Orthodontic Instruments
Contents Introduction
Brief
History Orthodontic Instruments Materials Manufacturing Parts Of Pliers Grasp Features Of Orthodontic Instruments
Classification
Of Orthodontic Instruments
Diagnostic
Instruments Separator Placement Band Forming Instruments Bracket Positioning Instruments Ligature
Instruments
Cutters Debonding
Instruments Wire Bending Instruments Wire Forming instruments Measuring Instruments Other Instruments
Maintenance Sterilization References
Introduction Tool “A device or implement, especially one held in the hand, used to carry out a particular function”
Pliers “A tool with scissor-action, pointedjawed tool for bending or cutting metal wires or grasping s mall objects.”
Principle First Class Lever
Class
Three Lever
Brief History
3000 BC – Bronze Age Evolved from Tongs Hand Tool used to hold objects firmly
Late 17th Century – Pierre Fauchard – Needle Nose Pliers Often used tools from Watch maker and Jewellers
Orthodontic Instruments Materials Stainles s Steel
Tungsten Carbide Steel
German Stainles s Steel
Titanium Alloy
88% Iron 12% Chromium 0.2% Carbon
Equal parts of Tungsten Carbon
Iron Chromium Nickel Molybdenu m
Aluminium Vanadium
Manufacture Red Hot Metal
Forged in Die by pressure
Trimming of Forged rod
Shaping the beak by Cutting
Austempering
Salt Water Rapid Cooling
Laser Heat treatment of Beak
Pair of Handle is assembled by Rivet
Martempering
Cool in Oil Solution
Dip in Corrosion Resistant
Laser Engraving
Parts Of Plier Beak
Joint
Handle
Grasp Thumb and Palm Grip -
Pen Grip -
Joints Box Joint
Screw Joint
Features Of Orthodontic Instruments
Stainless steel Tungsten Carbide Tips Hinge or Pivot joint Gold brazing Rounded tips Serrations on working ends Inner Surface of beak Bow out handles Laser Marking
Diagnostic Instruments Mouth
Mirror
Probe Explorer Tweezer
Impression
trays Lip Retactor Intraoral Mirror
Instruments for placement of Separator
Separator Placing Pliers
Stainless steel Spring back action Use - Expanding elastic separators before positioning them interdentally. Barrel-shaped tip prevents slippage of the module, reduces the risk of tissue damage. Angled beaks facilitate easier placement of elastic separators in anterior and posterior areas
Band Forming Instrument s
Band Cutting Scissors
Hardened stainless steel with tungsten carbide inert cutting tip Cutting Edge Pattern
straight or curved pattern long and short
Use - cutting thin metal bands or band material
Mershon Band Pusher
Handle is cylindrical and working end is serrated Use –
push bands so as to seat adapt to contour of the teeth
Band Pinchable Plier
Beaks are in triangular passion with inner surfaces had serrated for better control of band material. It has two types curved and straight. Curved (45˚) pinchable plier used for lower band preparation , and straight is used for upper band preparation. Use - for pinching of bands during band preparation
Peak Plier
Beaks - Contour fitting to the side of a tooth is aided by the concave surface or depression at the outer ends of each of the band clamping portion. Use - for preparation of band to tooth.
Double Beak Pliers
Stainless steel Double beak pliers are used for forming bands in the mouth. Types - Anterior and posterior band fabrications. These were important when all teeth were Banded Use - preparation of band to tooth
Nylon Band Seater
High impact plastics or wood The biting surface - Tin inlay with serrated surface Shape –
Round Square Triangular
Use – Patient is asked to bite on the surface with the tin inlay tip resting on the lug or the band edge.
Band Crimping Plier
Use - contour the gingival surface of preformed bands to provide better tooth anatomy
Photo – Hu-friedy Catalog
Johnson Band Contouring Plier
Beaks - Tapered with a slight bow. One beak is concave and other is convex allowing re-contouring of bands. Use - re-contour band edges that sometimes get bent during band placement.
Anterior Band Removing Pliers
Beak - narrow groove and sharp end One beak is shorter
Oliver Jones Posterior Band Removing Plier
Beaks - Plastic padded tip and sharp removing beak Plastic head rest on the occlusal surface of tooth and the sharp tip below the gingival contour of the band. Use - Remove posterior metal bands with maximum patient comfort.
Bracket Instrument s
Boons Gauge
It is the most frequently used bracket positioning aid. Stainless steel. It accurately measures height of bracket placement from the incisal edge at 3.5, 4, 4.5 and 5mm. Flat surface rests on incisal/occlusal surface of tooth. Simplifies seating the bracket on the teeth with exactly the right distance between bracket slot and incisal edge with pencil lid or metal tips.
Bracket Positioning & Height Gauge
Aluminum or stainless steel Use - This device simplifies the seating of brackets on the teeth with exactly the right distance between the bracket slot and incisal edge. Adjustable for use on both anterior and posterior teeth. Measures height of bracket placement from the incisal edge at 2, 2.5, 3, 3.5, 4, 4.5, 5 and 5.5mm. Works with .022 & .018 bracket system.
Photo – Leone Catalog
Bracket Holder
It holds any type of bracket from a wide twin to a single one. Reverse action type handle which on pressing the handle open-up the beaks. Beaks are diamond shaped with serrations to grip the bracket. Flat end of the handle used to press the bracket into position for bonding.
Curved Bracket Holder Serrated
Tips Use – Lingual Bracket placement
Photo – iXion Catalog
Modified Bracket Positioning Holder Combined
Gauge with Bracket Holding
Forcep
Photo – Contm. Clini. Dentistry
Lingual Bracket & Tube Holder Reverse Action Curved
Beaks help in unobstructed placement Use – For placement of Lingual Brackets, Tubes and Attachments
Photo – iXion Catalog
Orthodontic Bracket Card
It is used to organize and hold orthodontic brackets to facilitate quick bracket placement. Each circle on the card corresponds to a particular tooth in the mouth. Brackets are placed corresponding to the tooth to be bonded.
Ligature Instrument s
Mosquito Forceps Types
Straight Curved
Use
Placing Elastic Ligature Tightening Wire Ligature
Photo – iXion Catalog
Mathieu Plier
Locking And Spring Back Mechanism Serrated tips Types
TC tip Straight Curve
RMOrtho Wide Hole
Shape Mini Standard Narrow
Photo – iXion Catalog
Coon Style Ligature ‘Y’
shaped tip Tie long Ligature into figure of 8
Photo – Dentsply Catalog
Speedo Ligature Director Double
Ended Removing and Placing Ligature
Twister Twisting
Ligature wire
Photo – Dental USA Catalog
Ligature Tucker Types
Single end Double
Use
– To Tuck cut end of Ligature
Straight Shooter Ligature Gun
Thermoplastic Material
Types
Mini Bracket Shooter Twin Bracket Shooter
Use – Elastomeric to Edgewise Bracket
Cutter
Hard Wire Cutter
Hard wire cutters have hard metal tips or tungsten carbide tips. These are heavier and larger than the pin and ligature cutters. These are used to cut all wires up to 0.020" round
Manu’s Heavy Wire Cutter’s
Heavy gauge side cutters. They are capable of cutting wires of up to 1.3 mm diameter. Laboratory purpose
Face Bow Bending / Cutting Plier
The face bow bending pliers are ideal for bending and cutting the outer bows of a face bow. These can be used to bend wires up to a diameter of 1.8 mm.
Distal End Cutter
The distal end cutter is capable of cutting arch wires up to 0.56 x 0.70 mm/ .022" x .028 " both intraoral and extra oral Use - Exclusively for cutting the distal end of wire protruding out of the molar tubes It had a ‘safety’ mechanism to hold the cut arch wire so it does not fall into the patients mouth.
Photo – Hu-Friedy Catalog
Distal End Cutter Angulated
45 ° and 90˚ angled cutting tips For Posterior Areas
Lingual Distal End Cutter
Used to cut distal end in lingual orthodontics
Photo – Hu-Friedy Catalog
Kruz Distal End Cutter
Similar to distal end cutter Difference - Designed with long body so it can reach back into depth of mouth
Pin & Ligature Cutter - PLC
Stainless steel or Tungsten carbide Right to the tip, for smooth cutting of soft ligature wires and lock pins and elastomerics Ligatures up to 0.015mm in diameter Types
Mini Micro Mini Micro Mini 15 degree
Debonding Instrument s
Bracket & Adhesive Removing Pliers
Use - for removing bonded brackets. The wide tips wedge between both the edges of the base of the bracket and the tooth surface(incisal-gingival direction), easily lifting off the bracket. Types
Straight 60° angled tip
Anterior debonding plier is also used for removal of adhesive remanant on enamel surface after bracket debonding
Kurz Lingual Bracket Removing Plier
It is designed to fit the design of lingual brackets under the lingual hooks and bite turbos. This instrument incorporates a state of the art spring mechanism to improve durability and has an increased arm radius to allow for better movement. Use - to removal of lingual brackets and bite turbos.
Clasp Forming Instrument s
Clasp Forming Instruments Adam’s Plier
Hard stainless steel with or without TC tip Beaks - two smooth rectangular beaks The distance between hinge pin and the tips of the beaks is short The sides of the beaks are flat Edges of the grasping surface of the beaks are sharp and textured Inner surfaces - Not polished for better grip Use – For fabrication of the Adam's clasp
Adam’s Clasp Bending Plier
Special pliers for easy forming of Adams' clasps in one step. Used for wires up to the diameter of 1 mm.
Arrow Clasp Bending Plier
Arrow clasp bending pliers are used to bend the arrow clasp Used for wires up to the diameter of 0.7 mm.
Arrow Clasp Former
Arrow clasp former is used for hard wires up to 0.7mm/0.028". Use - forms the clasp of the shape and small stops in the arch wire
Adam’s Spring Forming Plier
Beaks - One beak is rounded and other is square/flat ended. Use - to adjust springs on orthodontic removable appliances and to smooth and contour arch wires Up to 0.7mm
Swartz Plier Clasp
Forming 0.028” or 0.7mm Wire
Photo – iXion Catalog
Arch Forming Instrument s
Bird Beak Plier Stainless
Steel Beaks – Pyramid Shape Use – Utility Plier,Up to 0.030”/0.76mm, Round Wire
Photo – iXion Catalog
Light Wire Plier Beaks
– Long and Tapered
Types
Smooth Serrated
Use
- up to 0.5mm/0.020”
Arch Form & Spring Preparation
Photo – iXion Catalog
Jarabak Plier Modification
of Light Wire Plier Precision Groove
Photo – Hu-Friedy Catalog
Howe Plier Lip
Shape
Types
Straight Curved
Photo – iXion Catalog
Weingart Plier Serrated
tips Use – Placement of Archwire Up to 0.020”/0.5mm
Photo – iXion Catalog
Tweed Plier Serrated
tips Use – Edgewise Technique Stoppage Bends
Photo – iXion Catalog
Three Jaw Plier 3
tips Up to 0.030” Use
Activation of quad Helix Bends in Lingual bar and Wire
Photo – iXion Catalog
Lingual Arch Plier Use
– Double and Triple Back Bends
Photo – iXion Catalog
Turret
The wire slotted body is made of stainless steel It is used for preparation of arch wires with or without torque adjustment. It is available in six different versions and colors – Blue, Black, Gold, Silver, Purple, Green.
Turret – Blue It is used for forming rectangular arch wires. .016’’ to .0215’’
Turret – Black It is used for forming rectangular arch wires with torque adjustments : 00 – 100 – 160 – 230 For use only with wire : .016’’ x .022’’
Turret – Gold It is used for forming rectangular arch wires with torque adjustments : 00 – 70 – 100 - 130 – 160 For use only with wire : .018’’
Turret – Silver It is used for forming rectangular arch wires with torque adjustments : 00 – 100 – 160 – 230 For use only with wire : .022’’
Turret – Purple It is used for forming rectangular arch wires with torque adjustments : 00 – 100 – 160 - 230 For use only with wire : .016” x .016”
Turret – Green It is used for forming round arch wires For use only with wire : .014” .016” - .018” - .020”
De La Rosa Contouring Pliers
Guiding grooves for forming round and square arches 0.016", 0.018", 0.020" and 0.022". Use - helps to accentuate the curvature in the arch wire.
Hook Crimping Plier
Designed to crimp stops, hooks and posts to archwire
Photo – Dentsply Catalog
V Bending Plier 1mm
V bend
Photo – iXion Catalog
Rose Torquing Plier Used
In Pair To give Labial or Lingual Torque
Photo – Dentsply Catalog
Loop Forming Instrument s
Young’s Loop Forming Plier
Stainless Steel with Tungsten Carbide Tips
It can be used for wires up to the diameter of 1 mm
Use – To form loops
Nance Loop Forming Plier Steps 3mm 4mm 5mm 6mm
– Round and Rectangular Wire Up to 0.7mm/ 0.028” Use
Photo – iXion Catalog
Tweed Plier Beak
– One Cylindrical & Concave Beak
Use
Multiple Loops Omega Loops
Photo – iXion Catalog
Omega Loop Forming Plier Electro-etched
Beak
Steps
0.045” 0.060” 0.075”
Use
– Up to 0.021” x 0.028”
Round Omega Loop
Photo – Dentsply Catalog
Loop Tie Back Plier Steps
2mm 3mm 4mm 5mm
– Closing loops are made to desired heights
Use
Optical Plier Beak
– One Round & Concave Beak
Use
Stop in Wire Loop Tie Back Gable Bend
Photo – iXion Catalog
Measuring Instrument s
Dontrix Gauge Stainless
Steel
Measures
Forces
Orthodontic
Correx Gauge Measures
Orthodontic
Forces Measure and calibrate the pressure or force required
Vernier Scale Originated
in Ancient
China Measures
Forces
Orthodontic
Repair of Instrument s
Repair
Blunt Tips Distorted plane of Joint Gap between contact surface of beaks Beveled edges Worn Beak
Image – Competitor Repair
Maintenance of Instruments
Maintenance Handle
Gently Avoid Mishandling Discard corroded instruments Check beaks regularly Use for the prescribed purpose Lubricate Joints before sterilization Dry instruments before sterilization
Sterilizatio n
Sterilization Pre
Cleaning
Instrument Washer Ultrasonic cleaner
Chemiclave Autoclove
References
The Design, Construction and Use of Removable Orthodontic Appliances (5th ed) – C. Philip Adams Modified Bracket Positioning Holder – Contemporary Clinical Dentistry, April 2011 Vol-2 Issue-2 – Dr Nandish Shetty Textbook Of Orthodontics (2nd Ed) – Gurkeerat Singh Catalog
TP orthodontics iXion Leone Dentarum 3M Unitek American Orthodontics Dentsply
Thank You