rotary instrumentation

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    ROTARY INSTRUMENTATION

    1728 Hand rotated instruments 300 rpm

    1871 Foot Engine 700

    1874 Electric engine 1000

    1914 Dental unit 5000

    1942 Diamond Cutting instruments 5000

    1947 Tungsten carbide 10000

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    ROTARY INSTRUMENTATION

    1953 Ball bearing hand piece 25000

    1955 Water turbine H P 50000

    1955 Belt driven angle HP 150000

    1957 Air Turbine Angle H P 250000

    1961 Air turbine St H P 250000

    1962 Air bearing H P 800000

    1994 Contemporary air turbine HP 300000

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    OTHER IMPROVEMENTS

    Smaller head size

    More torque control

    Low noise level

    Better chucking mechanism

    Better cooling system

    Most modern H P have fiber optic light at the cutting tip

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    LASER

    OTHER DEVELOPMENTS

    A crystal or gas is excited to emit light photons of

    characteristic wavelength that are amplified and filtered

    to make a coherent light beam.

    Power of the beam and the extend to which the beam is

    absorbed determines the effect

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    LASER TYPES

    A Infra red CO 2

    Ho : YAG Long wave length

    Nd : YAG

    B Visible Range He & Ne Visible wave length

    C Ultra violet Xe F , Xe Cl, Kr F, Ar F Short

    Special U V wave length Excimers

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    OTHER CUTTING DEVICES

    Air abrasion 1950 Arthur Black

    Contemporary Air Abrasion techniques rely ontransfer of kinetic energy from a steam of powderparticles on the surface of the tooth structure tofracture the surface layer resulting in roughness .

    Energy depends on the powder particles, pressureangulation, surface composition and clearance angle .

    [ 60 To 90 with 3 . 5 mm distance ]

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    ROTARY INSTRUMENTS

    CHARACTERISTICS

    SPEED

    Rpm and also surface feet area of contact per unit time of the cutting tool with the work

    ultra low 300 to 3000

    low speed 3000 to 6000 medium high 20000 to 45000 high speed 45000 to 100000 ultra high 100000 and above

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    PRESSURE

    Resultant of force and the surface area of thecutting tool in contact with the tooth .

    P = F / A

    When pressure is constant more force required to cutSmaller area & vice versa.

    Force constant small tools require more pressureAnd vice versa

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    HEAT PRODUCTION

    Directly proportional to

    a. Pressure

    b. RPM

    c. Area of the tooth in contact with the tool

    Increase in any one of these increases heat .

    Max tolerable temperature 113 o F

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    VIBRATION

    Product of the equipment used and the speed

    Causes fatigue for operator , wear ofInstrument, and annoyance for patient .

    Amplitude & modulating frequency areresponsible for vibration

    Low speed amplitude is large than frequencyHigh speed frequency larger.

    Amplitude is more harmful

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    VIBRATION CNTD

    Vibration waves are measured in cycles

    6000RPM vibrational wave 100 cycles / sec

    Most annoying to patient & operator

    100,000 RPM 1600 cycles

    Vibrations above 1300 is not perceptible .

    Vibrations are in different directions

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    FORCE REQUIRED

    Low speed 2 to 5 lbs

    High speed 1 lb

    Ultra high speed 1 to 4 ounces force

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    ANNOYANCE FACTOR

    Subjective reaction of the patient to

    tooth preparation

    pressure , vibration

    noise recorded through the bone

    heat , the smell generated and

    finally the time taken

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    OTHER FACTORS

    Patient reaction

    Operator fatigue

    Source of power

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    FACTORS RELATED

    Vibration & Noise

    Coarseness of the bur,speed & size

    Small tool & high speed reduce vibration

    Heat & Smell

    Depends on the adequacy of lubrication

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    INSTRUMENTS DESIGN

    Discussed under 2 headings

    1 Hand piece

    Which holds the cutting tool

    2 Cutting tool

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    HAND PIECES

    Holds cutting tool in 3 ways

    LATCH TYPE

    FRICTION GRIP

    SCREW TYPE

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    EVALUATION OF HANDPIECE

    FRICTION

    Moving parts have friction producing heatReduced by ball bearings needle bearings orResin bearings

    TORQUE

    On the rotating tool without reduction in Ability of the H P to resist lateral pressure

    speed or cutting efficiency .

    VIBRATION

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    CUTTING TOOLS

    Effect cutting in 2 ways

    CUTTING Burs

    ABRADING Stones & Diamond

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    BUR

    BUR is a minute milling unit with

    cutting edges or flutes

    Available in assorted sizes & shapes

    ISO has assigned a classification for

    bur which is globally accepted

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    I S O IDENTIFICATION SYSTEM

    a. Material of working part 806

    b. Type of shank 031

    c.Length of bur 019

    d.Shape of bur head 168

    e.Color code in case of diamond 534

    f.Bur head diameter 014

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    a

    .

    a. Steel TC Diomond - 804 b. Latch, friction - 031

    c. Length - 019d. Shape - 168e. Colour code - 534f. Bur head diameter - 014

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    Cut from a steel blank with

    rotary cutter.Tempered to a VHN of 800

    T C burs are made by powder metallurgyIt is partial alloyingTC powder is mixed with powdered CobaltUnder pressure in vacuum resulting inPartial alloying or sintering

    A blank is formed which is cut to shape

    V H N 1650 to 1700

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    DESIGN FEATURES OF BUR

    Bur toothFace on the leading edge

    Back on the trailing edge

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    RAKE ANGLE

    Angle formed by the face of the bur with the radial line

    Positive

    Negative

    Radial rake or Zero rake

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    LAND

    The flat surface or plane immediately following the cutting edge

    CLEARANCE ANGLE

    Angle between the back and the work

    Primary clearance angle the angle the land will make with the work Secondary clearance angle between the back and the work

    When the back of the flute is curved the clearance angle is calledRadial ClearanceBLADE ANGLE angle between face & back

    FLUTE SPACE space between back and face

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    CUTTING EFFICIENCY OF BUR

    RAKE ANGLE+ ve efficient cutting than - ve

    Cut chips are larger in + ve smaller in - ve

    Steel bur it is disadvantage . Reduce bulk of flute .So bends or fractures .

    So + ve is better suited for T C burs

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    CLEARANCE ANGLE

    If clearance angle is less back rubs with the work

    Resulting in frictional force and dulling of flutes

    Large clearance reduces chance of dulling

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    NUMBER OF FLUTES

    Standard 6 or 8

    Reduced flutes chip size removed is greater

    Chances of clogging less, wear more

    Fissure burs with straight flutes less heatthan spirals due to larger chip removal

    Fewer flutes vibration more . Reduced byEnsuring 2 or more flutes in contact at a time

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    RUN OUT

    Eccentricity or maximum displacement of the bur head

    from its axis of rotation while the bur turns

    Average accepted value is 0 .023 mm

    Run out depends on the bur & the hand piece

    When run out exceeds the average value cutting is

    ineffective and operator exerts more force resulting in

    vibration and heat generation

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    OTHER FEATURES

    a. Heat treatment

    b. Design of flutes Star & Revelationbetter in direct cutting

    c. Bur diameterforces on the bur tooth depends on

    the number of flutes and the rotational positionand not on the diameter of the bur

    d. Loadlow speed 1000 gm or 2 lbs

    high d 60 t 120 g 2 t 4