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BY

A.AZIZ BAIOMY A.ALLAH

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SIMPLE EXTRACTION

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Extraction Forceps

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Basic components of extraction forceps

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Maxillary Extraction Forceps

Maxillary anterior forceps

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Upper Premolar Forceps

Upper Molar Forceps

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Maxillary right molar forceps,Maxillary left molar forceps,

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Maxillary third molar forceps

Maxillary root tip forceps

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Mandibular premolar forceps

Mandibular anterior forceps

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Surgical procedures

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INSTRUMENTS FOR INCISINGTISSUE

INSTRUMENTS FOR INCISINGTISSUE

• SCALPEL HANDIE NO 3

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• SCALPEL HANDIE NO 7

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Scalpel Handle #4: To hold scalpel blade

Scalpel Blade Seating Area

Grooved Grip Area

Shank

Pattern Number

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• blades

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Scalpel Handle # 4&# 3

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Disposable Scalpel

Clinical Tip: Because scalpel blades dull rapidly afterbeing pressed against bone they should be changedbetween incisions if more than one flap is to bereflected.

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Handling of blade to scalpel handle

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Scalpel is held in a pen grasp

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INSTRUMENTS FOR ELEVATINGMUCOPERIOSTEUM Flaps

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No. 9 Molt periosteal elevator is most commonly used in oral surgery

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Clinical Tips for periosteal Elevators

Pry Stroke: Using the tooth as a fulcrum, the sharp pointed endof the elevator is used to reflect the MPF by first prying the IDPfree from the underlying bone.

Push Stroke: Using the broad end of the elevator in a pushstroke, the attached gingiva and alveolar mucosa arereflected to the desired extent.

Pull Stroke: Using the periosteal elevator in a pull stroke cansometimes shred the periosteum.

Periosteal elevators are used to reflect mucoperiosteum, to loosensoft tissue from teeth before extraction, and to retract small flaps

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Pry Stroke

Push Stroke

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INSTRUMENTS FOR RETRACTIONSOFT TISSUE

• Tissue retractor

Minnesota Seldin

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Seldin retractor

Minnesota retractor

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INSTRUMENTS FOR CONTROLEBLEEDING

Straight Hemostat Curved Hemostat

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Needleholder

Curvedhemostat

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INSTRUMENTS FOR GRASPINGTISSUE

• Allis forceps

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TISSUE HOLDER

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Tissue Forceps

Adson Brown Adson

Rat tooth

Russian

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Tongue depressor

Wieder retractor

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Rubber bite blocks

Side action adjustablemouth props

Mouth probe and gauge

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Bone Rongeur

Side CuttingRongeur Blumenthal

Rongeur

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Rongeur forceps with side-cutting/end-cutting edge

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• End Cutting Rongeur

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Bone Crushers-Macho

Mallet

Unibevel Osteotome

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Osteotomes (bibevel): To shape and sculptbone, or section a toothChisels (unibevel): To cut a window in thebone cortex for access or to allow harvestingof pure soft boneGouges (grooved ): To scoop away strips ofsoft bone, especially in bone grafting

Chisels and Gouges

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Surgical mallet and chisels.a Monobevel chisel.b Lucas chisel with concave end.c Bibevel chisel

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Bone Curette and File

Curette Bone File Crosscut

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Double end bone curette

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Double-ended bone file

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Needle holder

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a . Mayo–Hegar needle holder.b . Mathieu needle holder

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Mathieu needleholder

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Needle holder

Hemostat

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Scissors

Suture scissors

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Dental Elevators-Handle

Bulb T-Handle Cross-bar

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Dental Elevators-Shank

Straight Angled

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Dental Elevators-Blade

Straight/gouge

Triangle/pennant

Pick

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Principle of elevators

Lever principle

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Wedgeprinciple

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Axial & wheelprinciple

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Root tip elevator

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Apexo elevators

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Cryer elevators

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Buccal applicator

Socket applicator

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Cryers

Warwick JamesCouplands.

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INSTRUMENTS FOR BONE FRACTURE

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Wire cutter

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Simple “Bridle” Wire

•Temporaryreduction and

stabilization•25 or 26 gauge wire

and local anesthesia•Wrap around two

teeth on either sideof fracture

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Ivy Loops

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Continuous Loop

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Splints for Fixation

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MMF: Case Presentation

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L.A INSTRUMENTS

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PRESSURE SYRING

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BRACH LOADING METALIC CARTRIDGE(METALIC ASPIRATION TYPE)

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JET INJECTOR

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COMPUTER CONTROLLED L.A DELIVARY SYSTEM

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SAFTY SYRING

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NEEDL

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CARTRIDGE