Handpieces:

 By Patrick Murphy (from: Dental Economics - December 1999)

Handpiece maintenance can be a major, if often unrecognized, cost in running a dental practice. The typical dental office, like that of Wayne Wong of La Mirada, Calif., does an average of 15 to 20 procedures a day using a high-speed handpiece.

"When you spend three to four minutes cleaning and lubing each handpiece, you're talking about almost 400 hours each year cleaning handpieces," said Wong, a fellow of the Academy of Dentistry International.

   "And, considering the cost of cleaners and lubes - which is about $35 USD a set - plus what my assistants make an hour, it really starts to add up.

Free Up Time For Patients

   "I would much rather spend my time focusing on patient care, than concentrating on whether or not I used enough oil on my handpiece. It just isn't time- or cost-effective for me or my assistants."

How It Used To Be

According to Desiree Gradilla, RDA, one of Wong's assistants, "Cleaning and lubricating handpieces is a time-consuming and messy process. First, I spray cleaner before I autoclave. After autoclaving, I use a lubricant and, even though I follow the manufacturer's instructions, it seems that I still don't get the best results. With these new maintenance-free products, I can spend my time assisting patients instead of doing handpiece maintenance."

Bearing Failure

Bearing failure always has been a potential problem with handpieces that operate at speeds of up to 400,000 rpm - the highest speeds found in any ball-bearing application, including jet engines. In comparison, a car engine typically turns over at less than 7,000 rpm, even if you put your foot to the floor.

Without properly lubricating the handpiece after each use, performance can degrade rapidly. The combination of high speeds, oil build-up, repeated sterilization, and contamination from harmful debris can degrade ball-bearing performance, causing a handpiece to vibrate, operate below designed speed, and ultimately fail.

The End of Lubing

A number of new developments in bearing technology have led to the development of maintenance-free handpieces that don't have to be lubricated after each use. Leading handpiece manufacturers and repair companies now are offering "maintenance-free" products that feature "lifetime" lubrication and promise substantial savings to dentists. Plus, they can greatly reduce or eliminate the lubricant expelled.

New Cage Lasts Longer

One of the keys to maintenance-free handpieces is the development of lifetime-lube turbine bearings that can be installed when a handpiece is serviced. The cages - the material that separates and holds the tiny ball bearings - in many of these bearings are made from a proprietary material that has been treated with special lubricants and additives. These additives nearly double the wear resistance of what has been, until now, the most commonly used cage material in dental bearings. This new material will maintain its self-lubricating properties even when the handpiece is repeatedly autoclaved with high-pressure steam at temperatures of up to 135 degrees Celsius.

Built-In Shield

At the same time, new bearing designs prevent contaminants from entering the bearing. One of the new designs includes a shield that is an integral part of the outer ring. This provides a far tighter tolerance than older designs, where the shield is held in place with a wire clip. The integral shield acts as a virtual seal, keeping contaminants away from frictional bearing surfaces.

No Pre-Cleaning

Self-lubricating bearings now are being used by manufacturers who are introducing handpiece models that do not require lubrication or cleaning before sterilization.

Upgrading vs Buying New

If the cost of buying a new handpiece is an issue, upgrading your current handpiece to be maintenance-free is a good option. Some handpiece-repair companies offer to replace your headpiece's worn-out turbine (or bearings) with maintenance-free components as part of the maintenance service performed.

Golden Minutes Add Up

Even before figuring in the cost of cleaners and lubricants, the time saved without having to lubricate and clean a handpiece before sterilizing could more than pay for the cost of this service. Dr. Thomas Kalniz, a 30-year practitioner, has another dentist and three full-time hygienists in his Toledo, Ohio, practice.

 

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 Winnipeg, Manitoba

 Canada

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Webpage last updated 05/21/2007 02:46:10 PM

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