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air-driven hand piece
compressed air is directed onto a small turbine inside the head of the hand piece. speed depends on airflow and air pressure
electric hand piece
an electric micromotor generate mechanical rotation. the motor drives a system of gears inside the contra-angle.
air-driven pros
lower cost
lighter in weight
head size is smaller
electric pros
quieter
high torque - consistent and powerful cut
control of RPM
slow speed
less than 20,000 rpm
medium speed
20,000-100,000 rpm
high speed
over 100,000 rpm
air driven high speed turbine picture

what type of burs fit into the air-driven turbine high speed
friction grip
air driven slow speed picture

1:1 contra-angle friction grip or latch
used for finishing, endo, or caries removal

straight nose cone
extra-oral use and prophy angle

torque multiplier

electric hand piece picture

1:5 friction grip speed-increasing contra angle
red
electric high speed

1:1 latch contra-angle
blue
electric slow speed
finishing, polishing, endo

Straight nose cone electric
extra-oral use and prophy angle

friction grip
smaller hole

latch
bigger hole

straight shank

Round burs
1/4
2
4
6
8

fissure burs
256
557

pear burs
329
330
245

oval/football bur
7404
7406

tapered finishing bur
tapered edge with more blades
169L
7801
7901
48L

football finishing bur
7404
7406

types of cutting for burs
blade (carbide)
abrasive (diamond)
blade bur

diamond bur
sparkles!!!

cutting instruments
used for caries removal and finishing of preparation
excavators, chisels, hatches, marginal trimmers
non-cutting instruments
for placing materials and finishing restorations
condensors, burnishers, carvers, composite instruments, spatulas
handle of instrument

shank of instrument

blade of instrument

first number (three number system)
width of blade - 1/10 mm

second number (three number system)
length of blade - mm

third number (three number system)
blade angle - degrees centigrade

first number (four number system)
width of blade - 1/10 mm

second number (four number system)
angle of cutting edge to the long axis of the angle

greater than 90 degrees
distal
less than 90 degrees
mesial
third number (four number system)
length of blade - mm

fourth number (four number system)
blade angle - degrees centigrade

mirror #4
used in less dominate hand to view indirectly into the mouth

pigtail explorer
feel surface of the tooth

UNC periodontal probe/Sheperds hook explorer

UNC periodontal probe
probe and measuring

sheperds hook explorer
feel texture

cotton pliers
grabbing things

spoon excavators (small and large)
remove decay and caries

condensers (small and large)

cleoid/discoid carver
Double-ended instrument used for excavating or carving

hollemback carver
carving

walls carver
carving

Wiland Interproximal Carver
remove excess material

football/ball burnisher

acorn/ball burnisher

hatchet
cut tooth
finish edges of prep

marginal trimmers (mesial and distal)

composite instrument
packing material

amalgam carrier

cement spatula

miller articulating paper holder

scalpel

tofflemyer

calcium hydroxide placement instrument

hemostat

scissors
