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19. Basic Chairside Instruments and Tray Systems. Working end Shank Handle. Basic Structural Parts of Dental Hand Instruments. Basic Classification of Dental Instruments. Number of working ends Functions Manufacturer’s number Black’s formula. Classification of Instruments.
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19 Basic Chairside Instruments and Tray Systems
Working end Shank Handle Basic Structural Parts of Dental Hand Instruments
Basic Classification of Dental Instruments • Number of working ends • Functions • Manufacturer’s number • Black’s formula
Classification of Instruments • Black’s three-number formula • First number • Width of the blade • Second number • Length of the blade • Third number • Angle of the blade
Classification of Instruments • Black’s four-number formula • First number • Width of the blade • Second number • Degree of the angle of the cutting edge of the blade to the handle
Classification of Instruments • Black’s four-number formula • Third number • Length of the blade • Fourth number • Angle of the blade to the axis of the handle
Chisels Straight Wedelstaedt Bi-angle Cutting Instruments
Cutting Instruments • Hatchets • Hoes • Gingival margin trimmers • Angle former • Excavators
Noncutting Instruments • Basic examination instruments • Mouth mirrors • Explorers • Cotton pliers • Periodontal probes
Plastic filling instruments Composite instruments Amalgam carriers Amalgam condensers Carvers Noncutting Instruments
Burnishers Files Finishing knives Miscellaneous Spatulas Articulating forceps Scissors Noncutting Instruments
Care and Maintenance • Extend lifespan of instrument due to proper care and maintenance • Properly clean and sterilized • Examine all instruments thoroughly
Head Straight shank Neck Latch-type shank Shank Friction-grip shank Dental Rotary Instruments • Parts of the bur • Shank • Neck • Head
Cutting Diamond Finishing Surgical Laboratory Fissurectomy Types of Burs
Abrasives • Nonbladed instruments used to finish and polish restorations and appliances • Categorized by the shapes and materials they are made of, such as rubber, stone, and sandpaper
Types and Functions of Abrasives • Mandrels • Rods of various lengths used in low-speed handpieces • Discs • Used to polish, smooth, and adjust restorative materials and dental appliances
Types and Functions of Abrasives • Stones • Used for cutting, polishing, and finishing amalgam, gold, composite, and porcelain restorations
Types and Functions of Abrasives • Rubber wheels • Used for finishing and polishing • Rubber points • Used for polishing • Adaptable for defining anatomy in restoration
Dental Handpieces • Used for the following: • Remove dental decay • Prepare tooth for restoration • Polish • Polish and finish dental restorations • Cut, finish, and polish dental appliances • Models and trays
Parts of the Dental Handpiece • Working end • Head • Shank • Connection end
High-speed handpiece Low-speed handpiece Electric handpiece Dental Handpieces
Maintenance and Sterilization of Dental Handpieces • Maintenance • Follow manufacturer’s directions carefully • Sterilization
Air Abrasion Unit and Microetcher • Air Abrasion • Reduces use of anesthetics and drilling with dental handpieces • Microetcher • Smaller version of air abrasion unit used for intraoral sandblasting and dentin bonding
Tray Systems • Preset tray system • Most commonly used • Instruments and auxiliary items • Placed on a tray in the order of their use during the procedure • Other systems
Color Coding Systems • Color coding may be set up to indicate: • Procedures • Treatment room instruments storage • Additional sets of instruments • Individual operators • Sequence of use • Any combination of the above