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Reference

Dental instruments: names and uses

Twenty common dental hand instruments, grouped by what they are for, then how an instrument setup is laid out and passed. Every line comes from a U.S. Army or Navy training manual.

ExaminationHand cuttingRestorativeSurgicalPeriodontal

The parts of a hand instrument

For scaling instruments, one manual names three common parts: the handle, which you hold; the shank, which connects the handle to the working end; and the working end, which does the work.

Source: MD0513 ¶3-3b.

For hand instruments generally, another counts four: the handle, the shank, a blade or nib, and at the tip a cutting edge on a cutting instrument, or a face or point on a non-cutting one.

Source: MD0503 ¶1-3.

Instruments by use

Examination

Mouth mirror
Shows, by reflection, surfaces of tissues and teeth that cannot be seen directly. (MD0503 ¶1-9a)
Explorer
Used for diagnosis, by touch and by probing defects in tooth surfaces. (MD0503 ¶1-9b)
Cotton pliers
Handle cotton pellets, cotton rolls, small instruments and other small items going into or out of the mouth. (MD0503 ¶1-9c)
Periodontal probe
Locates and measures the depth of a gingival crevice or periodontal pocket. (MD0503 ¶4-2g)
A periodontal probe with banded markings above a double-ended explorer.
A periodontal probe and a double-ended explorer.Image: “Dental explorer and periodontal probe” by Coronation Dental Specialty Group · CC BY-SA 3.0 · source
The round head of a worn mouth mirror on a short stem.
The head of a mouth mirror.Image: GennadyL · CC0 · source

Hand cutting

Spoon excavator
Removes debris and decayed dentin from cavities. (MD0503 ¶2-10b)
Enamel chisel
Cleaves enamel along the enamel rods and prepares the walls and accessible margins of a cavity. (MD0503 ¶2-10c)
Enamel hatchet
Also cleaves enamel along the rods and prepares the walls and accessible margins of a cavity preparation. (MD0503 ¶2-10d)
Gingival margin trimmer
Bevels the enamel at the cervical seat of a cavity preparation. (MD0503 ¶2-10e)
A historic spoon excavator, showing its handle, shank and small rounded working end.
A historic spoon excavator: handle, shank and working end.Image: Cleveland Dental Manufacturing Co · Public domain · source

Restorative

Matrix retainer
Holds and adjusts matrix bands on the teeth. (MD0503 ¶2-11a)
Amalgam carrier
Carries silver amalgam into place in a prepared cavity. (MD0503 ¶2-12d)
Amalgam plugger
Condenses amalgam in a cavity preparation. (MD0503 ¶2-12f) Also called a condenser. (NAVEDTRA 14275 Condensers)
Amalgam carver
Carves anatomy into a partially set amalgam restoration. (MD0503 ¶2-13a(1))
Burnisher
Polishes, work-hardens or burnishes gold or other metals and materials. (MD0503 ¶2-13b(1))
A matrix retainer holding a loop of matrix band.
A matrix retainer holding a band.Image: “Füllung 2020 (10)” by Gertident · CC BY-SA 4.0 · source
Four filling instruments laid side by side.
Filling instruments.Image: “Instrumente (110)” by Symposius · CC BY-SA 4.0 · source

Surgical

Extraction forceps
Remove teeth. (MD0503 ¶3-5a)
Root elevator
Loosens or removes roots, root fragments or teeth. (MD0503 ¶3-6)
Periosteal elevator
Separates and raises periosteum from the bone and retracts the tissue flap. (MD0503 ¶3-7)
Hemostat
A small forceps that stops the flow of blood by clamping blood vessels. (MD0503 ¶3-23)
Needle holder
Holds and manipulates the suture needle during suturing, in a groove on each jaw. (MD0503 ¶3-24)
Five pairs of extraction forceps side by side, with gold-colored handles.
Extraction forceps.Image: “Dental-Extraction-Forceps” by Hillcrestpvtltd · CC BY-SA 3.0 · source
A hemostat with its ratchet handles visible.
A hemostat.Image: Saltanat ebli · Public domain · source

Periodontal

Periodontal scaler
Removes calculus and stain from the clinical crown of the tooth. (MD0503 ¶4-2b)
Periodontal curette
Removes calculus, smooths root surfaces, and works on the soft tissue wall of the pocket. (MD0503 ¶4-2c)

These are training manuals for military dental staff. They say what an instrument is for, not what a dental assistant may do in your state, and they can be older than what your office uses.

Setting up and passing instruments

A basic examination setup
A mouth mirror, cotton pliers, an explorer, a periodontal probe, a cotton dispenser with cotton, two-by-two-inch gauze pads and a saliva ejector. (MD0503 ¶1-10a)
Tray order
Usually left to right, in the order the instruments will be used. Return each one to its place after use, in case it is needed again. (NAVEDTRA 14275 Passing and receiving instruments and materials)
Where the exchange happens
In the transfer zone, near the patient’s chin. (NAVEDTRA 14275 Passing and receiving instruments and materials)
The four stages of a transfer
Working, signal, pre-transfer and mid-transfer. (NAVEDTRA 14275 Passing and receiving instruments and materials)
Which way the working end points
Up for the maxillary arch, down for the mandibular arch. Keep your grip until the dentist has firmly grasped the instrument. (NAVEDTRA 14275 Passing and receiving instruments and materials)

Practice instrument questions

Start the free General Chairside Assisting practice testAbout the exam

The app

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Sources

All of these are U.S. government works, in the public domain. Images are credited under each one.