Dental Instruments

Cement and  Insulating Base Dental Instruments are used for mixing and handling restorative resin and different  temporary restorative, insulating, and pulp-capping materials. Cement Spatulas :  Different spatulas are available for mixing restorative materials. Some spatulas can cause discoloration in the material being mixed. The selection of a mixing spatula is not critical except while preparing a permanent anterior composite for restoration. Some of the  composite restoration material discolors easily, so always use the spatulas provided by the manufacturer when working with it. The single- ended or double ended are suitable for mixing other materials other than composites. A smaller version is used for mixing small quantities of cement. 

                                               Single Ended Cement Spatula

The dentist use a variety of instruments to put  the amalgam to the cavity preparation and properly condense it . Condensers and Amalgam carriers are used for this purpose. Amalgam Carriers 

Amalgam carriers transport the prepared amalgam restorative material to the cavity preparation. Amalgam carriers have hollow working ends. They are called barrels and amalgam is packed into it for transportation. Single and Double-ended carriers are available with different barrel sizes like mini, large, and jumbo. The amalgam is ejected into the cavity preparation by pressing the lever (located on the top of the carrier) . Two carriers are used during the amalgam placement procedure normally. This saves the refilling time for the dentist who is ejecting or condensing a carrier load. The Amalgam carriers should be packed properly otherwise it may fall out before it is ejected into the cavity preparation. Eject any remaining amalgam alloy from the carrier into the amalgam well after amalgam material placement is completed. When the amalgam is allowed to harden in the carrier, it is no longer serviceable.

                                                                 Veecare  Amalgam Carrier

Condensors

  Amalgam condensers, often called pluggers, are used to condense or pack the amalgam filling materials into the cavity preparation. The working end is large enough to compress the soft amalgam without sinking into it. They come in single and double ended designs. They come in various shapes and size of working ends, which may be smooth or serrated. 

                                                                 Veecare Condensor

https://www.veecarestores.com/category/endodontics-restorative/condensers/

https://www.veecarestores.com/category/endodontics-restorative/amalgam-carriers/

The Sugarman file is an important instrument while performing crown lengthening or osseous surgery. The Sugarman File is a double ended instrument used for interproximal bone reduction. It is very easy to use, very safe and is used in addition to standard crown lengthening bur. Sometimes crown lengthening bur does not fit in between the tooth especially upper molars. In that case Sugarman Files can be used. 

While using the Sugarman Files, one should know why he is reducing the intraproximal bone and how much is to be reduced. Sugarman Files comes in various forms as per size, length and curvature. Use small size for smaller spaces. You should choose the file as per your convenience. Sugarman File is used with slow back and forth motion initially and when the area increases, the motion speed can be increased. With the use of Sugarman Files, you have control on reshaping and direction. In the Periodontal Surgery , Sugarman File is a Must instrument.  For more products visit www.veecarestores.com 

A gingival retraction cord is used typically during the preparation of the tooth in common dental crown procedure  and also in common dental bridge procedure by the dentists. It is inserted below the gum line and and around the specific tooth that has been prepared for the crown or bridge and also into the gingival sulcus during the process . The natural space found between the tooth and the gum tissue that surrounds the tooth is called gingival sulcus. Generally plaque builds up in this area, which can lead to several dental issues. The purpose of a gingival retraction cord is to provide a clear working view of a tooth to dentist prior to making a dental impression. Uses Gingival retraction cord is similar to yarn stick or a flossing stick. It pushes the gum away from the prepared margin for tooth which may come in between while taking an impression.

Side Effects It is the best method to push the gum away to make a clear view of the tooth but it may cause temporary swelling and inflammation of gums. There may be bleeding also. Instrument used for Retracting the cord Dental instrument Cord Packer is used to pack the retraction cord in gingival sulcus. The cord packers  come with serrated as well as non serrated working ends.   Non serrated round working ends are used for atraumatic cord placement and serrated cord packers should  be used with braided cord.

To increase the longevity and function of instruments one must take proper care of them.  The care and handling of instruments are done as follows: Rinsing Immediately after use, Instruments has to be rinsed immediately after use under warm or cool running water to remove all blood, body fluids and tissue. Dried soils may damage the instrument surface and it becomes difficult to clean. Do not use hot water as this will coagulate portentous substances. Cleaning Techniques Temperature, Time and agitation play important roles in the cleaning process. Temperature — Higher temperature cleaning solutions result in better cleaning Time — The efficiency of cleaning chemicals is time dependant Agitation -It is helpful in loosening the soil on the surface of the instrument whether manual or ultrasonic. 1 Ultrasonic Cleaning 

2 Automatic washer Sterilizers 

3 Manual Cleaning

 4 Soaking 

Sterilization Techniques 

1 Autoclaving 

 2 Cold Sterilization 

After sterilization the instruments has to  be stored in clean and dry environment. 

Stains for Stainless Steel Instruments Stainless steel can rust although it is rust free and stains if handled improperly. Erase the discoloration with a pencil eraser to determine if a discoloration is rust or just a stain. It is corrosion if there is pitting in the metal under the discoloration. It was just a stain if the discoloration is removed. 

Periodontal scalers are dental instruments used in scaling and root planing as well as in the prophylactic and periodontal care of teeth.  The working ends come in different shapes and sizes, but they have narrow tip at the end. This allows the access to narrow embrasure spaces between teeth. Scalers are different from periodontal curettes, which has a blunt tip.

A dental technician in Lab as well as Doctors use wax, porcelain and modeling carvers. Le cron carvers are made of high-quality French stainless steel and last longer without getting blunt. Lecron carver can be used in all areas of dentistry. 

Lecron has a sharp circular disc on the one end while another end has a knife.  

                                      Veecare Lecron Carver

Used by Whom : ·                    Dental Technicians ·                    Dentists ·                    Dental Labs Use : ·                    Wax and Porcelain Carving Features : ·                    Surgical Grade French Stainless Steel ·                    Autoclavable  ·                    Sharp Edge ·                    Hand sharpened & Hand polished Technical Specifications : Material: French Surgical grade Stainless Steel Reusable or Disposable: Reusable Sterile or Non-Sterile: Non-Sterile Latex-Free: Yes Rust Prevention Procedure: Passivation Ultrasonic Cleaned: Yes Polished: Yes Lubricate: No Usage: Left Hand or Right Hand Tests Performed: Boil Test, Performance Test, Shape Test Packing: Individually Packed QC Passed: Yes   

Many instruments are used during cavity preparation in a dental procedure. They have different shapes and designs and perform the function of tooth cutting and caries removal. They are used on different parts of oral cavity and on different surfaces. Few excavation instruments are Enamel Hatchets, Enamel Chisels, Gingival Margin Trimmer & Spoon Excavators. 

Spoon Excavators are used to remove the decayed dentin and tooth debris from decayed cavities. Depend upon their size, they are categorized as small, medium and large excavators. 

                                                                         Veecare Spoon Excavator

                                                 Small excavators are used to remove smaller tooth cavities and to clean the dentine junction. Their diameter is approximately 1mm. Less force has to be used to prevent it from damage as it is fragile instrument. 

The diameter of medium excavator is 1.5mm and it is used to remove soft caries from larger cavities. The rounded surface of excavator can also be used to put the mixed restorative material in cavity. 

Types of Surgical Instruments

Surgical Instruments may be roughly categorized by function :

Cutting instruments which include scissors, knives , surgical blades and scalpel handles.

Grasping or holding instruments which include hemostatic forceps and tissue forceps.

Retractors hold incisions open or hold an organ (or tissue) .

Few accessories are needed for surgery. These include clamps, from large towel clamps to delicate vessel clips and bulldog clamps, sutures, binocular loupes, drills and more.

Cutting Instruments

          Following are the tips to keep in mind when selecting an appropriate pair of surgical scissors:

Fine tip scissors are ideal for use in very restricted spaces. They are perfect for right or left hand use, and are designed for procedures, which require a delicate incision of tissue. Quick, accurate cuts with minimal tissue damage can be made using these sharp blades.

Curve tipped scissor is a good choice when you want to avoid cutting underlying tissues.Scissors with a heavier construction (like Metzenbaum, Mayo and Super Cut scissors) are useful for cutting thicker tissue or vessels.

                                               Metzenbaum Scissor                       

                    Castroviejo Scissor

Grasping Instruments

              Surgical forceps may be mainly divided into two categories, Ring forceps (also called hemostats, hemostatic forceps and locking forceps) and Thumb forceps (frequently called tweezers or pinning forceps). Some tips to keep in mind when selecting an appropriate forcep:

Reverse forceps are self-closing. Just squeeze them to open. They provide uniform tension.

Ceramic tipped forceps are non-porous, rust and heat resistant and insulated.

Straight tip forcep is used for general precision work and slightly curved or fully curved tips gives more visibility.

                            Reverse Forceps

            Ceramic Tipped Forceps

                                                         Halsted Mosquito Forceps

Ring forceps are  also known as hemostats or locking forceps. They are used for  grasping, holding firmly or exerting traction upon objects mainly for delicate    oprations. They are hinged and look like ring scissors. Hemostatic forcep has a   locking mechanism called a ratchet, which is used for clamping.  Common types of ring forceps include:

Kelly hemostats is used to clamp larger vessels or grasp tissue. Kelly hemostats and Rochester forceps look similar. However. Kelly hemostat has shorter serrations. Rochester hemostats can go a little deeper.

Kelly-Rankin Hemostats

Rochester-Oschner Hemostats

Hartman Mosquito forcep has fine, short tips and a serrated jaw. They are used as hemostats for clamping small blood vessels and in fine tissue dissection when the incision is shallow. We can use them to clamp small blood vessels or hold fine sutures. For a lighter and longer hemostat, we can go for Halstead Mosquito Forceps.

Hartman Mosquito Forceps

Halstead Mosquito Forceps

Allis tissue forceps have sharp teeth to grip heavy tissue. As they can cause damage, they typically hold tissue that is to be removed.Crile hemostats are similar to Halsted Mosquito forceps  but little larger.Rochester-Oschner forceps are heavy hemostats used for clamping large vessels or grasping dense tissue. They are serrated for grasping and often have teeth at the tip also.

Rochester-Oschner Forceps

Rochester-Pean

Rochester-Carmalt Forceps

       Thumb forceps are spring forceps used by compression between thumb and forefinger          and are used for grasping, holding or manipulating body tissue. They have no ratchet            in the handle. Tissue forceps generally have teeth which gives a better grip on tissues          while minimizing tissue damage.        Common types of thumb forceps are :

Adson tissue forceps which are designed for grasping delicate tissues, and they have 1x2 teeth.

Bonn tissue forceps are designed for delicate work.

Adson Tissue Forceps

Bonn Tissue Forceps

Retractors

Retractors are used to hold an incision or a open wound  to hold an organ or tissue out of the way to expose what's underneath.

An assistant, a robot or the surgeon must hold hand retractors while doing a procedure.

Self-retaining retractor has a mechanical device for holding tissue during surgery. It allows hands-free operations. Self-retaining retractor has a screw, ratchet or some type of clamp to hold the tissue by itself. Thus the surgeon can operate with two free hands.

Wire retractors are the simplest type of retractor. Usually the wire has some spring so that the surgeon can pinch it together, position and release it. They also free up the surgeon's hands.

Hand Retractors

Self-Retaining Retractor

Wire Retractor

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Sinus augmentation by osteotome technique

Sinus augmentation can be performed by a less invasive osteotome technique.

How to use Root Elevator

Elevators are used to provide luxation forces to tooth which is connected with the surrounding alveolar bone and  tooth particle roots. Luxation makes the space between teeth roots and the surrounding alveolar bone. It severs the periodontal ligament and push the roots away from the alveolar bone surface. This expansion increases the  tooth particle movement inside the socket. The luxation forces on alveolar bone can cause alveolar bone fracture or cause necrosis of bone cells lining the socket because of the  pressure or compression induced .Forces on alveolar bone can be minimized by sectioning tooth particles such that individual tooth particles transmit less force to alveolar bone during luxation.

Elevators are used for extraction or luxation of tooth of tooth fragments             which can not be hold by the blades of forceps eg malposed teeth or                 impacted teeth or roots.

     Elevator

has three parts:      Handle, Shank and Blade

    Types of Elevators

:     Cross Bar Elevators     Straight Elevators     Curved Elevators

Where to use the elevator

To luxate the teeth prior to the application of forcep

To remove or luxate the teeth which forceps can not hold like malposed, impacted, fragile or teeth with cervical caries.

When forcep can cause trauma or primary application of forcep is difficult.

To remove the roots broken during operation.

To remove the remaining roots either buried or visible in the bone.

Dangers in the use of Elevator

Adjacent tooth may get extracted or loosened.

May fracture maxilla, mandible, tuberosity or alveolar process.

May force teeth or root into nearby vital structures- Maxilary Sinus, IAC or tissue spaces

Slippage may lead to tissue, lingual nerve, oral mucosa, tounge, floor of the mouth, soft palate, pharynx and tonsil injury.

Rules in the use of Elevators

Don’t use adjacent tooth as fulcrum unless that tooth is to be extracted in the same operation.

The elevator’s movement has to be controlled to avoid tip slippage and thus causing injury to soft and hard tissues.

Don’t use buccal plate at the gingival line as a fulcrum except when extracting the lower third molar.

Veecare Dental Tweezer

Veecare Tweezers are used to grip or transfer materials in and out of the oral cavity. Tweezers are used to hold cotton pellets, cotton rolls, small instruments, or other small items placed into or withdrawn from the mouth. The dressing forceps are also used to carry liquid medication between the closed beaks for deposit in areas of the mouth or teeth. Our dressing pliers are made of heavy-gauge, heat-treated SS 304 stainless steel to prevent tip bending and misalignment, in addition to being resistant to corrosion. This dressing plier has a serrated tip that to provides a positive grip . Hand-crafted from surgical grade French steel, Veecare tweezers resist corrosion to provide superior performance and longevity. Veecare uses the Finest material, the best grade of French steel, depending upon the type of instruments; various quality checks are made starting from the Forging to the final approval by the Quality Control Department.

Tweezers are used to remove or place small items like cotton wool pellets into the mouth .

College Tweezers

or cotton pliers used in dentistry to carry and place cotton rolls between gum and cheek.

College tweezers

have angled serrated tip provides an optimum angle to perform the procedure conveniently. It is well designed to provide Balance of Flexibility and Durability. Tweezers are Ultrasonically Cleaned and Individually Packed to provide Best Quality to the Dentist.

Veecare Tweezers are

6 ” long

    • Tip is serrated to provide positive grip.

    • Provide Superior Performance and Longevity

    • Made up of Autoclavable High Quality Surgical Grade French Steel

    • Rust Free

    • Well Designed to provide Balance of Flexibility and Durability

    • Ultrasonically Cleaned and Individually Packed

    • Approval by the Quality Control Department

PROXIMATORS

The success of the surgical procedure depends upon the right choice of instruments in dental surgery. It is important to have a dental tool that gives a precise outcome. Tooth extraction becomes easier with the use of  these Proximators Set . It helps to make extractions faster and more efficient.This PDL Proximators Set is based on the principle minimal invasiveness. In the modern dentistry the focus is on Implantology. Therefore, it is necessary to conserve the hard and soft tissue during extraction. These Proximators sever the ligaments in the periodontal space, primarily for severing the periodontal fibers and creats lateral expansion of the alveolus. The use of Proximators reduces the damage during a dental surgery.It is the perfect instrument set for the careful and faultless removal of teeth. It includes the following 7 instruments

Articulating Paper Forcep is used for holding articulating paper when checking occlusion of dental restorations and teeth. Holding the paper with an instrument rather than fingers assures better and complete coverage of the restoration or teeth to be verified. Veecare uses the Finest material, the best grade of French steel, depending upon the type of instruments; various quality checks are made starting from the Forging to the final approval by the Quality Control Department. The Articulating Paper forcep goes through a Special Process of Passivation to make Instrument Rust Free. It is well designed to provide Balance of Flexibility and Durability. Forceps are Ultrasonically Cleaned and Individually Packed to provide Best Quality to the Dentist.

DENTAL INSTRUMENT NEUMANN STRAIGHT SCISSOR BUY AT BEST PRICE BY VEECARESTORES IN MOHALIVeecare Neumann Straight Scissor 12 cm long is made up of High Quality Surgical Grade French Steel which provides it a sharp cutting edge. It is used for trimming tissue or cutting sutures. The Scissor goes through a Special Process of Passivation to make Instrument Rust Free. Scissors are ultrasonically cleaned and individually packed to provide best quality to the Dentist. For more visit www.veecarestores.com or contact +91-9914524545

DENTAL INSTRUMENTS IN CHANDIGARH

TOOTH REMOVAL WITH SURGICAL FORCEP TECHNIQUE BY VEECARESTORES IN MOHALI PUNJAB

In this technique two elevators and forcep are used to extract the tooth. In this unconventional method conventional forcep is used to take out the retained roots of certain teeth like incisors, canines & premolar . This technique is applicable in well defined but commonly occurring situations. Surgical procedures can be avoided by using this technique. First technique is used for incisor and involve four steps: Step 1 Lift the gingival margin from the lingual and buccal aspects of the socket bone with an elevator. Step 2 Put the fine root forceps down to the position and ensure that the beaks are within the soft tissues.