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To facilitate the work of the dentist and to create comfort for the patient during dental treatment, developers are constantly creating innovative devices and devices.
One of the new developments is the Optragate retractor. What an auxiliary tool is and what functions it performs will be discussed in our article.
Definition
Dental retractors
Dental retractors are used for retraction of soft tissues (to move tissues directly away from the tooth). This is done to provide convenient access to the tooth that is planned to be treated.
Externally, retractors vaguely resemble tweezers. However, the tips of the instruments can have different shapes: rounded, sharp, curved at certain angles, and can also be in the form of blades, plates or even hooks. Retractor sizes can also vary.
Different retractors are used to work in different areas of the oral cavity.
To abduct the cheek when operating in the back of the oral cavity, a Lagenbeck hook (named after the inventor's name) is used.
When performing surgery in the front part of the mouth, as well as when operating on the alveolar process, the Farabeuf retractor is used.
When operating in the lower part of the mouth, in order to retract the tongue and not injure it, you need to use a Deaver retractor.
A Kocher retractor is used to separate the edges of the skin around the wound. In another way, all these retractors are called hooks in combination with the name of their inventor.
The instruments are made from high-quality stainless medical steel. These tools are rust resistant. They can be sterilized at high temperature.
There is a special type of retractor - for the distal areas of the dentition. It is used for easier access to the operated field of the distal areas of the dentition. They are most often used when working with the lower rows of teeth, as well as in the therapeutic restoration of chewing teeth.
General presentation and purpose
The developers of Ivoclar Vivadent (Germany) have created a three-dimensional circular retractor, the quality of which has already been appreciated by dentists around the world.
Optragate is a tool that makes the dentist’s work easier. It allows you to increase the working area in the oral cavity, without causing much inconvenience to the patient.
The instrument has many differences from other rigid systems used in dentistry. It allows you to isolate the patient’s cheeks and lips during therapeutic or surgical dental treatment.
The device differs from conventional mouth openers in that it is installed in a couple of movements. In this case, all elements of the jaw rows become available to the specialist.
The Optragate Retractor reduces the risk of injury due to jaw muscle spasms caused by postural fatigue.
Hard retainers also cause micro-wounds in the oral cavity. Modern equipment eliminates the possibility of such damage.
Price Optragate
Dentists don’t have to worry about the cost of Optragate products - they are readily available in any pharmacy at a price of 100-200 rubles per piece. In addition, most clinics already include the use of a mouth opener in their cost of their services. There are also packages of 80 pieces, the price of which varies between 7000-7500 rubles. Therefore, the Optragate mouth opener is very suitable for beginner private dental clinics that do not want to spend money on expensive devices.
General characteristics and functionality
Optragate is an auxiliary tool whose purpose is to make the dentist’s work easier. With its help, the accessible area of the oral cavity increases without causing a negative reaction in patients. Unlike rigid frame fixation systems that can lead to microtrauma, optragate effectively isolates soft tissues and protects them from possible mechanical impact. There is also a positive impact of the use of the device on the statistics of spasmodic injuries of the jaw muscles that occur due to prolonged stay in an uncomfortable static position.
The popularity of the optragate is determined by the convenience and efficiency of its use. Installation of the expander is carried out in several movements, and allows access to all elements of the dentition, including hard-to-reach molars. The soft and flexible system easily adapts to the anatomical features of the patient's oral cavity without causing inconvenience or discomfort.
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The device does not contain any allergenic or toxic substances. The installed design does not provoke the mucous membrane to negative reactions. Optragate is optimal when it is necessary to provide dental care to patients suffering from hypersensitivity of teeth and gums, as well as in cases where there are ulcers or minor tissue damage in the oral cavity.
Comparison of optragate with other fixing agents
Optragate in dentistry
At the first comparison, it becomes clear that Optragate products outperform leading dental companies in all respects. Its unsurpassed characteristics and excellent qualities undoubtedly place Optragate on a well-deserved pedestal of a leader in this field.
Other representatives of fixation devices differ from Optragate at least in that they are strictly designed to fix the patient’s mouth in an open position and do not carry any additional functions, which cannot be said about the Optragate retractor. Another distinctive feature is that most retainers are made of hard materials that can have a detrimental effect on the oral cavity. Often this material is latex. Optragate, in turn, is made of polypropylene and is absolutely harmless. Application of Optragate is a simple manipulation that can be performed by the patient independently.
When should you use OptraGate at the dentist?
OptraGate has a wide range of applications, both in ordinary treatment cases and in complex situations:
- In the manufacture of restorations of any type;
- For restorations of anterior teeth, which are highly aesthetic;
- When installing class V seals;
- For cosmetic treatment;
- For clinical teeth whitening;
- During professional teeth cleaning;
- In the treatment of periodontal diseases;
- In cases of receiving impressions.
Using OptraGate Photo
Installation Rules
The optragate is easy to install, the device does not require any skill and does not cause any difficulties during operation. Installation can be done even with one hand.
However, before using the device, you need to determine some factors.
First, you need to select the desired size retainer. This information, as well as other necessary information, is indicated directly on the packaging.
It is also useful to know that the retractor is fixed even easier if you rinse it with water in advance. When installing, the device is first put on the inside of the mouth, and then attached to the outer surface.
In this case, the outer ring with the wings must be left outside. After completing the work, the device can be easily removed by pulling the ring.
Optragate in dentistry – easy for the specialist and comfortable for the patient
To facilitate the work of the dentist and to create comfort for the patient during dental treatment, developers are constantly creating innovative devices and devices.
One of the new developments is the Optragate retractor. What an auxiliary tool is and what functions it performs will be discussed in our article.
The content of the article:
Advantages and method of application
In comparison with other retractor models, we can highlight a number of clear advantages that Optragate has:
- safety of use - the retractor provides free access to the working area, while maintaining the usual state of the jaw muscles and soft tissues;
- preventing saliva from entering the working area, which eliminates the possibility of infection of the open cavity of the tooth or pulp;
- convenience for the patient - when performing a surgical intervention of increased complexity, the duration of the operation can exceed several hours. The three-dimensional flexible design relieves a significant part of the load and facilitates the transfer of the operation;
- versatility of use – the absence of allergenic and toxic components allows the retractor to be used by almost any patient;
- ease of installation and removal – design features eliminate the need to use force when installing and removing the retractor;
- wide functionality of application - the expander can be used in most operations that require free access to the entire oral cavity;
- the presence in the manufacturer’s line of several sizes, as well as models for children;
- favorable price - since the retractor is a disposable instrument, its price is included in the cost of medical services.
The Optragate retractor is used in various situations - both for routine sanitation of the oral cavity and during surgical operations. In general, the expander is recommended for use in the following circumstances:
- installation of fillings as part of endodontic root canal treatment;
- carrying out cosmetic therapeutic procedures, including whitening;
- technical cleaning of enamel from plaque and tartar;
- carrying out restoration on the frontal areas of the dentition;
- removal or treatment of hard-to-reach molars and wisdom teeth;
- prevention and therapy of periodontal diseases.
This is interesting: 3D image of a tooth or computed tomography of the jaw
The expander installation procedure does not require any special skills or experience. The retractor can be fixed even with one hand - the main thing is to correctly determine the size of the system. For a clearer fixation, it is recommended to rinse the structure with water before starting installation. To quickly and painlessly remove the structure, just pull the special ring.
What are rubber dam and optragate?
0:00 → To isolate the oral cavity, we use products such as Optragate and rubber dam.
Thanks to the use of such protective equipment, we can ensure the complete safety of our patients. Hello! In this video I will tell you about modern and comfortable means of isolating the oral cavity in the treatment of dental diseases. Please watch this video to the end and tell your friends about it. You can also download a leaflet with a visual application of Optragate and rubber dam in the treatment of dental diseases. You can also sign up for a consultation using this link. In our clinic, we use additional means such as Optragate and rubber dam to isolate the oral cavity. The Optragate is a soft retractor that is designed to increase the working field and isolate the patient's lips and cheeks. 0:56 → It is completely latex-free, so it can be used in patients suffering from allergic reactions to latex. I often hear from my patients that it happens that patients swallow small instruments in dental chairs. Unfortunately, this happens. To exclude such complications, in our clinic we use protection such as Optragate and rubber dam. Your safety is first and foremost important to us.
1:22 → Three-dimensional flexibility and elasticity The Optragate does not restrict the movement of the lower jaw, so the Optragate can remain in the mouth from the beginning to the end of treatment. A rubber dam is a latex plate that is designed to isolate one or more teeth in the treatment of oral diseases. The rubber dam protects the patient's soft tissues, lips, cheeks, prevents accidental entry of instruments into the oral cavity, respiratory tract, eliminates the possibility of chemical reagents entering the oral cavity, which can result in a burn to the mucous membrane, and also allows for ideal dryness of the working field. In our clinic, we pay great attention to the comfort and safety of our patients, so in our work we constantly use Optragate and rubber dam. Optragate is usually used in professional oral hygiene; in the treatment of caries and its complications, we use rubber dam treatment.
2:21 → Thanks to the use of such protective equipment, we can ensure complete safety for our patients when treating dental diseases. Many patients, while in the dental chair, are afraid that they will have to keep their mouth wide open for a very long time. With the help of Optragate and rubber dam, we solve this problem, and this does not cause any inconvenience and does not require any effort from patients.
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Other modifications
Small Regular Junior
Optragate Extra Soft Version : instructions for use
The OptraGate Small soft lip retractor is an innovative means of isolating the patient’s lips and cheeks during dental procedures. Unlike traditional rigid mouth retractors, OptraGate allows you to insert the retractor into the patient's oral cavity with one movement of your free hand and ideally isolate the mucous membranes of the lips and cheeks.
In addition, traumatic injuries associated with the possibility of biting, which are quite common when using a traditional rigid retractor, are excluded.
OptraGate can be used in a variety of procedures: direct and indirect restorations, highly esthetic anterior restorations, Class V fillings, cosmetic treatments, professional teeth cleanings, clinical teeth whitening, periodontal treatment, impressions, CEREC, etc.
OptraGate is a completely new aid for increasing the working area simply, effectively and comfortably. The lips and cheeks are completely retracted, thereby ensuring relative isolation of the working area from saliva.
OptraGate is comfortable even during prolonged application due to its three-dimensional flexibility. OptraGate provides dentists and assistants with simplified access to a noticeably larger work area. The device creates a gentle circular retraction of the lips and cheeks from the front to the back teeth without the use of any bulky instruments.
The lips are completely covered, thereby ensuring their protection. The three-dimensional flexibility and elasticity of OptraGate does not limit the movement of the lower jaw, therefore, it can remain in the oral cavity from the beginning to the end of treatment.
OptraGate is completely latex-free and can therefore be used in patients with latex allergy. The device is easily and quickly applied and removed by one person without assistance.
Properties of the Optragate mouth opener
The main difference between the Optragate mouth opener and the bulk of similar devices is its phenomenal ease of use. It is so simple that it can be worn not only by an inexperienced dentist, but also by the patient himself. Moreover, it can also be easily removed if necessary. It is recommended to blot it with water before use, which will make putting it on easier. We list other properties:
- The retractor can be selected for patients of all ages. There are also models designed specifically for children.
- Optragate easily fits any jaw structure due to its flexibility. The retractor literally adapts to the position of your lips and gums.
- When using Optragate, any inflammation and skin reactions are excluded. This is due to the fact that the Optragate retractor is made of environmentally friendly substances that are harmless to the body.
- For patients with increased sensitivity, special retractor models have been developed, characterized by particularly soft material.
It is worth mentioning and listing the types of retractors today. There are 3 varieties in total:
- OptraGate Regular is the standard retractor type for most jaws;
- OptraGate Small - for people with small jaws;
- OptraGate Junior is, accordingly, a children's retractor model.
In addition to the main types, there is a special type with a particularly soft surface called OptraGate ExtraSoft.
Indications for use
A retractor from a German manufacturer can be used in different situations - during routine sanitation and during complex surgical interventions.
List of main indications:
- filling deep carious cavities during endodontic treatment of root canals;
- cosmetic therapy - clinical teeth enamel whitening, restoration with composites;
- specialized teeth cleaning;
- restoration of the frontal zone;
- simple and complex removal of eights;
- treatment of periodontal diseases.
Application (Full instructions)
The elastic material OptraGate ExtraSoft is stretched between two rings. A thicker ring is worn when working with a patient intraorally in the area of the transitional fold, while a thinner ring with two wings is located outside the oral cavity. The elastic part stretched between the rings can hold the patient's lips and displaces the rings due to the force created in the rubber (see photo 1).
- 1. Select the appropriate OptraGate ExtraSoft size. The size (R - regular (medium), S - small (small) or J - Junior (children)) is indicated on the packaging, as well as on the OptraGate ExtraSoft wing on the left side. Tip: It is recommended to lightly moisten OptraGate ExtraSoft with water before use, which makes it easier to put the device on the patient.
- 2. Donning can be done in the 12 o'clock position with the patient in the supine position, or in the 8 o'clock position with the patient seated, or in the 4 o'clock position for left-handers.
- 3. To make insertion easier, the thicker intraoral ring is wrapped around the thinner extraoral ring, with the wings of the OptraGate ExtraSoft pointing downwards. The user should place the top and bottom edges of the inner ring between the thumb and middle finger and squeeze lightly (see photo 2).
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4. A slightly compressed intraoral ring is inserted from one side into the buccal corridor, so that the elastic parts are covered by the corner of the mouth, and the outer ring is outside the oral cavity (extraorally) (see Photo 3).
5. Once OptraGate ExtraSoft is fixed on one side, it should be positioned in the same way in the opposite corner of the mouth, slightly bending the ring (see photo 4).
6. The intraoral ring is then inserted behind the upper and lower lips, bringing the OptraGate ExtraSoft into its final stable position (see Photo 5). When the patient's mouth is relaxed, the intraoral ring slides easier and takes the required position.
If in some cases, when the mouth is completely closed, the intraoral ring begins to slip out of the lower lip area, most often it is enough to simply place the intraoral ring deeper. In any case, you can use a correspondingly different size.
This positioning of the OptraGate ExtraSoft improves visibility and access to the working area. By lateral movements of the lower jaw and wide opening of the patient's mouth, the working field can be further increased. To control occlusion, OptraGate ExtraSoft should not be removed.
7. To remove the OptraGate ExtraSoft, use a paper towel to grasp the extraoral ring from below and gently pull upward until the intraoral ring comes out of the lower transitional fold (photo 6). OptraGate ExtraSoft is then easily removed from the top transition fold and disposed of hygienically using a paper towel.
Application of OptraGate in the practice of a pediatric dentist
A modern children's dentist has many means to ensure that the treatment of a child's tooth is successful, and the little patient leaves the dentist's office not only with cured teeth, but also in a good mood, promising to come to the doctor again.
The less time the doctor takes for treatment, the greater the chance that the baby will endure the procedure without tears; You will agree that it is difficult for an adult to sit for a long time with his mouth open, let alone a small child.
Therefore, the use of pedodontic dental materials significantly reduces the time required for complete tooth treatment.
These include fast-hardening filling materials, self-etching adhesive systems, filling materials that release fluoride for a long time, and, of course, OptraGate.
