Which grip is used to perform sulcular incisions?

• A. Pen grip
• B. Palm grip
• C. Fist grip
• D. Pinch grip

Answer: (A)

Performing a sulcular incision requires precise control of the scalpel tip along a delicate gingival margin, with each tiny movement carefully controlled to avoid tissue trauma. The pen grip lets you manage the blade with fine finger and wrist movements, holding the instrument between the thumb and index finger while the middle finger guides and the ring finger rests as a stable fulcrum. This arrangement provides precise angulation, steady tactile feedback, and minimal fatigue, all essential for a clean, accurate sulcular incision. A palm grip involves larger, less controlled hand movements, which can lead to less precision. A fist grip emphasizes power over finesse, not ideal for delicate tissue work. A pinch grip is more suited to grasping or stabilizing than to fine scalpel control. So the pen grip is the best fit for this delicate incisional task.