Surgical instruments. SEMMELWEIS EGYETEM Arc- Állcsont- Szájsebészeti és Fogászati Klinika BUDAPEST

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1 Surgical instruments SEMMELWEIS EGYETEM Arc- Állcsont- Szájsebészeti és Fogászati Klinika BUDAPEST

2 around 1600 surgery and dentistry became an academic profession hand-minded profession

3 foreign body / removal of painful teeth haemostasis wound closure haemostatics

4 BC 600, INDIA Sushruta s book

5 Abu Al-Qasim (CE )

6 the instruments maintain the style of the certain age mussel, horn, obsidian stone wood + hardware pearly handle ivory handle ebony + hardware metal stainless steel hard elastic non-reflecting surface

7 more instruments storage

8 Ambroise Paré barber and surgeon first tooth replantation heated instruments

9

10 Definition: mediate the movement of the human hand, and modify the force and direction of the hand s movement.

11 Parts of the manual (hand) instruments working end connecting part handle

12 Formal characteristics of instruments Sharp-pointed and blunt instruments Paired instruments: their pair is its mirrored image Double ended instruments: there is a working end at both ends of the handle Bends of instruments: simple, multiple, in the plane or out of the plane, often bayonet bend

13 Classification of instruments according to their usage: 1. Diagnostic instruments 2. Operating instruments to separate tissues to grab tissues to expose the operation area to unite the wound 3. Other instruments

14

15 DIAGNOSTIC INSTRUMENTS

16 DIAGNOSTIC INSTRUMENTS mirror retractor reflektor Handle (anatoformity) hexagonal or round serrated or smooth for single use Mirror (working end) mm plane or concave changeable /70

17

18

19 DIAGNOSTIC INSTRUMENTS for single use and multiple use used for the palpation of fine parts of hard tissues one or double ended

20

21 INSTRUMENTS FOR TISSUE SEPARATION

22 INSTRUMENTS FOR TISSUE SEPARATION Surgical scalpel Scissors Raspatories Balogh gum separator Williger raspatory Freer raspatory Chisels Móczár Partsch Mallet Spoons (curettes) Volkmann Kerpel Lucas

23 INSTRUMENTS FOR TISSUE SEPARATION

24 INSTRUMENTS FOR TISSUE SEPARATION

25

26 INSTRUMENTS FOR TISSUE SEPARATION Straight or bent Based on its tip: blunt-blunt blunt-pointed pointed-pointed In oral surgery the 11 cm pointed-pointed socalled Iris scissors are recommended.

27 INSTRUMENTS FOR TISSUE SEPARATION

28 INSTRUMENTS FOR TISSUE SEPARATION

29 INSTRUMENTS FOR TISSUE SEPARATION

30 INSTRUMENTS FOR TISSUE SEPARATION separation of soft and hard tissues PERIOSTEAL ELEVATOR

31 INSTRUMENTS FOR TISSUE SEPARATION

32 INSTRUMENTS FOR TISSUE SEPARATION Balogh- gum separator About 180 mms long, double ended paired instrument with a hexagonal handle It is used to separate marginal gum from the neck of the tooth.

33 INSTRUMENTS FOR TISSUE SEPARATION separation of hard tissues elevator gum separator bone removal (+ mallet) bone scraper MÓCZÁR PARTSCH

34 INSTRUMENTS FOR TISSUE SEPARATION

35 INSTRUMENTS FOR TISSUE SEPARATION plumbic lining

36

37

38 INSTRUMENTS FOR TISSUE SEPARATION curette spoons (soft tissue protection)

39 INSTRUMENTS FOR TISSUE SEPARATION

40 INSTRUMENTS FOR TISSUE SEPARATION

41 INSTRUMENTS FOR TISSUE GRABBING

42 INSTRUMENTS FOR TISSUE GRABBING Tweezers dental, surgical, anatomical Haemostats Crown and root forcepses Bone rongeurs

43 INSTRUMENTS FOR TISSUE GRABBING

44

45 INSTRUMENTS FOR TISSUE GRABBING

46 INSTRUMENTS FOR TISSUE GRABBING

47 INSTRUMENTS FOR TISSUE GRABBING TOOTH FORCEPSES

48 INSTRUMENTS FOR TISSUE GRABBING Crown forcepses Root forcepses types 1 type

49 INSTRUMENTS FOR TISSUE GRABBING differentiation

50 INSTRUMENTS FOR TISSUE GRABBING EXCEPTION

51 INSTRUMENTS FOR TISSUE GRABBING

52 INSTRUMENTS FOR TISSUE GRABBING

53 INSTRUMENTS FOR TISSUE GRABBING POSITIONING

54 INSTRUMENTS FOR TISSUE GRABBING

55 INSTRUMENTS FOR TISSUE GRABBING

56 INSTRUMENTS FOR TISSUE GRABBING EXCEPTION

57 INSTRUMENTS FOR TISSUE GRABBING

58 INSTRUMENTS FOR TISSUE GRABBING 51 A SIMPLE BAYONETT 30 O mm Front teeth Separated roots of premolars Molar DB and P roots S51 40 O mm Deciduous roots Unseparated premolar roots MB root of molars D108 SZOKOLÓCZY 45 O 22 mm Unseparated molar roots

59 INSTRUMENTS FOR TISSUE GRABBING

60 INSTRUMENTS FOR TISSUE GRABBING

61 INSTRUMENTS FOR TISSUE RETRACTION

62 INSTRUMENTS FOR TISSUE RETRACTION

63

64

65 INSTRUMENTS FOR TISSUE RETRACTION

66 INSTRUMENTS FOR TISSUE UNITE

67 INSTRUMENTS FOR TISSUE UNITE G - type ½ of the circle B - type 1/3 of the circle Atraumatic és traumatic.

68 INSTRUMENTS FOR TISSUE UNITE

69 MŰTÉTI BEAVATKOZÁS MŰSZEREI- SZÖVETEK EGYESÍTÉSE

70

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