Monthly Archives - September 2017

Extraction or Extracting forceps

Extraction or Extracting forceps for dental treatment

Extracting forceps or Extraction forceps are used along with elevators to extract teeth. Each Extracting forceps is designed for a particular area of the mouth. The beaks are designed to fit around the cervical portion of the tooth. Pointed beaks are designed to grip the fur cation area.

Dental professionals have a lot on their plates these days. There is a tremendous amount to think about, such as practice profitability, technology investments, team efficiency, new patient acquisition and continuing education — just to name a few. With all of this to balance, it can be difficult to take a step back and look at specific processes that happen every day to determine if there are better, faster and safer ways to do things. Instrument reprocessing and sterilization is one of those areas and is a critical component to developing a best practice approach to dental infection control

Receiving area

Extracting forceps and dental Instruments are transported into the receiving area within the cassette, which can then be placed directly into the ultrasonic cleaner or dental instrument washer for dental infection control. the entire cassette and the instruments in it can be rinsed and placed to the side to dry. There is no need to add an extra step to dental sterilization by spreading the instruments out on a towel.

Preparation and packaging

Once the instruments and cassette are dry, it can then be wrapped or pouched. There is no need to separate the instruments and package them into multiple pouches.


As with the other steps in the process, the instruments remain with the cassette, all stored in one place. Therefore, there is no need to store the disinfected trays and separate drawers of instrument packs. Everything is ready to take from one place when the dental team is ready to use it.

Parts of the extracting forceps

Beak of Extracting forceps

  • The beaks of extraction or extracting forceps are designed to fit around the curve of the tooth’s crown
  • Universal forceps have a great beak that can be used in any quadrant of the mouth
  • Forceps designed for multi-rooted teeth have a great beaks with a point that is adapted to grip the tooth fur cation
  • Forceps designed for single-rooted teeth usually have smooth beaks

Hinge of Extracting forceps

  • Extraction forceps have hinges (can be screw or pin type) allowing the beak and handle to be opened and grasped
  • Care must be taken with a hinges to prevent damage during sterilization

Handle of Extracting forceps

  • A serrated handle allows the operator to have a more better grip
  • A curve on the end of the handle may be  present for the little finger, to provide more stability and leverage
  • Handles of maxillary forceps are often curved upwards, with the beak in line with the handle
  • Mandibular forceps tend to have a straight handle with the beak at a 90° angle to the handle

    Name of Extracting forceps

    Maxillary right permanent molar extraction forceps


    Extraction forceps


    Used for extraction of maxillary right permanent molar teeth

    Identifying features

    To determine whether left or right forceps:

    • Hold forceps in hand loosely
    • The point of the beak should grip the fur cation on the buccaneer side
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Orthodontic instruments Best Quality - AR INSTRUMED

Orthodontic Instruments

Doctors and Students need to know every facet and purpose of Orthodontic instruments.

Many of the Orthodontic Dental instruments used for orthodontic treatment are unique to the discipline of orthodontics.  Knowledge of these instruments and their uses is important for all dental students before commencing orthodontic treatment on patients. What follows is an introduction and brief description of some of the more commonly used instruments for treating an orthodontic patient.


A dental mirror, while not specific to orthodontics, is used for visualization and retraction during procedures.

Straight Probe

A straight probe aids in the positioning of orthodontic brackets, and is used in the removal of excess composite from around brackets, as well as for the removal of elastomeric ligatures from brackets.

Cotton Pliers

Cotton pliers are used for the placement of cotton rolls for isolation, as well as for the retrieval of small objects intra-orally.

Howe Utility Pliers

Howe utility pliers have two long beaks with pads at the ends that are used to hold archwires during placement and removal.

Wire Cutter/Pin and Ligature Cutter

A wire cutter, or pin and ligature cutter, has two tapered beaks with sharp cutting terminal ends. The tip of the sharp end is used for cutting small diameter wires, less than 0.015 inches, and for cutting stainless steel ligatures.

Distal End Cutters

Distal end cutters have two cutting surfaces at right angles to the long axis of the instrument. These are used for intra oral cutting of the terminal end of a ligated archwire. They will also catch and hold the cut end of the archwire, thus preventing the loose end of the wire from injuring the patient.

Mathieu Plier 

The Mathieu plier has a quick release locking and unlocking mechanism which is used for the placement of elastomeric ligatures.

Bird Beak or 139 Plier

The bird beak or 139 plier has pyramidal and conical beaks used for making bends in orthodontic wires.

Separating Orthodontic Instruments Pliers

Separating Orthodontic Instruments pliers are reverse action pliers with tips at the ends to hold the separating modules. Separators are placed on the ends of the pliers and the handles are then squeezed together to stretch the separators for placement on the teeth.

Band Pusher

A band pusher is a long handled instrument with an angled rectangular serrated tip which is used for fitting and positioning an orthodontic band on a tooth.

Bite Stick

A bite stick is a long handled nylon instrument with serrated tip, which can be of various shapes. This is used for placing and seating orthodontic bands using the patient’s biting force.

Band Burnisher

A band burnisher is similar in appearance to the band pusher except that the working end is flatter. This is used to adapt and contour an orthodontic band to fit the patient’s tooth.

Posterior Band Remover

The working end of the posterior band remover has a nylon tipped beak and a flat beak which has a slight curve at the tip. This is used for the removal of orthodontic bands on posterior teeth.

Plastic Filling Orthodontic Instruments 

This Orthodontic instrument is used to place composite onto the mesh pad of an orthodontic bracket prior to bonding of the bracket.

Orthodontic Bracket Holder or Bracket Tweezer

A bracket holder or bracket tweezer is a reverse action instrument with two fine angled tips used to hold and place orthodontic brackets.

Cheek Retractor Orthodontic Instruments

A cheek retractor is used to move the cheeks away from the teeth to allow for visualization and isolation of the treatment area.


Orthodontic Procedures-Tray Set up

It is important to know the instruments necessary for each procedure to ensure that you have a complete set prior to the arrival of the patient.

The instruments required for the placement of elastic separators includes:

  • A mirror
  • A probe
  • Cotton pliers
  • Separating pliers
  • Floss
  • Elastic separators
  • And an air water syringe

The instruments required for band seating includes:

  • A mirror
  • A probe
  • Cotton Pliers
  • An air water syringe tip
  • A saliva ejector
  • A few appropriately sized bands
  • A band pusher
  • A bite stick
  • A band remover
  • A mixing spatula
  • Glass Ionomer mixing cement
  • A slow speed handpiece
  • Pumice
  • And cotton rolls

The instruments required for bonding brackets includes:

You will need to request an adjustment kit as well

  • A mirror
  • A probe
  • Cotton Pliers
  • An air water syringe tip
  • A saliva ejector
  • High volume suction
  • A slow speed handpiece
  • Pumice
  • A bracket holder
  • Brackets
  • A Howe plier
  • A distal end cutter
  • A ligature cutter
  • A cheek retactor
  • Cotton rolls
  • Etch and bond
  • And composite material

When picking up instrument trays in the clinics, ensure that all instruments are included in the tray and that you have obtained any necessary additional kits. You will also need to ensure that the planned procedure or procedures are entered into Axium at the previous visit so that the Dispensary is able to prepare in advance for the Clinic session.


How are Dental Instruments Cleaned

How are Dental Instruments Cleaned?

It is very important to be confident that your dental practice is working to the highest standards of cleanliness to ensure that you receive the best possible standards of care with the lowest risk of injury or infection.  You will not know about many of the things that are carried out to make sure these standards are met.

This is an overview of what goes on at Dental sterilization cassettes “behind the scenes” by our highly trained nursing team.

Dental Surgical Instruments

Many of the Dental Surgical Instruments and materials we use are disposable and are only used once (single use). For the others, you may have noticed the dental nurse dashing off at the end of your appointment with a box in hand. This is taken to our dedicated decontamination room where the sterilization process begins.

The Dental Surgical Instruments then go into an autoclave which is like an industrial pressure cooker which reaches 134 degrees C to kill any remaining bugs and germs.  This takes about 20 minutes.

The Dental Surgical Instruments are then dried and placed into a sterilization pouch so that they are clean and ready for the next time needed.

The Orthodontic Instruments that have not yet been sterilized are put in a red zone so that other staff members know to not touch them.

Hopefully now you see that our appointment scheduling and planning of the day is very important to ensure we have everything we need to carry out the best possible treatment. That may be why we ask you to come at a certain time of day and also why it’s normally not possible to see someone who just needs the dentist to “have a quick look” as although you may not be with us for long, there’s a lot going on before and after we see you for your appointment.