Key Points
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Oil contamination will occur when oil-lubricated air turbine handpieces are used.
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Decontamination of cut surfaces is essential to ensure proper bonding, especially for self-etching systems.
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Oil-free handpieces may be a preferable alternative from this point of view.
Abstract
Objective To demonstrate and quantify the discharge of lubricating oil from high-speed air turbine handpieces whilst running.
Materials and methods Dye-marked oil (Kavospray, KaVo) was used to lubricate four handpieces (Quiet-Air, Midwest) and the air discharged from around the lower bearing was directed at the moving chart paper on a recorder whilst running for 40 minutes. Secondly, seven new handpieces (Quiet-Air, 300SE, Midwest; Topair 796, Topair 795, W&H; VIP-Σ, Pana-air, NSK; Lares, Lares Research) were cleaned, weighed and then lubricated with unmarked oil (Kavospray, KaVo). Oil discharge was determined gravimetrically over runs of 240 minutes. Data were fitted to the logistic dose response function.
Result The dye-marked oil tests showed that oil was discharged for at least 40 minutes in the direction of the bur. The gravimetric tests showed that oil continued to be discharged up to at least 240 minutes, and that the usual practice of removing excess lubricant by running for 1-2 minutes was ineffective in preventing cut-surface contamination.
Significance Bonding procedures in dentistry may be jeopardised by oil contamination from handpiece lubricants. Decontamination with a detergent is suggested as a means of ensuring effective adhesive dentistry.
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Acknowledgements
The work on which this paper is based was done in part-fulfillment of the requirements for the degree of MDS in the Faculty of Dentistry, The University of Hong Kong by ASMP, and supported by CERG grants from The University of Hong Kong.
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Pong, A., Dyson, J. & Darvell, B. Discharge of lubricant from air turbine handpieces. Br Dent J 198, 637–640 (2005). https://doi.org/10.1038/sj.bdj.4812353
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DOI: https://doi.org/10.1038/sj.bdj.4812353
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