Monday, October 06, 2008

AIR ABRASION - MINIMALLY INVASIVE TECHNIQUE

AIR ABRASION

Air abrasion is introduced by Dr.Robert.B.Black.

It is a parallel stream of focused narrow beam of 27 micron size of aluminium oxide.

The particle move according to law of physics .

When directed towards tooth surface it abrade with out heat, vibration,and noise.

Air abrasion conserve the tooth structure and maintains the structural integrity of the tooth.

It requires moderate learning curve and one should feel confident in using it.

There is no tactile sensation because the Air abrasion hand piece doesnt touch the tooth,and the cutting article exit at the it.

It is a end cutting device incontrast to rotary it cuts laterally.

MODES OF USES
Air abrasion handpiece can used in Two modes

Focused and unfocused mode.

Focused mode - 1-2 mm away from the tooth structure,it cuts enamel and dentine.

Defocused mode - farther away,it cleans the surface,explores the caries.

LAW OS PHYSICS

ENERGY(E) = 1/2 MASS x VELOCITY

Kinetic energy can be increased by increasing mass and velocity.

kinetic energy decreases with increase in tip distance.

INDICATIONS

Children, unaccustomed to traditional rotary-instrument tooth cutting, can be introduced to Air abrasion dentistry without psychological trauma.

Patients who cannot have local anesthesia because of various health reasons can be treated using air-abrasion techniques.

Patients who are afraid of traditional dentistry techniques and the noise of airotor handpieces can be treated.

CONTRAINDICATIONS

Asthma

Dust allergy

Periodontal disease

Recent extraction sites

Sunday, October 05, 2008

CVD DIAMOND BURS 3

ADVANTAGE
Better Cooling: Cooling water flows over the entire CVD tip rod and reaches the extremity without interference with its trajectory

Less Noise: Noise occurs only when the CVDpoint comes into contact with tooth Structure

Greater Durability: As a result of the new manufacturing technology, the resistance of the CVD diamond to displacement is greater than traditional diamond tips

Better Access and Visibility: CVD tip rods are long which allows the complete working area to be seen. They are also angled to provide better access to inaccessible areas

Effective Cavity Cleaning:

  • Ultrasound produces a phenomenon called ultrasonic cavitation.
  • Ultrasonic action forms air bubbles in a liquid medium.
  • Many of these bubbles rise to the surface while others grow and implode, releasing a large amount of energy.
  • This energy liberated on implosion causes intense movement of particles and cleaning of surfaces. This is the phenomenon which facilitates the cleaning of the surface of CVDdiamond instruments within the ultrasonic environment.

Preservation of tooth structure

Minimal damage to gingival tissue

Improved proximal access

Reduced risk of metal contamination

DISADVANTAGE

The cost of the CVD equipment must be considered for it is approximately 30 times more expensive than a conventional tip.

PROCEDURE