Surgical Instruments - Semmelweis Egyetem

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Surgical instruments György Komlós clinician, dento-alveolar surgeon SEMMELWEIS EGYETEM Arc- Állcsont- Szájsebészeti és Fogászati Klinika BUDAPEST

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

foreign body / removal of painful teeth haemostasis – wound closure – haemostatics KOMLÓS

BC 600, INDIA – Sushruta’s book KOMLÓS

Abu Al-Qasim (CE 936-1013) KOMLÓS

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 KOMLÓS

more instruments storage KOMLÓS

Ambroise Paré – barber and surgeon – first tooth replantation – heated instruments KOMLÓS

KOMLÓS

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

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

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 KOMLÓS

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 KOMLÓS

KOMLÓS

DIAGNOSTIC INSTRUMENTS KOMLÓS

DIAGNOSTIC INSTRUMENTS mirror retractor reflektor Handle (anatoformity) hexagonal or round serrated or smooth for single use Mirror (working end) 22 – 24 mm plane or concave changeable KOMLÓS /70

KOMLÓS

KOMLÓS

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

KOMLÓS

INSTRUMENTS FOR TISSUE SEPARATION KOMLÓS

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

INSTRUMENTS FOR TISSUE SEPARATION KOMLÓS

INSTRUMENTS FOR TISSUE SEPARATION KOMLÓS

KOMLÓS

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. KOMLÓS

INSTRUMENTS FOR TISSUE SEPARATION KOMLÓS

INSTRUMENTS FOR TISSUE SEPARATION KOMLÓS

INSTRUMENTS FOR TISSUE SEPARATION KOMLÓS

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

INSTRUMENTS FOR TISSUE SEPARATION KOMLÓS

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. KOMLÓS

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

INSTRUMENTS FOR TISSUE SEPARATION KOMLÓS

INSTRUMENTS FOR TISSUE SEPARATION KOMLÓS plumbic lining

KOMLÓS

KOMLÓS

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

INSTRUMENTS FOR TISSUE SEPARATION KOMLÓS

INSTRUMENTS FOR TISSUE SEPARATION KOMLÓS

INSTRUMENTS FOR TISSUE GRABBING KOMLÓS

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

INSTRUMENTS FOR TISSUE GRABBING KOMLÓS

KOMLÓS

INSTRUMENTS FOR TISSUE GRABBING KOMLÓS

INSTRUMENTS FOR TISSUE GRABBING KOMLÓS

INSTRUMENTS FOR TISSUE GRABBING TOOTH FORCEPSES KOMLÓS

INSTRUMENTS FOR TISSUE GRABBING Crown forcepses 321 123 54 876 45 678 Root forcepses 3 types 54321 12345 1 type 876 678 KOMLÓS

INSTRUMENTS FOR TISSUE GRABBING differentiation KOMLÓS

INSTRUMENTS FOR TISSUE GRABBING EXCEPTION KOMLÓS

INSTRUMENTS FOR TISSUE GRABBING KOMLÓS

INSTRUMENTS FOR TISSUE GRABBING KOMLÓS

INSTRUMENTS FOR TISSUE GRABBING POSITIONING KOMLÓS

INSTRUMENTS FOR TISSUE GRABBING KOMLÓS

INSTRUMENTS FOR TISSUE GRABBING KOMLÓS

INSTRUMENTS FOR TISSUE GRABBING EXCEPTION KOMLÓS

INSTRUMENTS FOR TISSUE GRABBING KOMLÓS

INSTRUMENTS FOR TISSUE GRABBING 51 A SIMPLE BAYONETT 30O 10-12 mm S51 40O 14- 16 mm D108 SZOKOLÓCZY 45O 22 mm KOMLÓS Front teeth Separated roots of premolars Molar DB and P roots Deciduous roots Unseparated premolar roots MB root of molars Unseparated molar roots

INSTRUMENTS FOR TISSUE GRABBING KOMLÓS

INSTRUMENTS FOR TISSUE GRABBING KOMLÓS

INSTRUMENTS FOR TISSUE RETRACTION KOMLÓS

INSTRUMENTS FOR TISSUE RETRACTION KOMLÓS

KOMLÓS

KOMLÓS

INSTRUMENTS FOR TISSUE RETRACTION KOMLÓS

INSTRUMENTS FOR TISSUE UNITE KOMLÓS

INSTRUMENTS FOR TISSUE UNITE „G”- type – ½ of the circle „B”- type – 1/3 of the circle Atraumatic és traumatic. KOMLÓS

INSTRUMENTS FOR TISSUE UNITE KOMLÓS

MŰTÉTI BEAVATKOZÁS MŰSZEREI- SZÖVETEK EGYESÍTÉSE KOMLÓS

KOMLÓS

KOMLÓS

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 KOMLÓS

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