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    You are at:Home»SURGICAL INSTRUMENTS»23 Orthodontic instruments and their uses
    SURGICAL INSTRUMENTS

    23 Orthodontic instruments and their uses

    By Isreal Olabanji DST RNApril 11, 2021Updated:April 11, 20211 Comment7 Mins Read
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    Orthodontics is one of the departments in dentistry involving the treatment and irregularities of teeth. It involves serial extraction (which is the removal of teeth because of the correction to be done not because of pain. The dentist specifically trained for this purpose is called orthodontics. also, have specialized training in facial abnormalities and disorders of the jaw.

    In this article show
    Here is the list of Orthodontic instruments
    1. Separator placing pliers
    Use and characteristics
    2. Johnsons contouring pliers
    Use and characteristics
    3. Nylon band seater
    Use and characteristics
    4. Mershon band pusher
    Use and characteristics
    5. Posterior band remover
    Function, features, and method of use
    6. Bracket holder
    Use and characteristics
    7. Weingart Pliers
    Use and characteristics
    8. Ligature tucker/ligature director
    Use and characteristics
    9. Mosquito artery forceps – straight
    Use and feature
    10. Mathieu ligature pliers
    Use and features
    11. Coon’s ligature pliers
    Use
    12. Distal end cutter
    Use and features
    13.Ligature cutter
    Use and features
    14.Triple beak pliers
    Use
    15. Omega pliers
    Use and feature
    16. Nance pliers
    Use
    17. Light wire pliers
    Use
    18. Tweed pliers
    Use and feature
    19. How(e) pliers
    Use and features
    20. Mitchells trimmer
    Uses
    21. Adams spring forming pliers
    Use and features
    22. Adams universal pliers
    Use
    23. Mauns heavy duty wire cutter
    Use
    MISCELLANEOUS ITEMS
    Cheek retractors
    Use
    Intra-oral mirrors
    Use
    Orthodontic bracket card
    Use and features
    Orthodontic Instruments Set-ups

    Here is the list of Orthodontic instruments

    • Separator placing pliers
    • Johnsons contouring pliers
    • Nylon band seater
    • Mershon band pusher
    • Posterior band remover
    • Bracket holder
    • Weingart Pliers
    • Ligature tucker/ligature director
    • Mosquito artery forceps – straight
    • Mathieu ligature pliers
    • Coon’s ligature pliers
    • Distal end cutter
    • Ligature cutter
    • Triple beak pliers
    • Omega pliers
    • Nance pliers
    • Light wire pliers
    • Tweed pliers
    • How(e) pliers
    • Mitchells trimmer
    • Adams spring forming pliers
    • Adams universal pliers
    • Mauns heavy duty wire cutter

    Uses

    Orthodontics is the study of the diagnosis, prevention, and treatment of irregularities of the teeth and jaws. Orthodontic instruments are used in conjunction with fixed and removable appliances.

    1. Separator placing pliers

     

    Orthodontic instruments: Separator placing pliers

    Use and characteristics

    • Used for placing elastic separators inter-proximally
    • Single-ended instrument – handle is adapted for a palm grasp (Different sizes and shapes are available).

    False friends

    Rubber dam clamp forceps and Coons ligature pliers

    2. Johnsons contouring pliers

     

    Orthodontic instruments: Johnsons contouring pliers

    Use and characteristics

    • Used to re-contour and adapt an orthodontic band to a tooth
    • Beaks are tapered with a slight bow
    • One beak is concave while the other is convex allowing re-contouring of bands (Shape of beaks may vary)

    3. Nylon band seater

    Orthodontic instruments: Nylon band seater

    Use and characteristics

    • Used for the patient to bite to facilitate the seating of an orthodontic band
    • Edge of the tip is serrated to facilitate grip
    • Autoclavable

    (Many shapes and sizes available)

    4. Mershon band pusher

    Orthodontic instruments: Mershon band pusher

    Use and characteristics

    • Aid in the placement and seating of orthodontic bands
    • Can be used to adapt the coronal portion of the band to the tooth
    • Handle is designed to allow better operator grasp
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    False friend

    Couplands chisel

    5. Posterior band remover

    Orthodontic instruments: Posterior band remover :

    Function, features, and method of use

    • Used to remove posterior orthodontic bands
    • Two stainless steel beaks, one may have a nylon tip (maybe replaceable)
    • When removing a band, the nylon tip is placed on the occlusal surface, and the curved beak is placed at the gingival edge of the band

    Varieties

    • Different sizes and shapes available
    • Tip may be metal instead of nylon

    6. Bracket holder

     

    Orthodontic instruments: Bracket holder

    Use and characteristics

    • Securely grasps the orthodontic bracket during placement
    • Applying pressure opens working end and releasing closes working end

    Varieties

    • Different sizes and shapes available
    • The control mechanism may vary

    7. Weingart Pliers

     

    Orthodontic instruments: Weingart pliers

    Use and characteristics

    • Used to guide and move the archwire in and out of placement
    • Used to hold the archwire during bending
    • The bend in the beak facilitates easy grasping of the archwire and guiding into buccal tubes

    Varieties

    Different shapes and sizes of beaks available

    8. Ligature tucker/ligature director

    Orthodontic instruments: Ligature tucker-ligature director

    Use and characteristics

    • Used to tuck excess ligature wire out of the way to reduce tissue trauma
    • Notch in the working end allows the operator to apply pressure to the archwire to bend it into place

    Varieties

    • Can be single-ended or double-ended
    • Different sizes and shapes of working ends

    9. Mosquito artery forceps – straight

    23 Orthodontic instruments and their uses

    Use and feature

    • Used to grasp and place orthodontic separators, power chain, and modules
    • The beak is serrated for a better grasp

    Varieties

    Different sizes and shapes are available

    False friends

    Beebee crown scissors/shears, needle holders

    10. Mathieu ligature pliers

    23 Orthodontic instruments and their uses

    Use and features

    • Used to grasp and place ligature wires and elastics
    • Beaks are serrated for better grasp
    • The handle has a locking mechanism and a spring mechanism that help the operator to quickly open and close the pliers

    Varieties

    Beaks can vary in length and angle

    11. Coon’s ligature pliers

     

    Orthodontics instruments-Coon’s ligature pliersUse

    Used to tie long ligatures into a ‘figure-of-eight’

    Varieties

    Various angles and sizes of beaks

    False friends

    Rubber dam clamp forceps and separator placing pliers

    12. Distal end cutter

     

    23 Orthodontic instruments and their uses

    Use and features

    • Used to cut the distal portion of an orthodontic archwire
    • Can be used extra-orally (prior to placement)
    • Can be used intra-orally (after placement)
    • There is a ‘safety’ mechanism to hold the cut archwire so it does not fall into the patients mouth

    Varieties

    Various angles and sizes of beaks

    13.Ligature cutter

     

    23 Orthodontic instruments and their uses

    Use and features

    • Used to cut ligature wires (not to be used on ligatures more than 0.015 mm in diameter as it damages the cutting edge)
    • Can also be used to cut elastics and power chains
    • Edges are sharp and can be sharpened when they become dull

    Varieties

    • Variety of beaks and cutting angles
    • Some may have replaceable beaks

    14.Triple beak pliers

     

    23 Orthodontic instruments and their uses

    Use

    • Used to place a bend in an orthodontic archwire
    • Used to contour and shape an orthodontic archwire

    Varieties

    Beaks may vary in size and shape

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    15. Omega pliers

     

    23 Orthodontic instruments and their uses

    Use and feature

    • Used to bend and form loops in orthodontic archwires
    • Grooves in beaks facilitate bending loops into archwires
    • Used to bend removable appliance wires

    Varieties

    Beaks may vary in size and shape

    16. Nance pliers

     

    23 Orthodontic instruments and their uses

    Use

    Used to hold and bend orthodontic archwires

    Varieties

    Beaks may vary depending on the type of archwire to be bent.

    17. Light wire pliers

     

    23 Orthodontic instruments and their uses

    Use

    Used to bend and place loops in an orthodontic archwire

    Varieties

    Variety of beaks

    False friend

    Adams spring forming pliers

    18. Tweed pliers

    23 Orthodontic instruments and their uses

    Use and feature

    • Used to bend and form loops in orthodontic archwires
    • Grooves in beaks facilitate bending loops into archwires.

    19. How(e) pliers

     

    23 Orthodontic instruments and their uses

    Use and features

    • Multipurpose orthodontic pliers
    • A long beak with serrated tips for grasping
    • Can be used to grasp bands and archwires during placement and removal, and to tie metal ligatures

    Varieties

    Beaks may vary in size and shape

    20. Mitchells trimmer

     

    Orthodontic instruments-Mitchells trimmer

    Uses

    • Used after placement of orthodontic bands to remove excess cement
    • Can be used after de-bonding brackets in the removal of excess cement with a conventional handpiece and a de-bonding bur

    False friends

    Hollenback 31/2 carver, Wards carver

    21. Adams spring forming pliers

     

    23 Orthodontic instruments and their uses

    Use and features

    • Used to adjust springs on orthodontic removable appliances
    • Can be used to smooth and contour archwires
    • One beak is rounded, the other is square/flat-ended

    Varieties

    • Beaks may vary in size and shape

    False friend

    Light wire pliers

    22. Adams universal pliers

     

    23 Orthodontic instruments and their uses

    Use

    Used to adjust headgear, face bows and Adams clasps on removable appliances

    Varieties

    Different sizes are available

    False friend

    Adams spring forming pliers

    23. Mauns heavy duty wire cutter

     

    Orthodontic instruments-Mauns heavy duty wire cutter

    Use

    To cut heavy archwires or appliance wires – used extra-orally

    Varieties

    Different sizes and shapes of beaks are available

     

    MISCELLANEOUS ITEMS

    Cheek retractors

     

    23 Orthodontic instruments and their uses

    Use

    • To retract cheeks and lips for better visibility
    • Often used when bonding fixed appliances and taking photographs

     

    Varieties

    • Different sizes and shapes available
    • Plastic and metal types available

    Intra-oral mirrors

     

    23 Orthodontic instruments and their uses

    Use

    • Aid in visibility when taking intra-oral photographs
    • Often used in conjunction with cheek retractors

    Varieties

    Different sizes and shapes available

    Orthodontic bracket card

    23 Orthodontic instruments and their uses

    Use and features

    • Used to organize and hold orthodontic brackets to facilitate quick bracket  placement
    • Each circle on the card corresponds to a particular tooth in the mouth
    • Brackets are placed corresponding to the tooth to be bonded
    • Tape on the back of the card helps to keep brackets in place

    Orthodontic Instruments Set-ups

    The following instruments are common to all the below-listed set-ups

    • Mouth mirror and handle (p. 33)
    • Sickle/contra-angled probe (p. 35)
    • College tweezers (p. 37)
    • Hand mirror

    Related reading

    • 15 ORAL SURGERY INSTRUMENTS AND THEIR USES
    • Dental Elevators and their uses
    • Impression Trays and Their Uses
    • Uses of periodontal scaler dental instruments
    • Top 10 Instruments Used for Dental Extraction
    • Dental Instruments And Their Uses

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    Avatar of Isreal Olabanji DST RN
    Isreal Olabanji DST RN
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    Am Isreal olabanji a dental assistant and public health professionals and has years of experience in assisting the dentist with all sorts of dental issues. We regularly post timely and trustworthy medical information and news. My goal is to enlighten everyone in all aspects of health towards participating in fitness, Dental care, healthy recipes, child health, obstetrics, and more.

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    1 Comment

    1. Avatar of nurdin japhary
      nurdin japhary on March 21, 2022 12:04 pm

      i really loved your manual/page please add up some contets for better understandings.

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