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As the speed of a handpiece increases, its torque subsequently decreases (slow-speed handpieces have high torque, whereas high-speed handpieces, like the air turbine system, have a low torque) The free running speed of 1:5 gear ratio electric handpiece is the same as its cutting speed; thus, 40,000 motor speed x 5 = 200,000 rpm burr speed.
Currently, the most commonly used tool for tooth polishing is prophy angle. It integrates a rubber cup into a high torque gear, which can be plugged into a low speed handpiece and drive rubber cup to polish teeth.
For instance, a latch type, or right angle bur, is only used in the slow-speed handpiece with contra-angle attachment. A long shank or shaft is only used in slow speed when the contra-angle is not in use, and finally, a friction grip bur, which is a small bur, is used only in the high-speed handpiece.
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Air abrasion is a dental technique that uses compressed air to propel a thin stream of abrasive particles—often aluminum oxide or silica—through a specialized hand-piece to remove tooth tissue and decay before being suctioned away, similar to sand blasting.
Prophylaxis: dental prophylaxis includes the removal of extrinsic staining using a slow-speed rotary handpiece and a rubber cup with abrasive paste, mostly containing fluoride. [21] The abrasive nature of the prophy paste, as it is known, acts to remove extrinsic staining using the action of the slow-speed handpiece and the paste against the tooth.
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