Dental Rotary Instruments and Burs

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Questions and Answers

What is the maximum allowed peripheral displacement from the central axis of a bur, known as eccentricity or run-out?

  • 0.05mm
  • 0.1mm
  • 0.025mm (correct)
  • 0.01mm

What is the purpose of crosscuts on fissure burs?

  • To increase cutting effectiveness at high speeds
  • To obtain adequate cutting effectiveness at low speeds (correct)
  • To reduce heat generation during cutting
  • To improve bur longevity

Which of the following bur materials is prone to rust?

  • Ceramic
  • Steel (correct)
  • Titanium
  • Carbide

What is the term for the direct measurement of symmetry of the bur head?

<p>Concentricity (D)</p> Signup and view all the answers

What is the primary advantage of a negative rake angle on a bur?

<p>Increased tool life (D)</p> Signup and view all the answers

Which of the following bur design features is used for finishing and producing a smoother surface?

<p>More blades (B)</p> Signup and view all the answers

What is the result of excessive eccentricity or run-out in a bur?

<p>Loss of efficiency and heat generation (B)</p> Signup and view all the answers

What is the term for the rate of tooth structure removal during cutting?

<p>Cutting effectiveness (D)</p> Signup and view all the answers

Which of the following is a disadvantage of carbide burs?

<p>Brittleness (B)</p> Signup and view all the answers

What is the purpose of a latch-type shank design in burs?

<p>To provide a secure grip in the handpiece (B)</p> Signup and view all the answers

What is the primary advantage of high speed hand pieces in operative dentistry?

<p>Reduced operating time (D)</p> Signup and view all the answers

Which of the following types of rotary tools is most effective for extra-coronal tooth preparations?

<p>Diamond point (A)</p> Signup and view all the answers

What is the primary mechanism of cutting for dental abrasive tools?

<p>Abrasation (A)</p> Signup and view all the answers

What is the primary advantage of carbide burs over diamond points?

<p>Better for end cutting (C)</p> Signup and view all the answers

What determines the surface finish of a tooth preparation?

<p>All of the above (D)</p> Signup and view all the answers

What is the primary purpose of the shank design in a dental bur?

<p>To lock into the hand piece (A)</p> Signup and view all the answers

Which material is commonly used for dental burs?

<p>Tungsten carbide (B)</p> Signup and view all the answers

What determines the cutting effectiveness of a dental bur?

<p>All of the above (D)</p> Signup and view all the answers

What is the primary advantage of using diamond points for beveling enamel margins?

<p>Improved surface finish (D)</p> Signup and view all the answers

What is the primary purpose of the cross-cut design in a dental bur?

<p>To increase cutting efficiency (B)</p> Signup and view all the answers

Flashcards

Rotary Instrument Shank

Part of a rotary instrument that fits into a handpiece, transferring rotary motion for cutting.

Plain Blades (Gross Cutting)

Burs with 6-8 blades designed for efficient, gross material removal, but leave a rougher surface.

Plain Blades (Finishing)

Burs with over 12 blades designed for creating smoother surfaces during finishing procedures.

Rake Angle

The angle of the rake face relative to the radius, usually negative to minimize fractures and increase tool life.

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Crosscut Burs

Burs with crosscuts designed for use at low speeds; avoid using them at high speeds to prevent rough surfaces.

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Latch-Type Shank

Connects to the handpiece via a notched end.

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Friction-Grip Shank

Held in place by the friction of the chuck in the handpiece.

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Steel Burs

A bur material that is prone to rust.

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Carbide Burs

A bur material known for being brittle.

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Eccentricity (Run-out)

Maximum allowed displacement of the bur's periphery from its central axis, 0.025mm.

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Cutting Effectiveness

Rate of tooth structure removal.

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Cutting Efficiency

Percentage of energy producing cutting.

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Source of Power

Electric or air.

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Handpiece

Can be either low-speed or high-speed.

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Cutting Tool

Including dental burs and abrasive stones.

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Low-Speed Handpiece

Handpieces with speeds less than 200,000 RPM.

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High-Speed Handpiece

Handpieces with speeds around 400,000 RPM.

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Dental Cutting Tools (Burs)

Cut via chipping action.

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Dental Abrasive Tools (Stones)

Cut via abrasion.

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Carbide Bur Uses

Bur especially good for end cutting, producing lower heat, and used for punch cuts and amalgam removal.

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Study Notes

Rotary Instruments for Tooth Preparation

  • Rotary instrument shank fits into a hand piece and accepts rotary motion, unlike shank in hand-cutting instruments.
  • Shank connects power to cutting end, while grasp is done on the shaft.

Bur Design

  • Plain blades: gross cutting (6-8 blades) for less smooth surface, and finishing (above 12 blades) for smoother surface.
  • Rake angle: negative rake angle (rake face ahead of radius) minimizes fractures of cutting edge, increasing tool life.

Types of Burs

  • Crosscuts: needed for fissure burs at low speeds, but not at high speeds to avoid rough surfaces.
  • Shank design:
    • Latch type
    • Friction grip

Material

  • Steel: main disadvantage is rust
  • Carbide: main disadvantage is brittleness (breaks)

Eccentricity or Run-out

  • Maximum displacement periphery from central axis is 0.025mm
  • Causes: loss of efficiency, heat generation, discomfort to the patient, and cracks in enamel
  • Related to precision of handpiece

Cutting Effectiveness and Efficiency

  • Cutting effectiveness: rate of tooth structure removal (mm/min or mg/s)
  • Cutting efficiency: percentage of energy actually producing cutting

Rotary System Components

  • Source of power:
    • Electric driven
    • Air driven
  • Hand piece:
    • Low speed
    • High speed
  • Cutting tool:
    • Dental bur
    • Abrasive stone

Hand Pieces

  • Low speed: < 200,000RPM
  • High speed: 400,000RPM
  • Advantages of high speed HP:
    • Faster cutting with less pressure and vibration
    • Reduced operating time
    • Better control and ease of operation
    • Longer instrument life
    • Less patient apprehension

Rotary Tools

  • Dental cutting tools (burs):
    • Blades: cut by chipping action
  • Dental abrasive tools (stones):
    • Abrasive particles: cut by abrasion
  • Carbide bur:
    • Better for end cutting
    • Produces lower heat generation
    • Used for punch cuts, intracoronal tooth preparation, amalgam removal, and secondary retention features
  • Diamond points:
    • Produce more friction due to large surface area
    • High heat generation
    • Used for extra-coronal tooth preparations, beveling enamel margins on tooth preparations

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