Scissors are easy to overlook, but they are used in almost every surgical procedure — to trim tissue, cut sutures and shape flaps. Using tissue scissors to cut sutures blunts them quickly, so most clinics keep at least two types.
Tissue scissors
Goldman-Fox scissors
Goldman-Fox scissors have short, curved blades, one of which is serrated to hold tissue while cutting. Also, they are a standard choice for trimming gingival tissue and tags in periodontal surgery.
La Grange scissors
La Grange scissors have an S-shaped curve that reaches interproximal areas and trims tissue around teeth.
Iris scissors
Iris scissors are small and fine with sharp points. In addition, they are used for delicate tissue work and are available straight or curved.
Metzenbaum scissors
Metzenbaum scissors have longer handles relative to blade length and blunt tips, making them useful for dissection in larger surgical sites.
Suture scissors
Suture scissors are designed to cut suture material. Some, such as the Spencer stitch scissors, have a small hook on one blade that slides under a suture loop to lift it for removal.
Choosing the right scissors
- Curved blades follow the arch and improve visibility.
- Serrated blades stop tissue sliding away during cutting.
- Tungsten carbide inserts keep their edge longer and are often marked with gold handles.
- Length should allow comfortable reach without losing control.
Keeping scissors sharp
Test scissors by cutting through a piece of latex or a wet gauze. Additionally, they should cut cleanly along the full length of the blade. Never use tissue scissors on wire or sutures, and have them resharpened by a specialist when they start to chew.
Care
Open scissors fully during cleaning and sterilisation, and lubricate the joint. Also, store them closed with tips protected to avoid damage.
Scissors are included in Aurix suturing and periodontal kits, and can be added to any custom kit.
