Dental Instruments

SMS instrument coupland elevator blade has one convex side inserted toward the bone and one concave side inserted toward the root surface with flat end.

• Most commonly used.
• 3 types-Types 1, 2, 3
• Type 3 has the widest blade.
• Blade has a concave surface on the side which faces the tooth.
• Sometimes the blade can be at an angle th the shank.
• It is placed parallel to the long axis of the roots between the socket walls and the roots and worked towards the apex.
• Used as the straight elevator.
• Used to elevator the free gingiva from all around the tooth prior to forceps application.

Root elevators are instruments designed to loosen or remove dental roots, root fragments or teeth. SMS Instruments offer wide range of root elevator available to suit different teeth, techniques, and locations in the mouth. Handle is made from Non-Magnet stainless steel (life time rust prevention material) while tip is made from solid and hardened stainless steel last longer.

Choice of Elevators:

The selection from wide range of elevation instruments based on the following factors:

• Remaining Tooth Structure.
• Space Available
• Availability and Position of Solid Fulcrum.
• Direction of the required Movement.

Indication for Use:

• Reflect Mucoperiosteal membrane.
• Luxate, remove teeth which cannot be engaged by forceps.
• Remove carious or fractured roots.
• Loosen teeth prior to application of forceps.
• Split teeth which have grooves cut into them.
• Remove intra radicular bone.

Elevation of Teeth.

Wedge Elevator between tooth and bone at neck of tooth and rotate handle with slight twisting, quarter-turn movement.

Observe for Tooth movement.

Do not use excessive force to avoid

• Crown Fracture.
• Loosen Adjacent Teeth.

As Tooth loosens, move elevator more into bone towards the root end.