Handbook of Instruments in Dentistry

357 Pages·2018·6.831 MB·English

by  Purushottam Singh Chauhan

Handbook of
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DDeennttiissttrryy
ii Instruments in Dentistry
Contributors
Purushottam Singh Chauhan BDS
Sharad Pawar Dental College
Datta Meghe Institute of Medical Sciences
Wardha, Maharashtra
[email protected]
Naveed Khan BDS
Sharad Pawar Dental College
Datta Meghe Institute of Medical Sciences
Wardha, Maharashtra
[email protected]
Amol Ramchandra Gadbail BDS, MDS, PhD
(Oral and Maxillofacial Pathology)
Assistant Professor
Department of Dental Surgery
Indira Gandhi Government Medical College
Nagpur, Maharashtra
[email protected]
Handbook of
IInnssttrruummeennttss iinn
DDeennttiissttrryy
Purushottam Singh Chauhan
BDS
Sharad Pawar Dental College and Hospital
Wardha, Maharashtra
CBS Publishers & Distributors
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Foreword
Instrumentation is an important aspect of surgical and dental
clinical practice. The instruments have evolved over the
period of time in terms of metallurgy, design and cost
effectiveness. Many types of instruments are commercially
available but it is a big dilemma for the clinician to decide as to
which is the best. To optimise the clinical results, choice of
proper instruments and its proper and effective utilization is
of immense importance. This aspect is badly neglected in the
curricula and no structured training is offered. The clinician
develops the skill of instrumentation by self-perception or by
imitation. The choice of instrument also varies from clinician
to clinician as it depends upon the skill and convenience of the
individual clinician.
A dedicated book on instruments, encompassing the
description, indications and guidelines for their proper use, is
the need of the hour. It will be of great help to the budding
clinicians and provide them adequate guidance for effective
and optimum utilization of the instruments facilitating proper
execution of skill and enhancing their clinical results.
The initiative by my esteemed student, Dr Purushottam Singh
Chauhan, in efficiently touching the neglected aspect of instru-
mentation by bringing out Handbook of Instruments in Dentistry, is
indeed very thoughtful, relevant and laudable venture.
I am sure it will be of immense help to dental professionals.
Rajiv Borle MDS, FIBOMFS
Vice Chancellor
DMIMS (DU), Wardha (Mh)
vi Instruments in Dentistry
This Page is Intentionally Left Blank
Preface
It is a privilege and an honor to have an opportunity to bring
out Handbook of Instruments in Dentistry for the
undergraduates, postgraduates and clinicians.
During and after the BDS course, students and clinicians are
using various dental instruments that are part of preclinical
and clinical practices. It has been my observation that
preclinical and clinical students find it difficult to remember
the name, identification, application, and technique to use
instruments in various fields of dentistry.
Handbook of Instruments in Dentistry has sevenchapters for
the ease of handling and understanding.
•Chapter1 Dental Chair
•Chapter2 Conservative and Endodontic Instruments
•Chapter3: Prosthodontic Instruments
•Chapter4: Oral Maxillofacial Surgery Instruments
•Chapter5: Periodontal Instruments
•Chapter6: Orthodontic Instruments
•Chapter7: Miscellaneous Instruments.
Colour photographs have been used in all the chapters for
basic understanding of the tools for the students. Colour
photographs of instruments and illustrations are followed by
description which will be useful for the preclinical and clinical
practices.
Purushottam Singh Chauhan
viii Instruments in Dentistry
Acknowledgments
Thank you are two little words which would probably
never completely convey the sense of gratitude and
regards which I feel for each of the following wonderful people
who have made Handbook of Instruments in Dentistry, a reality.
I would like to start with one of my colleagues, Dr Naveed
Khan, who contributed significantly to the review of the
chapters. I express my sincere appreciation to Dr Amol
Gadbail; without his tremendous sacrifice and support, this
project would not have been possible.
My deepest appreciation goes to my family, teacher, friends
and juniors. I thanks to all those who helped with the
proofreading.
The Foreword in this edition was written by Professor (Dr)
Rajiv Borle MDS, FIBOMFS, Vice Chancellor, DMIMS (DU)
Wardha (Mh), and I am thankful to him for the honour.
A special thanks to the team of CBS Publishers &
Distributors for the wonderful job in creating a truly
remarkable book.
I consider myself to be lucky to get proper opportunities at
proper time to work and learn.
I am thankful to Dr Ashok Pakhan, Dean, Sharad Pawar
Dental College, Datta Meghe Institute of Medical Sciences for
showing faith in me and providing me suitable environment,
facilities, support and encouragement to progress.
Purushottam Singh Chauhan
Contents
Contributors ii
Foreword by Rajiv Borle v
Preface vii
1. Dental Chair 1
Definition 1 Patient positions 16
Evolution of dental chair 1 Chair positions 16
Types of dental chair 1 Operating positions 18
Portable 2 Right front position
Non-portable 2 (7o’clock) 20
General dental chair 2
Right position (9 o’clock) 20
Kids dental chair 3
Right rear position
Surgical dental chair 4
(11o’clock) 21
Parts of dental chair 4
General considerations 14 Direct rear position
Care and maintenance 14 (12o’clock) 21
Chair position 15 Considerations while doing
Zone operating areas 15 patient 21
2. Conservative and Endodontic
Instruments 23
Introduction 23 Blade 27
Classification of instruments 23 Instrument nomenclature
GV Black’s classification 23 (according to GV Black) 28
Marzouck classification 25 Instrument formula 28
Parts of hand cutting Three number formula 28
instruments 26 Four number formula 29
Handle (shaft) 27 Classification of instruments
Shank 27 based on their usage 30
GV Black classification of Exploratory instruments 30
instruments based on shank Mouth mirror 30
design 27 Explorers 32