dental instruments: A pocket guide. Chapters 7-9

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Amalgam--- tray setup

Amalgam well, tip, burs in bur block, amalgam carrier-plugger style, mouth mirror, explorer, cotton forceps, spoon excavator, enamel hatchet, mesial gingival margin trimmer, distal gingival margin trimmer, small condenser, large condenser, acorn burnisher, tanner carver, half-Hollenback varver, gold carving knife, tofflemire, wooden wedges, crown and bridge scissors, articultating paper and holder, liner applicator ,dental floss, anesthetic aspirating syringe,air\water syringe tip

Composite Procedure- Class I, Class II and Class V Composite Restorative- tray setup

Articulating paper and holder, well for compiate material, shade guide, mouth mirror, explorer,cotton forceps, spoon excavator, composite placement instrument, composite placement instrument(plastic), composite burnisher, gold carving knife, liner applicator, applicators, high-volume evacuation tip, anesthetic syringe, forceps for tension rings, matrix band, wooden wedges, tenison rings, burs, madrel/discs in bur block, dental floss, air/water syringe tip

Dental Dam- Tray setup

Dental Dam, Dental Floss, Plastic Dam Frame, Crown, and Bridge Scissors Beavertail burnisher used to invert dental dams, Dental dam Forceps, Dental Dam Clamp with stabilizing ligature tie (dental floss), Dental Dam Punch

L.E.D. and Halogen Radiometers

Function: To accurately test the visible light output for the L.E.D. and Halogen curing lights To determine the accuracy of the L.E.D. and Halogen Lights that cure dental materials Characteristics: White- Halogen Radiometer Blue-L.E.D. Radiometer

Premolar Clamp

Function: To anchor and stabilize dental dam Characteristics: Clamp used is determined by tooth size Range of sizes available example is winged clamp but also made wingless

Dental Dam Clamp

Function: To anchor and stabilize dental dam Characteristics: Parts: Bow- Placed toward distal part of tooth Jaws- Have four prongs that secure clamp on tooth Holes- on jaws; designated for beaks on forceps to place clamp on tooth Prongs- Designed to secure clamp on cervical part of tooth, beyond the height of the contour Winged clamps- Have extension of metal on jaws to hold dental dam away for better visibility

Universal Clamp-Mandibular

Function: To anchor and stabilize dental dam Characteristics: Used on right or left posterior molars Range of sizes winged and wingless

Universal Clamp- Maxillary

Function: To anchor and stabilize dental dam Characteristics: Used on right or left posterior molars Range of sizes available available in winged or wingless

Anterior Clamp

Function: To anchor and stabilize dental dam Characteristics: used only on anterior teeth

Applicator

Function: To apply conditioning, primer, and bonding material to cavity perparation To use with bonding procedures,sealants, and orthodontics band brackets Characteristics: Disposable one peice applicator Microbursh applicator

Amalgam Carrier

Function: To carry and dispense amalgam for cavity preparation Characteristics: Single and Double ended Double ended - one small end, one large end Single ended - Plunger style The inside of the hollow tubes is coated with metal or teflon

Woodson

Function: To carry and place temporary restorative material for cavity preparation- Paddle end To condense restorative material-Plugger end Characteristics:Double ended Range of sizes Plugger end available sizes Paddle end available sizes and different angles

Composite Placement Instrument

Function: To carry composite material for cavity perparation To place, condense, and carve composite material in cavity perparation Characteristics: Plastic composite instrument- Plastic that can be sterilized Metal composite instruments- Titanium nitride coating Double ended Different angles on ends End shaped differently, one to accommodate intitial placement of material (paddle end) and the other end to condense, contour, carve material

Discoid-Cleoid Carver

Function: To carve occlusal anatomy into amalgam restorations To carve occlusal anatomy in other resotrative and temporary filling materials Characteristics: Double ended- Two ends shaped differently Discoid end- Disc shaped Cleoid end- Pointed

Tanner Carver

Function: To carve occlusal anatomy into amalgam restorations To carve occlusal anatomy in other restorative ad temporary filling materials Characteristics: Double ended- Two ends shaped differently Ends shaped differently from those of discoid-cleoid carver.

Hollenback and Half-Hollenback Carvers

Function: To contour and carve occlusal and interproximal anatomy in amalgam restorations To contour and carve occlusal and interproximal anatomy in other restorative and temporary filling materials Characteristics: Hollenback Half-Hollenback- Half the size of Hollenback Carver Double ended- Working ends protude at different angles

Composite Burnisher

Function: To form occlusal anatomy in composite resorations To achieve final contouring of anatomy,pits, fissures , and grooves Characteristics: Double ended-- different angle on either side Composite Burnisher- Titanium nitride coating- creates hard, smooth, non stick surface that resists scratching, sticking, or discoloration of composite material Acorn Burnisher (for composite restoration)-Gold titanium nitride coating- creates hard, smooth, non stick, or discoloration of composite material

Dental Dam Frame

Function: To hold dental dam away from teeth Characteristics: Metal frame and Plastic frame Plastic frame - May be left on during radiographic exposures Various sizes

Well for Composite Material

Function: To hold material: etchant, primers , bonding, and composite Characteristics: Disposable or autolavable Well with protective light cover

Wooden Wedges

Function: To hold matrix band in place along gingival margin of class II, class III, or class IV preparation Characteristics: Wood or plastic Triangular, round, or anatomical shapes

Dental Dam

Function: To isolate teeth for dental porcedures Characterisics: Size 4x4,5x5,6x6 or continuous roll Gauge or thickness- thin, medium, heavy Colors- gray, green, blue, pastels Latex free-purple

Dental Dam Stamp

Function: To mark holes on dental dam Characteristics: Has 32 dots that represent the adult dentition Used as guide for punching holes in correct position

Condenser(plugger) - Smooth and Serrated

Function: To pack and condense amalgam into cavity preparation To pack and condense other restorative materials To pack and condense temporary filling material Characteristics: 1- smooth end small 2- smooth end large 3-serrated ends Round, Flat or Diamond shaped Single or Double ended Double ended- one small end , one large end Back action condenser available with right-angle working ends--- Accommodates difficult areas Range of sizes available

Liner Applicator

Function: To place calicum hydroxide or glass ionomer in cavity preparation Characteristics: Short or Long handle Single or Double ended

Dental Dam Forceps

Function: To place dental dam clamp on tooth and to remove clamp after procedure Characteristics: Beaks on forceps fit into dental dam clamp Forceps open with spring motion Bar between handle holds forceps in place while clamp is seated

Protective Shield for Curing Light

Function: To protect eyes during curing stage of light-cured material Characeristics: Orange color- Blocks harmful light to operator/assistant and patients eyes Protective shields lso available on curing light Paddle shield style Prtective eye glasses for operator, assistant, and patient

Dental Dam Punch

Function: To punch holes in dental dam for each individual tooth Characteristics: Designated hole size for each tooth for permanent denition No.5- Anchor tooth (largest) No.4- Molars No.3- Premolars No.2- Maxillary central and laterals, maxillary and mandibular cuspids No.1- Mandibular central and laterals (smallest)

Sectional Matrix System

Function: To replace missing proximal wall of cavity preparation for placement of composite material or other restorative materials for class II restorations Characteristics: Pediatric Band-primary molar Small Band-Premolar, small molar Extended Small Band-Premolars, molars, with deep cervical restoration Standard band-Molar restoration Large band-Deep cervical restoration Tension rings- Different sizes to accommodate restoration Place to secure band on proximal wall Placed on tooth with forceps

Matrix Band System

Function: To replace missing proximal wall or walls of cavity preparation for condensation of restorative material for class II preparation Characteristics: Variety of matrix band system band systems Variety of sizes and shapes Bands designed for specific teeth -Universal---posterior -Molar---larger molars -Premolars -Pediatric---Primary teeth

Matrix Bands

Function: To replace missing proximal wall or walls of cavity preparation for condensation of restorative material for class II preparation Characteristics: Variety of sizes, shapes and thicknesses Bands designed for specific teeth 1.Universal band-- For all posterior teeth except larger teeth 2.Premolar band--For premolars 3.Molar band--For larger molars

T-Ball Burnisher

Function: To smooth amalgam afer condensing To contour matrix band before placement To begin carving of amalgam To burnish other restorative materials To burnish temporary filling material Characteristics: Single ended

Beavertail Burnisher

Function: To smooth amalgam after condensing To perfom intitial carving of amalgam To invert dental dam To burnish other restorative materials to burnish temporary filling material Characteristics: Single or Double ended

Interproximal Carving Knife

Function: To trim interproximal amalgam restoration, recreating contour of proximal wall To trim interproximal restorations with other restorative materials, recreating contour of proximal wall(s) To remove flash composite material form interproximal areas Characteristics: Single or Double ended Variety of designs

Gold Carving Knife

Function: To trim interproximal amalgam restorations, recreating contour of proximal wall(s) To trim interproximal restorations with other restorative materials, recreating contour of proximal wall(s) To remove flash composites material from interproximal areas Characterictics: Single or Double ended Variety of designs

Dental Dam Template

Function: To use as a guide for marking and punching holes in correct position on dental dams. Characteristics: Made of durable plastic Has 32 dots that represent the adult dentition

Tofflemire\Matrix Band Retainer

Function:To maintain stability of matrix band during condensation of restorative material for class II preparation Characteristics: Guide slot Diagonal slot Spindle Spindle pin Inner Knob Outer Knob

Amalgam Well

Functions: To hold amaglam before it is placed in preparation To hold amalgam while loading amalgam carrier Characteristics: Metal , Plastic, or Glass

Articulating Paper Holder

Functions: To hold articulating paper in place To check centris and lateral occlusion Characteristics: Metal articulating paper holder Disposable articulating paper holder

Amalgamator

Functions: To mix alloy and mercury into amalgam in a capsule To mix other types of restorative materials in a capsule To mix precapsulated permanent and temporary cements Characteristics: Preloaded amalgam capsules contain alloy, mercury, and pestle to aid mixing. Thin Membrane separates materials until mixing occurs

Interproximal Condenser

Functions: To pack and condense malgam into interproximal areas of cavity preparation To pack and condense other restorative materials Characeristics: ends shped to fit mesial or distal areas of cavity preparation Smooth or serrated ends Range of sizes available

Composite Procedure- Class III and Class IV Composite Restorative- tray setup

HIgh-Volume evacuator tip, well for composite material, burs and mandrel/discs in bur block,shade guide, mouth mirror, explorer, cooton forceps, spoon excavator, composite placement instrument, composite placement instrument(plastic), gold carving knife, liner applicator, applicator brushes, wooden wedges, clear mylar matrix strip and clamp to hold matrix, crown and bridge scissors, articulating paper holder and aritculating paper, dental floss, anesthetic aspirating syringe, air/water syringe tip

Burnishers--Football, Ball, and Acorn

To smooth amalgam after condensing To contour matrix band before placement To perform initial carving of amalgam To burnish other restorative material To burnish temporary filling material Characteristics: Football Burnisher, Ball Burnisher, Acorn Burnisher Single or Double ended

Curing Light--Electronic and battery Operated

function; To harden light-cured materials: bonding, composite, sealants, build-up material Characteristics: Electric Battery operated

Finishing Strip

Function: to finish and smooth iterproximal surface of restoration Characteristics: Abrasive textures


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