Overview of Dental Hand Instruments
Overview of Dental Hand Instruments
Instrumentation
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Hand Instruments
Carbon steel + Stainless steel Carbon steel is brittle and susceptible to corrosion
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b. Shank
Connect handle to blade
C. Handle
Hold, stabilize & control the instrument
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Double-ended form
Right and left cutting ends to use in both sides of the preparation Removal of unsupported enamel
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Curved blade Mesial & distal gingival marginal trimmer Right and left cutting ends Mainly for trimming gingival margins
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Spoon Excavators
Right and left cutting spoons They are used for removal of carious tooth structure and soft dentin Different shapes
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Amalgam condenser
To compress amalgam in all areas of the preparation May be also used to adapt resin composite material
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Carvers:
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Burnishers:
To burnish (smooth) amalgam restorations To shape the metal matrix band To condense amalgam at the margins To adapt composite in posterior resin composite restorations
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Amalgam Carrier
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Other Instruments
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Rotary Instruments
Air-driven handpieces Low speed handpiece 10,000-15,000 rpm For removal of caries and polishing of restorations Different attachments: latch or friction grip
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Burs
Burs are milling devices and function by chip removal of tooth structure. Tungsten carbide bur.
Their heads are composed of a number of metal cutting blades and must rotate in counterclockwise direction .
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Burs
Parts of the bur:
Shank: Part that fits on the handpiece Neck: Connect the head to the shank, transmit forces to the head
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Classification
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Recommended Burs
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Finishing Burs
Come in many sizes & shapes Have more blades than normal bur and the blades are set much closer together Finishing & polishing operations for amalgam & resin composites restorations
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Instrument Grasps