There are many tools to make the dentist's job easier. They help to perform high-quality manipulations with minimal impact on the tissues of the patient's oral cavity.
In 1941, Thompson first described the procedure retractions. It was a method of moving the cervical gum region down and away from the tooth to avoid trauma. The author suggested a dampened twine as a material.
Now there are 3 methods of gingival retraction: mechanical, chemical, combined. For mechanical use special threads and tools. Previously, floats were used for these purposes, but since the procedure can be traumatic, a separate packer device was invented.
Dental packer (retractor): description and application
This is a tool for placing retraction cords. Outwardly, it resembles a trowel, but differs in the structure of the working part. It can be in the form of a spoon, truncated cone, rectangular, with or without notches. The working parts have a different angle of inclination in relation to the handle.
They are made of medical steel, some manufacturers are engaged in the finalization of the end parts by hand. There is a wide variety of this category of tools, since they differ not only in the type of working part, but also in the design and ergonomics of the handle.
The device is specially designed to simplify the packing of sutures into the gingival sulcus (in order to squeeze it out during certain manipulations). Due to the special structure of the stacker, the gums and the circular ligament of the tooth are slightly injured. This is possible due to the thin working part and notches that prevent the parker from slipping deep into the fabrics.
Packers are used for different clinical cases due to their rich assortment. An instrument with a thinner and smaller working part is used with a thin biotype of the gingiva, in which it is difficult to place a retraction thread. Larger retraction filament spreaders are used with a thick gum biotype or in the presence of a periodontal pocket, since the filament is easy to lay in this case.
We can say that the packer is a tabletop device for an orthopedic dentist, since a high-quality impression (dental impression) is impossible without high-quality filament placement. In therapeutic dentistry, their use fades into the background due to the use of cofferdam (latex cloth to isolate the working area) to protect the gums and the working area.
Manufacturers
There are many retractor manufacturers:
- Medenta Instrumets Co. Tool for laying retraction cords, cost - from 280 rubles;
- Fischer's Ultrapak Packers (FISHER ULTRAPAK PACKER), ULTRADENT, cost - from 2600 rubles;
- FABRI (FABRI), cost - from 900 rubles;
- CUYER, AMERICAN EAGLES, cost - from 1600 rubles;
- Brand: HLW, Germany, cost - from 680 rubles;
- E-15-20, Ekradent (Russia), cost from 1500 rubles;
- retraction thread stacker Retraktionsfadenleger, HLW, Germany and others.
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