vs multiple interrupted • Provides minimal tension-holding • Prone to failure if one portion fails ```
SIMPLE CONTINUOUS SUTURE
47
• Greater tissue stability vs simple running • Uses more suture material vs simple running • More stable in the event of a partial failure or breakage
LOCKING CONTINUOUS SUTURE