Dental Instruments and Their Parts
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Questions and Answers

What is a significant disadvantage of single-patient-use restorative instruments?

  • They are ineffective in shaping material.
  • They can be reused multiple times.
  • They allow for disease transfer.
  • They are expensive. (correct)

Which instrument is primarily used for compressing amalgam into tooth preparations?

  • Condensers (correct)
  • Carvers
  • Burnishers
  • Amalgam carrier

Which type of burnisher is used to create occlusal anatomy in amalgam restorations?

  • T-Ball burnisher (correct)
  • Acorn burnisher
  • Flat burnisher
  • Football burnisher

What should be avoided during the use of a bur on healthy dentine?

<p>Too much pressure (A)</p> Signup and view all the answers

Which instrument is designed to mix different materials in operative dentistry?

<p>Cement spatula (A)</p> Signup and view all the answers

What is essential to do before finishing and polishing an amalgam restoration?

<p>Allow it to reach its final set for at least 24 hours. (B)</p> Signup and view all the answers

What type of instrument is a carver primarily used for?

<p>Shaping amalgam or resin composite (A)</p> Signup and view all the answers

What is the main purpose of periodontal probes in dentistry?

<p>To detect and measure the depth of periodontal pockets (D)</p> Signup and view all the answers

Which of the following is a key function of finishing amalgam restorations?

<p>Defining anatomical contours (D)</p> Signup and view all the answers

Why are plastic instruments important in modern dentistry?

<p>They carry and shape tooth-colored restorative materials. (B)</p> Signup and view all the answers

Which type of handpiece is primarily used for oral surgery and laboratory work?

<p>Straight handpiece (D)</p> Signup and view all the answers

What is the primary purpose of utilizing a burnisher in dental procedures?

<p>To polish and shape dental materials. (D)</p> Signup and view all the answers

What characteristic differentiates low-speed handpieces from high-speed handpieces?

<p>Speed of rotational movements (D)</p> Signup and view all the answers

What does the blade of a dental instrument refer to?

<p>The cutting portion of an instrument (C)</p> Signup and view all the answers

What is a significant benefit of using contra-angle handpieces?

<p>They improve accessibility and visibility. (B)</p> Signup and view all the answers

What is indicated by the term 'indirect vision' when using a mouth mirror?

<p>Visualizing areas that cannot be seen directly (D)</p> Signup and view all the answers

Which instrument is primarily used to detect tooth surface irregularities and decay?

<p>Explorer (C)</p> Signup and view all the answers

What is the function of tweezers in dental settings?

<p>To grip and transfer various materials (D)</p> Signup and view all the answers

Which of the following describes a differentiating factor between straight and contra-angle handpieces?

<p>The angle of the bur relative to the handpiece (B)</p> Signup and view all the answers

Which component connects the handle to the blade in a dental instrument?

<p>Shank (A)</p> Signup and view all the answers

What is the primary use of a low-speed contra-angle handpiece?

<p>Finishing and polishing of restoration (A)</p> Signup and view all the answers

What type of bur is primarily used in establishing wall angulations during cavity preparations?

<p>Inverted cone bur (A)</p> Signup and view all the answers

Which high-speed handpiece characteristic distinguishes it from low-speed handpieces?

<p>Speed of over 160,000 rpm (A)</p> Signup and view all the answers

Which bur shape is mainly used in pedodontics?

<p>Pear shaped (B)</p> Signup and view all the answers

What is a significant advantage of diamond burs in operative dentistry?

<p>Ability to cut enamel and dentin effectively (B)</p> Signup and view all the answers

What is the purpose of Smart Prep instruments in dentistry?

<p>To selectively remove decayed dentin while preserving healthy tissue (B)</p> Signup and view all the answers

Which type of bur is described as having an elongated cylinder and is used for amalgam tooth preparation?

<p>Straight fissure bur (B)</p> Signup and view all the answers

What is a distinguishing feature of a cross-cut tapered fissure bur?

<p>Can also be straight or spiral (A)</p> Signup and view all the answers

What speed range can some low-speed contra-angle handpieces achieve?

<p>500 to 15,000 rpm (A)</p> Signup and view all the answers

What type of bur is used for initial tooth penetration and placement of retention grooves?

<p>Round bur (B)</p> Signup and view all the answers

Flashcards

Dental Hand Instruments

Tools used by dentists for various procedures in the mouth.

Mouth Mirror

Dental instrument that provides indirect vision of the mouth.

Explorer (Probe)

Pointed instrument for feeling tooth surfaces, decay detection, and measuring dentin hardness.

Periodontal Probe

Measures periodontal pocket depth, crucial in operative dentistry.

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Tweezers

Used for holding materials (like cotton rolls) during procedures.

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Dental Handpiece

A device that holds and rotates dental burs.

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Straight Handpiece

Dental handpiece where bur's axis aligns with the handpiece's axis.

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Contra-Angle Handpiece

Dental handpiece with a curved design, improving accessibility for oral procedures.

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Bur

Rotating cutting instruments used in dental procedures.

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Handle (Shaft)

The part of dental instruments used to grip and control.

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Low-speed handpiece speed range

Typically 500 to 15,000 rpm, though some can go as low as 200 rpm or as high as 35,000 rpm.

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High-speed handpiece speed range

Greater than 160,000 rpm, with some reaching 500,000 rpm.

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Low-speed handpiece uses

Removing soft decay, fine finishing of cavity preparations, finishing/polishing restorations, and coronal polishing/stain removal.

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High-speed handpiece uses

Removing decay, old restorations, shaping teeth for crowns/bridges, creating grooves for restorations, and sectioning teeth in surgery.

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Dental Bur

A rotary cutting instrument with cutting blades on its head, available in various shapes and sizes.

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Tungsten Carbide Bur

A significant advancement in high-speed cutting, becoming available in 1947.

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Round Bur use

Initial tooth penetration, placement of retention grooves.

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Diamond Bur

Used in operative dentistry for cutting enamel and dentin, with various coarsenesses.

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SmartPrep Instruments use

Remove decayed dentin while preserving healthy dentin.

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Types of Diamond Burs

White (super fine), yellow (extra fine), red (fine), blue (standard), green (coarse), and black (super coarse).

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Amalgam Restorative Instruments

Tools used to place, condense, and shape amalgam fillings in teeth.

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Amalgam Carriers

Instruments used to pick up and transfer amalgam material to the cavity.

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Amalgam Condensers

Used to compact amalgam into tooth cavities.

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Amalgam Carvers

Tools used to shape and refine amalgam fillings after placement.

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Burnishers (Amalgam)

Instruments used for polishing and shaping amalgam restorations.

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Finishing Amalgam Restorations

The process of removing irregularities, defining contours, and smoothing amalgam restoration surfaces.

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Plastic Filling Instruments

Used to place and shape tooth-colored restorative materials (like composites).

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Cement Spatulas

Instruments used to mix various dental cements.

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Finishing Time for Amalgam

Wait at least 24 hours after placing and carving before finishing.

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Advantages of Amalgam

Conservative, low disease transfer (single use), good for student practice.

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Study Notes

History of Instruments

  • Early hand instruments had large, heavy handles and inferior metal alloys, making them difficult and ineffective.
  • Many dentists crafted their own instruments.

Instrument Parts

  • Shaft/Handle: A straight shaft used as a handle, without size variations.
  • Shank: Connects the handle to the blade; site of angulations.
  • Blade: The cutting portion of an instrument. For non-cutting instruments (e.g., condensers), the equivalent part is called the nib. The working surface of the nib is the face.

Examination Instruments

  • Mouth mirror: Used to provide clear visualizations of the oral cavity. (Indirect visualization).
  • Probe (Explorer): A pointed instrument to check for irregularities and detect decay.
  • Periodontal probes: Tools to measure the depth of periodontal pockets. Used in operative dentistry for instrument sizing.
  • Tweezer: Used for holding materials like cotton roll and to move materials in and out of cavities.

Rotating Instruments

  • Hand pieces: Devices for rotating instruments like burs.
  • Types of handpieces: Straight handpiece, contra-angle handpieces (low speed, high speed).
  • Burs: Rotary cutting instruments with cutting blades on the head. Available in numerous shapes and sizes.

Dental Burs

  • Tungsten carbide burs: A significant advancement in high-speed cutting, became available in 1947.
  • Shape and size: Burs come in various shapes(Round, Straight, inverted cone, Tapered fissure, Pear shaped) and sizes.
  • Round burs: Used for initial tooth penetration and placement of retention grooves.
  • Straight fissure burs: Used for amalgam tooth preparation.
  • Inverted cone burs: Used for cavity extensions, establishing wall angulations, and retention.
  • Tapered fissure burs: Used for cavity preparation, forming angles, and creating retention grooves in walls.
  • Pear-shaped burs: Primarily used in pediatric dentistry (pedodontics.)
  • Cross-cut tapered fissure burs: Used for cutting cavities for inlays.
  • Diamond burs: Increasingly common in operative dentistry due to their long lifespan and efficiency in cutting enamel and dentin.
    • Color-coding: Indicates the coarseness of the bur. (White = super fine, Yellow = extra fine, Red = fine, Blue = standard, Green = coarse, Black = super coarse).
  • Smart Prep instruments: Medical polymer instruments removing decayed dentin while preserving healthy dentin.

Amalgam Restorative Instruments

  • Amalgam Carriers: Tools for picking up and placing amalgam into tooth cavities.
  • Condensers: Used to compact amalgam into all areas of the cavity preparation.
  • Carvers: Instruments for shaping amalgam and resin composite after placement.
  • Burnishers: Used for polishing, shining, and shaping amalgam.
    • Types of burnishers: Football burnisher, Acorn burnisher, T-ball burnisher.

Plastic Instruments and Cement Spatulas

  • Plastic filling instruments: Initially used with silicate and acrylic resins. Now used with tooth-colored materials like resin composite and GIC.
  • Cement spatulas: Various sizes and thicknesses are available for mixing cement and cavity liners on glass slabs or paper pads.

Finishing and Polishing

  • Finishing: Removing marginal irregularities ,Defining anatomical contours and Smoothing surface roughness of the amalgam restoration after the amalgam has fully set (at least 24 hours).
  • Polishing: Producing a smooth, shiny surface on the amalgam restoration, preventing recurrent decay maintaining periodontal health, and preventing occlusal problems

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Related Documents

Dental Instruments PDF

Description

Explore the history and functioning of dental instruments in this quiz. Learn about the various parts of instruments, including the handle, shank, and blade and discover the uses of different examination tools like mouth mirrors and probes.

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