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Dental instruments

Instruments Function Characteristics


Dental Tray To provide an area specific Different designs for
for different
instruments procedures, e.g. hygiene
tray,
operative tray, surgical tray.

Mouth Mirror To provide indirect vision Accurate image from flat


To retract lips, cheeks, and surface mirrors, image
tongue To reflect light into magnified with concave
the mouth mirrors.
Cotton Forceps To Grasp and/or transfer Plain or serrated tips variety
material in and out of the of sizes, angled tip.
oral cavity.
Explorers To Examine teeth for decay Pointed tips: sharp, thin and
(caries), calculus, furcation, flexible. 1. Orbin; 2.
or canals and other Shepherds; 3. Pigtail
anomalies
Perioprobe An instrument with Designed with different
incremental marks on the tip increments, e.g. 1mm, 3
to measure the periodontal mm, PSR probe
pockets
Bib holder To attach the patient bib Disposable snap/adhesive
around the patient’s neck clips Alligator clip (not
disposable)
Instrument Handles Function: Handles for E.g. mouth mirror
detachable instrument,
heads screw into handle
Patient Bib To prevent materials, debris, Differs in colors, shapes
fluids from contacting the and designs; has a
patient protective liquid barrier side
and an absorbent side
Cotton Rolls To isolate teeth and absorb Fluid absorbent roll ~ 1 in
saliva Act as a protective long
tissue barrier; aid in
endodontic diagnostics
2 x 2 gauze Absorbent cloth, aid in 2 x 2 inches in size, white,
homeostasis, clean thinly/thick woven absorbent
instruments, used in all fiber
aspects of dentistry
High Velocity Saliva To evacuate large volumes Straight or slightly angled at
Evacuation (HVE) of fluid and debris from oral one or both end; stainless
cavity steel, autoclavable plastic,
or disposable plastics;
attaches to tubing on dental
unit
Low Velocity Saliva To evacuate reduced Disposable plastic for single
Evacuation (LVE) volumes of fluid from oral use; can be bent or used
cavity straight; attaches to tubing
on dental unit
Air/Water Syringe Tip To rinse and dry specific Three-way syringe: air,
teeth or entire oral cavity water, or spray with water
and air; Syringe tip:
Disposable plastic or
autoclavable metal; attaches
to air/water syringe on
dental unit
Ultrasonic Scaler Unit To use with water-cooled Has ultra-high frequency tip
ultrasonic tips, to remove movement that also sprays
calculus water, attaches to dental
chair
Ultrasonic Scaler Tips To remove Used with Ultrasonic Scaler
supra/subgingival calculus Unit, water is used to cool
on teeth, remove bacteria tips, 25 k 30 k size tips. Not
from periodontal pockets interchable
and stain.
Universal Curette To Scale and remove Blade has two cutting
deposits and stain, remove edges, rounded toe, round
calculus on the back Single or double
ended.
Area-Specific Curette To scale and remove Anterior and Posterior
deposits from specific sub specific curettes
gingival surfaces.
Sickle Scaler To remove large amounts of Variety of sizes, sharp
deposits from supragingival edges with sharp point
surfaces, ideal for anterior
interproximal area
0.12 % Chlorhexidine Oral rinse before treatment, Blue or Pink liquid, 15 ml
aid with lowering patients oral rinse before and after
oral bioburden cleaning
Prophy Cup & Paste To polish coronal surface Different prophy cups/points
after fluoridated or non-
cleaning or before certain fluoridated
operative procedures pastes, also differ in grit
Fluoride Varnish To decrease post cleaning Differs in color, sticky, resin
sensitivity, remineralize based, some patients may
incipient carious lesions, be allergic to the resin in the
caries prevention varnish
Patient Tooth Brush To allow the patient to Soft bristle tooth brush
continue good oral home
care
Patient Floss To allow the patient to Waxed or non-waxed floss
continue good oral home
care
Prophy Angle To polish teeth with prophy An attachment for straight
cup or brush or prophy handpiece; types:
prophy cup for polishing all
surfaces of teeth, prophy
brush for polishing occlusal
surfaces and lingual
surfaces of anterior teeth
Q-tip To apply topical anesthetic, cotton tipped wooden/plastic
bite stick, aid in perio and stick
endo diagnostics
Topical Anesthetic To aid in painless Gel consistency, applied
anesthesia with Q-tip to the injection
site, differs in color and taste
Lidocaine - Red An anesthetic with 2 % Lidocaine 1:100,000
epinephrine epinephrine; has a red band
on the carpule; most used
anesthetic
Polocaine - Tan A non-epinephrine 3 % Polocaine Plain; has a
anesthetic, used when tan band on the carpule
patients can’t have
epinephrine, e.g. HTN
patients
Anesthetic Needle To inject anesthetic into soft Varies in Gauge and Length
tissue Typically short for maxillary
Typically long for mandibula
Needle Stick Protector To hold needle sheath for Metal and card board
one-handed recapping after protector
injection, Prevent needle
stick
Anesthetic Syringe To administer local Aspirating and self-
anesthetic aspirating syringe.
Aspirating syringes have a
barb that inserts in the
carpule
Amalgam Capsule Material used to restore a Contains amalgam, has to be
cavity, build up for crown triturated, times differ on types of
amalgams
Amalgam Well To hold amalgam before it Metal, plastic, or glass
is placed in the preparation
Amalgam Carrier To carry and dispense Amalgam is placed in hollow tubes,
amalgam for cavity and is then placed in cavity
preparation preparation, double or single sided
Hatchet An instrument to Cutting edges at differing angles
accentuate line and point
angles of internal and
external outlines, remove
unsupported enamel
Smooth Condenser To pack and condense Has smooth ends, round, flat,
amalgam small and large sizes, single or
into cavity preparation double sided

Serrated Condenser To pack and condense Ends are serrated, round, flat, small
amalgam into cavity and large sizes, single or double
preparation sided
Interproximal To pack and condense Ends are shaped to fit in the mesial
Condenser amalgam into interproximal or distal box. Smooth or serrated
areas of the cavity ends
preparation
Football Burnisher To smooth Amalgam after Smooth football shaped metal
condensing, to contour instrument, single or double sided
matrix band, to burnish
amalgam
Acorn Burnisher To smooth amalgam after Acorn shaped tip, metal, single or
condensing, used to create double sided
occlusal anatomy, burnish
amalgam
T-Ball Burnisher and To Smooth amalgam after Smooth metal, has a ball
paddle single or condensing; to contour
double sided matrix band, initiate carving
and occlusal anatomy
Beavertail Burnisher To smooth amalgam after Similar shape to beaver tail, smooth
condensing; to burnish the metal, single or double sided
lingual, facial amalgam
walls of a restoration
Ball Burnisher To smooth amalgam after Burnishes alloy restorations, single
condensing To contour or double sided
matrix band before
amalgam placement
Tanner Carver To carve occlusal anatomy Double ended, ends are shaped to
into amalgam restorations carve alloy restorations, sharp
Discoid-Cleoid Carver To carve occlusal anatomy Double ended; Discoid is disk
into amalgam restorations shaped; cleoid is pointed, sharp
Woodson Used as a burnisher and Doubled ended, one end a
condenser condenser while other is paddle
shaped
Hollenback Carver To contour and carve Double ended, sharp stiff metal
restorative materials occlusal and interproximal blade, sharp point; ends are
anatomy in amalgam protrude at different angles; carves
restorations other
Half-Hollenback To contour and carve Half the size of Hollenback (1);
Carver (2) occlusal and interproximal double ended, sharp stiff metal
anatomy in amalgam blade, sharp point; ends are
restorations protrude at different angles; carves
other restorative materials
Dycal/Liner Applicator To Place Calcium Has short or long handle, similar to
Hydroxide or Glass a tiny ball burnisher
Ionomer
Articulating Paper To hold articulating paper in Articulating paper is blue or red,
Holder checking patients bite thin to thick
Tofflemire/Matrix Band To maintain stability of Has a guide slot, spindle, outer and
Retainer matrix band during inner knob
condensation of
restorations
Matrix Band To replace missing Universal, premolar, molar, and
proximal walls of cavity pediatric bands
preparation for
condensation of restorative
material
Interproximal Knife To Carve interproximal Double ended, Sharp carving hard
walls of amalgams, to metal blade
restore contour of proximal
walls
Spoon Excavator To remove carious dentin Spoon-shaped with a cutting edge,
To remove temp cement, small and large sizes
provisional crowns
Wood Wedges To hold matrix band in Triangular or rounded plastic or
place along gingival margin wooden, various sizes and color
of class II
Plastic Instrument To carry composite material Specially coated instrument, not for
for cavity preparation, and amalgam or any other use
shape composite, not for
any other use
Micro Brush Use to apply primer, dentin Small plastic instrument with small
bond enamel bond, fiber bristled head
sealants
Mylar Strip Thin clear strip used to Similar size to matrix band, clear
isolate cavity prep, able to
use cure light
Composite Well Plastic well used to hold Plastic well, smaller than amalgam
composite, etch, bond, well
cavity conditioner
Curing Light Function: To harden light- Material must be cured in
cure materials, bonding, increments of 2 mm or less, need to
composites, sealants, be above 300 wavelength
cements, build up
Protective Eye Wear To protect operator’s and Orange, dark, clear, protects eyes
assistant’s eyes during
procedures
Finishing Strips To finish and smooth Differs in grit, coarse, fine, extra
interproximal surfaces fine. Abrasive
Bonding Agents Acts as an adhesive Differs in generation, all in one unit,
between the tooth and the 3 step, 2 step, brands require
composite material different techniques
Etch To remove the smear layer, Differs in color and pH level.
prepare the tooth for Concentrations of Phosphoric Acid
bonding ~ typically 37 % and blue
Cavity Conditioner Works similar as etch, used 20 % Polyacrylic Acid, Deep blue
to prepare the tooth for a tint
Glass Ionomer restoration
Dycal (Calcium Used for indirect pulp cap, A base and catalyst paste, mixes
Hydroxide protective liner for deep together to form a tan paste, self
Composition) cavities sets. 1:1 ratio mix
Vitrabond liner A glass ionomer material Powder and liquid mixed 1:1 ratio,
used to make a liner light cure and self setting
IRM (ZOE) Used as a temporary filling White powder mixed with eugenol,
material, sedative filling 1:1 mixture, mix so it is not sticky to
gloved finger
Fuji IX or Fuji II Used for restorative Triturable capsules or liquid powder
material for high caries risk,
releases fluoride
Flowable Composite High viscosity, low filler Fluid like composite, with in a
composite, used small syringe used with a syringe tip
areas or before placement
of packable composite,
differs in shade
Packable Composite Low viscosity, high filler, Either in a syringe or composite tip.
permanent restorative Composite tip requires composite
material gun
Composite Gun Holds composite tip, used Composite tip inserts in the barrel
to deliver composite to the of the composite gun
cavity prep
Composite Shade To allow the patient to see Has different color teeth with a
Guide … the shade they would like shade, e.g. A2, B1, C3, D2
the filling to be.
High Speed Handpiece To be used with a bur to cut Runs on air pressure, up to
a cavity/crown prep 400,000 rpm’s, sprays water,
friction grip
Low Speed Handpiece To remove decay, polish, Runs on air, up to 30,000 rpm’s,
open pulpal access, endo, latch and friction grip
refine prep
Contra Angle To use with slow speed Different designs for different
motor procedures, e.g. hygiene tray,
operative tray, surgical tray
Straight Nose Cone To use with or without Runs at maximum 30,000 rpm; use
attachments. Examples of outside oral cavity unless used with
attachments: Contra angle attachments
or prophy angle; To use
with a longshank straight
bur
Anterior X-ray To take X-ray for Anterior 1. Plastic aiming ring; 2. metal
teeth indicator arm; 3. plastic bite-block;
4. film
Digital Sensor To be placed in mouth and Variety sizes and types
capture digital image of
teeth; used in place of
traditional X-ray films
Posterior X-Ray To take X-ray for Posterior 1&5. Plastic bite-block; 2.Plastic
teeth aiming ring; 3. metal indicator arm;
4. film
Scalpel Handle with To Hold blade in place, cut Blades are disposable after each
Blades. tissue with blade, trim use. Handle can be autoclaved or
interproximal restoration disposable
Tissue Forcep To hold tissue during Has serrated or rat-tooth tips
surgical procedures
Hemostat To grasp tissue or bone Has variety of functions. Working
fragment end is serrated and it locks. Can be
straight or curved
Tongue and Cheek To hold and retract tongue Styles and sizes vary. Also called
Retractor. or cheek the Minnesota
Tissue Scissors To cut tissue Can be straight or curved. Variety
of shapes and sizes
Needle Holder/ Driver. To grasp and manipulate Working end has different lengths.
suture needle during Ends are notched to accommodate
suturing needle
Suture Needles and To suture surgical site. Reabsorbable sutures: gut and
Sutures chromic gut. Non-reabsorbable:
silk, nylon, polypropylene. Available
in packages

Suture Scissors To cut sutures Has straight or angled cutting


edges. May have a notch on end of
cutting edge.
Straight Elevators To loosen tooth from Single ended. Variety of sizes.
periodontal ligaments
before extraction. To
separate and lift tooth from
socket.
Periosteal Elevator To provide indirect vision Accurate image from flat surface
with concave mirrors. To retract lips, cheeks, and mirrors, image magnified
tongue To reflect light into
the mouth
Root-Tip Picks To lift and remove small Pointed at working end . Straight or
root tips in difficult areas. right-and-left pairs
Root Elevators/ Cryers To loosen root. To separate Single ended. Can be right or left.
and lift tooth from socket. Variety of sizes
To use on posterior teeth.
Root-Tip Elevators To lift and remove Single ended. Rounded or pointed.
fragments of root Straight or right-and-left pairs
Bone File To remove or smooth Used in push-pull motion;
edges of alveolar bone straightcut or cross-cut cutting end;
variety of sizes, angles, and shapes
Maxillary Universal To extract maxillary central, Has straight handles or one curved
Forceps/ Cryer 150 laterals, cuspids, premolars, handle
and roots

Maxillary Right To extract trifurcated Has right-split beak to engage


Forceps/ No. 88R maxillary right first or lingual root
second molars
Maxillary Left Forceps/ To extract trifurcated Has left-split beak to engage lingual
No. 88L maxillary left first or second root
molars
Mandibular Universal To extract manibular Has straight handles or one curved
Forceps/ Cryer 151 central, laterals, cuspids, handle
premolars, and roots
Universal Mandibular To extract mandibular first Referred to as “Cowhorn” forceps;
Forceps No. 23 and second molars straight handles or one curved
handle
Rongeur To trim and remove excess Variety of sizes and angles
alveolar bone after
extraction
Bone Chisel To split or section a tooth Single-level chisel for contouring or
for easier removal by removing alveolar bone; bilevel
tapping on chisel with chisel for splitting teeth; variety of
mallet; to reshape or sizes
contour alveolar bone
Surgical Curette To remove debris or Various sizes and shapes; single or
granulation tissue from double ended
surgical site; to remove cyst
from extraction site or
surgical site; to use for
gross tissue debridement
Surgical Evacuation To evacuate fluid from oral Stainless steel, autoclavable
Tip cavity and surgical sites plastic, or disposable plastic; tips
narrow to accommodate surgical
site; attaches to tubing on dental
unit
Magnetic Bur Block To be used by inserting into Different shanks: 1. Long shanks –
with Burs dental handpiece; to attach straight slow-speed handpiece, 2.
discs to mandrel for Short latch-type shank –
finishing and polishing contraangle slow-speed handpiece,
inside or outside of oral 3.. Friction grip – high speed
cavity handpiece
Bur; To be inserted in high- Parts: 1. Head: Part of bur that
speed or lowspeed cuts, polishes, or finishes (various
handpiece sizes, shapes, and shanks); 2.
Neck: Part of bur that tapers to
connect shank to head of bur; 3.
Shank: Part of bur that is inserted
into the handpiece •Length and
style varies depending on
handpiece being used •Bur with a
straight and long shank fits into
straight slow-speed handpiece •Bur
with latch type at end of shank fits
into contra-angle slow-speed
handpiece •Friction grip bur fits into
highspeed handpiece a chunk
tightens bur into handpiece
Rubber Points To remove amalgam Various polishing grits; brown
restorations points (Brownies) are abrasive for
polishing; green points (Greenies)
are less abrasive; Variety of
shanks: 1. Latch type, 2. Friction
grip
Round Bur To remove caries from Various sizes; small to large
tooth structure; to open
tooth for endodontic
treatment
White Stone To polish restorative Various shapes and shanks
material
Straight Fissure - To cut cavity preparation; to Cutting part of bur has parallel
Crosscut form walls of cavity sides with horizontal cutting edge
preparation; to place
retention grooves in walls of
cavity preparation
Straight Fissure – To cut cavity preparation; to Cutting part of bur has parallel
Plain Cut form inner walls of cavity sides
preparation; to replace
retention grooves in walls of
cavity preparation
Taper Fissure - To cut cavity preparation; to Cutting part of bur has tapered
Crosscut form angles in walls of sides with horizontal cutting edges
cavity preparation
Taper Fissure – Plain To cut cavity preparation; to Cutting part of bur has tapered
Cut form angles in walls of sides
cavity preparation
Carbide Football To finish composite Shaped like a football
Finishing Bur restoration by restoring
anatomy in tooth; to
equilibrate or adjust
occlusion
Diamond Football. To reduce a tooth for crown Different grits: coarse to super-fine;
preparation for subgingival various shapes and sizes; super-
margins fine used finishing restorations
Mandrel. To be used by inserting into Different shanks: 1. Long shank –
a dental handpiece; to straight slow-speed handpiece; 2.
attach discs to mandrel for short latch-type shank –
finishing and polishing contraangle slow speed handpiece
inside or outside of oral
cavity
Polishing Discs To contour (coarse grit) or Different grits: coarse to extrafine;
polish and smooth (extra- various sizes; snap-on (with metal
fine grit) restorative material center) or screw-on
Diamond Flat-End To reduce a tooth for crown Different grits: coarse to superfine;
Taper preparation when a square various sizes and shapes; super-
shoulder is needed fine used for finishing restorations
Diamond Flat-End To reduce a tooth for crown Different grits: coarse to superfine;
Cylinder preparation when parallel various sizes and shapes; super-
walls and flat floors are fine used for finishing restorations
needed

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