SMALL EQUIPMENT BIG IMPACT
With careful selection and appropriate use, the small equipment you use day in and day out plays a huge part in improving patient care and reducing stress for the entire team
You may give little thought to the reliable tools and systems you use every day to cut teeth, see better, place composites, detect early caries, and practice more productively and efficiently. Every decision you make on a clinical product, technique, or piece of equipment has direct ramifications on things like patient satisfaction, efficiency, and overhead control.
There are probably very few times in your professional career that you’ll need to select and purchase bigticket essentials, such as delivery ensembles and x-ray generators. Just as critical to clinical practice and equally complex in many cases, however, items such as handpieces and curing lights require replacement and updating relatively frequently. So, in addition to properly maintaining what you own, you should be keeping track of upgrades, innovations, and changes in technology that manufacturers are continually implementing.
With that in mind, the DPS editors have curated a selection of the latest and greatest offerings in several categories of everyday operatory dependables. On the following pages, you’ll find popular state-of-the-art systems from a wide range of manufacturers and suppliers.
Despite electric handpieces making their U.S. debut around the 1950s, most dentists are still enjoying their trusty air-driven counterparts. Thankfully, there’s room for both in the operatory, as the low-speed/ high-torque combination of electric handpieces is ideal for cutting resin and finishing procedures, while high-speed air-driven tools can be key during initial prep to reduce soft-tissue damage.
NSK’s Ti-Max Z family of electric handpieces, including the Ti-Max Z95L, features titanium construction that combines durability, high performance, ergonomics, visibility, low noise level, and power. Optimal water-spray cooling is guaranteed through a unique microfilter that prevents particles from entering the water spray.
KaVo’s ELECTROmatic Premium offers a dual motor option for easy alternation between high- and low-speed functions. A SMARTdrive sensorless control allows for high torque at low-speed ranges, while preprogrammed file systems make it easy to plan and customize endodontic sequences.
SciCan’s SANAO line of precision handpieces are ideally balanced to reduce wrist strain and miniaturized for better maneuverability. They are equipped with glass-rod fiber optics that help illuminate the oral cavity.
Dentsply Sirona’s newest-generation Midwest Tradition Pro still features the same unique, raised grips for ultimate control and handling, but with a computer-balanced rotor design that offers up to 50% more power than its previous generation and with ceramic bearings that help reduce friction and noise to 62 dB.
The StarDental 430 Torque by DENTALEZ is designed for comfort and features a stylish satin finish. It offers 27 W of power for all procedures, along with a small head, ceramic bearing turbines, and high-quality fiber-optic glass that’s designed to withstand the rigors of steam sterilization.
Proprietary Dynamic Precision balancing is at work in the Legacy 5 high-speed handpiece from Lares, which offers whisper-quiet operation at 62.8 dBA. It features cutting power at 18 W, a 5-year warranty, and comes in standard and mini head sizes.
Medidenta’s Air-Free 90S is a high-speed surgical handpiece with a 90° angle that prevents awkward hand positions and wrist strain for the clinician. The handpiece does not allow air to vent out of its head, virtually eliminating patient discomfort and sensitivity.
Maxima Elite High-Speed Handpieces by Henry Schein have a trio of features that offer power, control, and durability. A patented Power-Boost System yields exceptional cutting power of 23 W, while Active Stop Technology eliminates spindown time and Advanced Bearing Technology reduces wear and extends the life of the handpiece.
SANDBLASTERS/AIR POLISHINGINTRAORAL CAMERAS
Studies have shown that air polishing has some time-saving advantages over traditional rubber cup polishing when it comes to removing stains and plaque. It’s estimated that the controlled jet of water, air, and fine powder cleans and polishes teeth 3x faster than traditional methods, and can sink deeper into periodontal pockets of up to 5 mm.
Hu-Friedy’s AIR-FLOW handy 3.0 PREMIUM is equipped with 2 handpieces to tackle biofilm both above and below the gingival margin. A PLUS handpiece removes biofilm and stain supragingivally and in shallow periodontal pockets, while a PERIO handpiece works best for periodontal pockets greater than 4 mm.
Featuring a short, ergonomic handle, the PROPHYflex 3 by KaVo is a portable air-cleaning system for the removal of stains and plaque, as well as cleaning of enamel surfaces prior to fissure sealing. It can be connected to a MULTIflex coupler for quick disconnect and optimal portability.
Ideal for cleaning and preparing teeth prior to placing orthodontic brackets and sealants, bleaching, or fluoride treatments, Keystone’s ProphyBrite air polishing unit offers quick and gentle cleaning with no installation. It works by delivering a fine sodium bicarbonate water slurry to remove plaque and stains, with minimal clogs and wrist fatigue during use.
Prophy- Jet features Tap-On Technology to reduce foot pedal use. Prophy mode auto cycles automatically alternate between air polishing and rinsing without the need to touch a foot pedal, while an automated purge function allows freedom to accomplish other tasks while the system flushes.
NSK’s Prophy-Mate neo has a 60° nozzle for cleaning molar and occluding areas and an 80° nozzle for anterior teeth. It’s designed for a one-touch attachment to NSK couplings and other major coupling brands. A lightweight, compact powder holder makes it easy to hold.
The MicroEtcher IIA intraoral sandblaster from Zest Dental Solutions offers precise surface micro-roughening of metals, composites, and amalgam that improves bond strength by up to 400%. It features stainless steel construction, a replaceable carbide tip, and a permanently affixed jar lid with a spill-resistant abrasive filter.
Does anyone still really need to be convinced about the value of intraoral cameras? The benefits for magnification, visualization, diagnosis, patient education, documentation, and more have been proved over the decades. What may not be as obvious are the advances offered in today’s cameras in terms of image quality, versatility, adjunct applications, ergonomics, and perhaps not least importantly—price. If you’re using a camera that’s more than a few years old, you may want to investigate what’s on the market right now…here are several exemplary systems.
Offering a 105° view for maximum visualization of distal areas, ACTEON’S SOPRO 617 features a rounded shape and a thin distal portion for patient comfort. Its aspheric lens prevents distortion and enhances image quality without adjustment.
CamX Elara from Air Techniques incorporates proprietary capture-upon-release technology to consistently deliver sharp, steady images. Capture buttons at both the top and bottom of the camera simplify use.
Available in wired and wireless versions, Carestream Dental’s CS 1500 provides true autofocus and an intuitive lighting system to eliminate the need for manual adjustment and facilitate sharing. A wide focus range allows capture of intra- and extraoral images.
Gendex’s GXC-300 offers high-speed direct USB connection, eliminating the need for a docking station. Its true optics prevent image distortion and a side capture button allows quad-image capture. Activation is automatic via the storage holster and the always active software interface.
Incorporating 15 LEDs to simulate natural sunlight, Dentazon’s HAWK HD provides high-definition images with 1280 x 720 resolution and easy selection of manual or auto focus. It features a slim, lightweight design and a variablefocus liquid lens that eliminates the risk of distortion.
CARIES DETECTION SYSTEMS
It’s probably not exaggerating to say that detecting decay at its earliest stages is the holy grail of dental diagnostics. From the naked eye to the explorer stick to radiography, techniques have continuously evolved to become less invasive as well as more accurate and sensitive. The goal is to minimize the need for radiographs while enhancing treatment planning and conserving healthy tooth structure. While each has been shown to be an effective method of locating caries, the following 5 systems employ different technologies to get the job done.
Using auto fluorescence technology, ACTEON’s SOPROLIFE differentiates healthy from infected tissue to identify occlusal and/or proximal carious lesions. It also offers a Daylight mode to enable the capture of high-quality images for documentation and patient education.
In conjunction with Carestream’s RVG intraoral sensors, Logicon computer-aided radiographic cariesdetection software helps locate and classify potential proximal caries with a few clicks. Information about tooth-density changes and lesion probability can be retrieved in graphical format.
CariVu from DEXIS uses transillumination technology that makes enamel appear transparent while porous lesions trap and absorb light. Non-ionizing radiation enables the clinician to see through the tooth, exposing its structure and the actual shape of any carious lesions in the mouth.
KaVo’s compact DIAGNOdent Pen is particularly suitable for identifying decay in pit and fissure areas, even when outer tooth surfaces are intact. It disperses incident laser light into the site, causing carious structure to fluoresce in proportion to the degree of caries; the result is an elevated scale reading on the display.
Similar to intraoral cameras, the advantages of using loupes and headlights are universally acknowledged. Originally the purview of specialists, particularly endodontists who work in micro scale, telescopic loupes are considered an integral part of the everyday armamentarium among most general dentists as well as dental hygienists. Currently available technology is lighter and more comfortable than ever. Truly, there is no downside to chairside magnification.
Orascoptic’s OmniOptic interchangeable magnification loupe accommodates 4 powers (2.5x, 3.5x, 4.5x, and 5.5x) to enable users to increase magnification over the course of their career without ordering a new unit. It incorporates a magnetic anchor built into the carrier lens of the frame.
Slim Sport Loupes from Seiler are designed for practices requiring affordable low-power magnification. They come in 3 magnifications (2.5x, 3.0x, and 3.5x), 3 working distances (340 mm, 420 mm, and 500 mm), and in 2 colors (black and silver).
SurgiTel’s Micro Line lightweight, fullfeature loupes are available in throughthe- lens or front-lens-mounted options. Six magnifications are offered, from 2.5x to 4.5x, on a wide range of sturdy frame styles, including Oakley sport frames.
Available with sport or titanium frames, EyeMag Smart loupes from Zeiss offer 2.5x magnification along with optimal depth of field for clear visualization of anatomical structures in deep-lying channels. A soft nose bridge and adjustable headband enable a comfortable fit.
Several multitasking devices are currently available to simplify and streamline your operative procedures. Freeing up auxiliaries for other duties, these helpers combine some or all of these chairside tasks—retraction, suction, mouth prop, isolation, illumination—into a single hands-free unit. Check them out.
Featuring a brighter white light and a noncuring amber light, the Isolite 3 from Zyris incorporates a robust head design and a "smart" adapter for use with the existing HVE line. Also available is the Isodry, for isolation and moisture control without illumination.
Mr. Thirsty One-Step connects directly to the existing HVE line for hands-free retraction, isolation, and evacuation. The single-use device is trimmable for a custom fit and has a built-in bite block for patient comfort.
Fully autoclavable, DryShield is made of soft, flexible silicone that contours to the patient’s mouth. Each mouthpiece size features a matching interchangeable bite block providing patient comfort and accommodating most anatomy.
Sliding easily onto the vented end of the HVE tip, Kulzer’s LinguaGuard is a disposable add-on that provides retraction and tongue protection during suction. Made of a soft, BPAand latex-free polymer, it has a wrap design for a secure fit and a curved design for retraction without tissue impingement.
LED CURING LIGHTS
As LED curing lights gain popularity in the operatory for their ability to cure restorations, activate whitening procedures, and transilluminate the mouth, beware of bargain lights being sold online for next to nothing. A quality dental light should offer wavelengths compatible with most resin materials and be designed with ergonomics and safety in mind for both patient and clinician.
VALO Cordless offers the same reliable power using 2 rechargeable lithium-ion phosphate batteries.
VOCO’s Celalux 3 is a compact but powerful option at just 2.5 oz. Its handpiece, battery, and light guide work together to emit 1,300 mW/cm2 light intensity and cure in a wavelength range of 450 nm to 480 nm.
GC America’s The Light offers intensities in High, Low, Soft Start, and Pulse modes and emits constant light power regardless of its charge level. A long-lasting lithium-ion battery can be fully charged in 180 minutes and will last for 500 10-second cycles on High. The Light 405 has a dual wavelength processor and operates from 405 nm to 490 nm.
SmartLite Focus uses a collimated light beam to reduce light divergence for a strong cure over larger distances. A homogeneous beam profile delivers uniform performance within the curing area.
ACTEON’s MiniLED BLACK is driven by 3 AA batteries to offer a power output of 1,250 mW/cm2 and a 10-second fast-cure mode. Its lightweight, ergonomic pen-style design has a 360° rotating light guide.
An Extended Turbo Light Guide on Kerr Restoratives’ Demi Plus offers 28% additional reach during posterior procedures. Interchangeable light guides, multiple curing options, and periodic level shifting lead to more consistent cures.
Kulzer’s cordless, pen-style Translux Wave offers one-button operation to easily choose between 10- and 20-second cures in the 440 nm to 480 nm wavelength range, Mr. Thirsty One-Step SmartLite Focus VALO Cordless while a shorter, 70°-angled light guide allows for better access to molars.
Designed for curing, whitening, or transilluminating, SDI’s Radii Plus operates at a high intensity of 1,500 mW/cm2 and offers a 6-mm depth of cure, with contra- or right-angle and ortho attachments available. Heat sink technology reduces the amount of heat emission without using a fan, while a lightweight design maximizes user comfort.
Tags: VALO Cordless, CamX Elara Intraoral Camera, DIAGNOdent Pen, Sapphire Plus Plasma Arch Curing Light, Sopro 617 Intraoral Digital Camera, Prophy-Jet, SmartLite Focus, Midwest Tradition® and Tradition® Pro, Mr. Thirsty One-Step, Curing Lights, Caries Detection (Digital Equipment), Air Polishing and Air Abrasion, Intraoral Cameras, LED, Air-Water and Evacuation Products, Dentsply Sirona, Air-Driven Handpieces, Retraction Materials, Isolation Systems, Air Techniques, Ultradent Products, Inc., Zirc Dental Products, Loupes, Acteon, Denmat Holdings, LLC, Diagnostics, Kavo Kerr, OmniOptic, CariVu, DIAGNOdent Classic, Hawk HD : HD Intraoral Camera without XVLite, Hawk HD : HD Intraoral Camera with XVLite, Dentazon Corp., DEXIS, LLC, Orascoptic