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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

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