Dental elevators recommendations

RE: Dental elevators recommendations

Evelyn Barbour-Hill — Thu, 12 Nov 2015 22:47:59 GMT

[quote user="Anthony Todd"]Evelyn, [1] is there, then, any need for elevators?[/quote]

Read what I wrote before.

[quote user="Anthony Todd"]and [2] shouldn't one have a range of "curves" on the luxators so that the instrument can follow the root contour from a kitten to a great dane or from an incisor to a canine.[/quote]

They come in sizes. As far as I can see the curve is always part of a circle but some technical person somewhere may know otherwise.. You choose the size according to the tooth (obviously).

If you are having to file down an instrument to fit a cat's tooth, you have picked up too large an instrument in the first place.

RE: Dental elevators recommendations

Hannah Wynne Richards — Thu, 12 Nov 2015 16:54:34 GMT

Arnolds have/used to have a set with a range of screw-on heads

Wynne

RE: Dental elevators recommendations

Anthony Todd — Thu, 12 Nov 2015 16:41:39 GMT

Evelyn, [1] is there, then, any need for elevators?

and [2] shouldn't one have a range of "curves" on the luxators so that the instrument can follow the root contour from a kitten to a great dane or from an incisor to a canine.

I used a needle file to try and match the "curves", certainly in cats as opposed to dogs.

RE: Dental elevators recommendations

Will McMullan — Thu, 12 Nov 2015 09:41:35 GMT

Turns out I have some elevators and some luxators already! I have just been using them all as elevators. Let the luxation begin!

RE: Dental elevators recommendations

Mark Hedberg — Thu, 12 Nov 2015 08:37:49 GMT

Amazingly, a friend was just asking me this the other day and I swear to you I mentally went 'hmm, better see what Evelyn has to say!'

RE: Dental elevators recommendations

Evelyn Barbour-Hill — Wed, 11 Nov 2015 21:35:04 GMT

[quote user="Will McMullan"]Am I the only one ignorant of the difference between an elevator and a luxator? Could someone please explain? Also the difference in how to use them? This could revolutionise my dentistry! Thanks.[/quote]

Well, it's a sight easier to demonstrate than explain in words, but I'll try.

An elevator is a lever sharpened at the end. You work it into the periodontal space a bit and then you lever sideways – as Neil said, by twisting-and-holding. Then a bit more and so on till the tooth is loose enough for you to finish the job with forceps or fingers.

A luxator is really a long knife with the blade at the end. Superficially it looks like an elevator – and many dealers don't actually know the difference – but when you look more closely you see it's thinner in cross-section and the sharp end bevel is longer. Strictly, in "pure" luxation as the technique was originally invented, you do no levering with it at all. You push it down the periodontal space and cut the ligament – you are allowed just a little wiggle to help it down – and you go all round the circumference until the tooth is loose enough, or, as often happens, the tooth just pops out because the instrument is taking the place of the tooth in the alveolus. In practice, in veterinary work, one is allowed to do a little bit of levering with the instrument, but strictly only of the cam-action twist-and-hold variety, and not very forcefully.

Use a luxator like an elevator and you will wreck the tip. I believe that the ones we originally used, the Svenska, are actually made of a different steel and are especially easily wrecked.

But the technique is so much easier and neater.

Sometimes with certain roots I may start the job with a luxator and reach for an elevator to finish the job.

RE: Dental elevators recommendations

Neil Wheadon — Wed, 11 Nov 2015 20:38:53 GMT

[quote user="Will McMullan"]

Am I the only one ignorant of the difference between an elevator and a luxator? Could someone please explain? Also the difference in how to use them? This could revolutionise my dentistry! Thanks.

[/quote]

No you're not, and thanks for asking the question a lot of us were thinking.

However the best tip I read recently was don't do all that wrist sapping twisting with an elevator/luxator, just insert, twist and hold for 10 second as it breaks the ligaments rather than stretch them

Neil

RE: Dental elevators recommendations

Will McMullan — Wed, 11 Nov 2015 17:30:25 GMT

Am I the only one ignorant of the difference between an elevator and a luxator? Could someone please explain? Also the difference in how to use them? This could revolutionise my dentistry! Thanks.

RE: Dental elevators recommendations

Suzanne Kelly — Mon, 09 Nov 2015 23:48:46 GMT

I like Directa luxators and I've recently switched to winged elevators ( the iM3 stubby handled ones) and love them.

RE: Dental elevators recommendations

Glenn Hodgson — Mon, 09 Nov 2015 22:03:39 GMT

Thanks for the pointers folks!

Looking forward to the newkit.!

RE: Dental elevators recommendations

Michael Woodhouse — Mon, 09 Nov 2015 17:49:51 GMT

To sharpen I use:

http://www.heinnie.com/spyderco-pocket-stone-double-stuff

and

http://www.heinnie.com/spyderco-ceramic-file-set

Really fine, but leave a very smooth, polished edge. Was suggested them by a dentist I know socially. Never had such sharp dental tools (for the others to use.....).

RE: Dental elevators recommendations

Anthony Todd — Mon, 09 Nov 2015 17:43:19 GMT

[quote user="Glenn Hodgson"]Our set has reached the end of its life[/quote]

Or do they just need sharpening or dressing?

i see [ at last] sharpening kits are being marketed.... [better than needle files??]

RE: Dental elevators recommendations

Evelyn Barbour-Hill — Mon, 09 Nov 2015 17:13:28 GMT

[quote user="Rob Davis"]

[quote user="Evelyn Barbour-Hill"] would highly recommend that you change from elevators to luxators [/quote]

Just make sure you don't try and use them in the same way or they won't last long!

[/quote]

Quite so!

RE: Dental elevators recommendations

Rob Davis — Mon, 09 Nov 2015 17:10:48 GMT

[quote user="Evelyn Barbour-Hill"] would highly recommend that you change from elevators to luxators [/quote]

Just make sure you don't try and use them in the same way or they won't last long!

RE: Dental elevators recommendations

Evelyn Barbour-Hill — Mon, 09 Nov 2015 16:53:07 GMT

I would highly recommend that you change from elevators to luxators and get a set of iM3 short-handled luxators:

http://www.im3vet.com.au/articles/HI-Vet-instruments-luxators/274

You get them from JAK Marketing.

If you really insist on elevators, or if (as is a good idea) you want some elevators as well, I'd strongly recommend the Vet Instrumentation chubby "Comfort Handle" set:

http://www.veterinary-instrumentation.co.uk/home.php?cat=1051

Whether you get "winged" or not is personal preference. Personally I hate "wings".

RE: Dental elevators recommendations

Julian Earl — Mon, 09 Nov 2015 15:16:05 GMT

I bought an excellent set from VetDirect a few years ago. Their current ones are here: http://www.vet-direct.com/default.php?sid=VD-6400-0218-9661&sessiontag=prodfullview&data=10444

HTH?

RE: Dental elevators recommendations

Rob Davis — Mon, 09 Nov 2015 15:13:55 GMT

I find different people tend to prefer different styles of extractors and luxators. I personally use these "extraktors" almost exclusively although they do require a slightly altered technique as they are designed to be a cross between a luxator and an elevator. You also need to buy the special sharpening stone as they are sharpened on the convex surface and it is quite pricey! I also have a set of these miltex winged elevators which I use less frequently and some Svenska luxators which can be useful.