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Hand

instruments and devices


Presented by Dr. joaquin masoud C. shaee University of the EAST Post graduate school Department of prosthodonCcs

Filling paraphernalia

Amalgam

Amalgam carrier
Double-ended instrument with wells on both ends to pack fresh amalgam in & carry to prepped tooth.

Amalgam condenser
also known as a plugger that is used to press the silver lling into place

Serrated condenser
To pack and condense amalgam into cavity preparaCon

Smooth condenser
To pack and condense amalgam into cavity preparaCon

Interproximal condenser
To pack and condense amalgam into interproximal areas of the cavity prepara7on

Matrix Band
In caviCes involving more than one tooth surface, it is usually necessary to surround the tooth with a matrix band to help conne the restoraCve material to the cavity preparaCon during condensaCon. The matrix band also helps determine proper contours and the locaCon and form of proximal contacts in the restored tooth.

Toemire/Matrix Band Retainer


To maintain stability of matrix band during condensa7on of restora7ons Has a guide slot, spindle, outer and inner knob

Matrix Band
To replace missing proximal walls of cavity prepara7on for condensa7on of restora7ve material Universal, premolar, molar, and pediatric bands

Interproximal Knife
To Carve interproximal walls of amalgams, to restore contour of proximal walls Double ended, Sharp carving hard metal blade

Wedges
The wedge keeps the amalgam from squeezing out under the matrix band and into the interproximal space or spaces To hold matrix band in place along gingival margin of class II Triangular or rounded plas7c or wooden, various sizes and color

Amalgam burnisher
Used to smooth the surface of fresh placed amalgam restoraCon. (Ball, Football, T- shaped, Beavertail)

Football burnisher
To smooth Amalgam aJer condensing, to contour matrix band, to burnish amalgam

Acorn Burnisher
To smooth amalgam aJer condensing, used to create occlusal anatomy, burnish amalgam

T-Ball Burnisher
To Smooth amalgam aJer condensing; to contour matrix band, ini7ate carving and occlusal anatomy

Beavertail Burnisher
To smooth amalgam aJer condensing; to burnish the lingual, facial amalgam walls of a restora7on

Ball Burnisher
To smooth amalgam aJer condensing To contour matrix band before amalgam placement

carvers
Remove excess material, contour surfaces, and carve anatomy back into amalgam or intermediate restoraCon b4 it hardens. (Discoid-cleoid for occlusal, Hollenback to remove excess material)

Hollenback Carver
To contour and carve occlusal and interproximal anatomy in amalgam restora7ons Double ended, sharp s7 metal blade, sharp point; ends are protrude at dierent angles; carves other restora7ve materials

Cleoid-discoid
Or Discoid-Cleoid Carver To carve occlusal anatomy into amalgam restora7ons Double ended; Discoid is disk shaped; cleoid is pointed, sharp

Dycal/LinerApplicator
To Place Calcium Hydroxide or Glass Ionomer Has short or long handle, similar to a 7ny ball burnisher

Ar7cula7ng Paper Holder


To hold ar7cula7ng paper in checking pa7ents bite Ar7cula7ng paper is blue or red, thin to thick

Woodson
Used as a burnisher and condenser Doubled ended, one end a condenser while other is paddle shaped

Amalgam knife
Used to remove excess material along margin where material and tooth structure meet; most commonly interproximal.

Amalgam well
Where newly mixed amalgam is placed and retrieved from.

Composite

Composite Placement Instrument


Made to place composite restoraCve materials to prevent scratching the composite material made of anodized aluminum or Teon. (PlasCc composite instrument, Metal composite instrument)

Composite placement instrument


Places composite on the surface of cavity

Contact forming instrument


Forms the margins and contact points

Contouring instrument
Used for creaCng contours on crown

Plas7c Instrument
To carry composite material for cavity prepara7on, and shape composite, not for any other use Specially coated instrument, not for amalgam or any other use

Micro Brush
Use to apply primer, den7n bond enamel bond, sealants Small plas7c instrument with small ber bristled head

Mylar Strip
Thin clear strip used to isolate cavity prep, able to use cure light Similar size to matrix band, clear

Composite Well
Plas7c well used to hold composite, etch, bond, cavity condi7oner Plas7c well, smaller than amalgam well

Curing Light
To harden light-cure materials, bonding, composites, sealants, cements, build up Material must be cured in increments of 2 mm or less, need to be above 300 wavelength

Protec7ve Eye Wear


To protect operators and assistants eyes during procedures Orange, dark, clear, protects eyes

Finishing Strips
To nish and smooth interproximal surfaces Diers in grit, coarse, ne, extra ne. Abrasive

Bonding Agents
Acts as an adhesive between the tooth and the composite material Diers in genera7on, all in one unit, 3 step, 2 step, brands require dierent techniques

Etch
To remove the smear layer, prepare the tooth for bonding Diers in color and pH level. Concentra7ons of Phosphoric Acid ~ typically 37 % and blue

Composite Shade Guide


To allow the pa7ent to see the shade they would like the lling to be. Has dierent color teeth with a shade, e.g. A2, B1, C3, D2.

Packable Composite
Low viscosity, high ller, permanent restora7ve material Either in a syringe or composite 7p. Composite 7p requires composite gun

Flowable Composite
High viscosity, low ller composite, used small areas or before placement of packable composite, diers in shade Fluid like composite, with in a syringe used with a syringe 7p

This presentaCon is prepared for the rst year students in dental schools, to familiarize them with some basic informaCon regards dental restoraCve instruments.