Dental drill: scope of application, types, cost

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In dental practice, doctors use many tools and devices that allow both diagnosis and treatment.

However, many people associate an appointment with a dentist primarily with the characteristic whistling sound of a working drill.

This is in fact not only one of the most important, but also an absolutely irreplaceable tool, without which dental treatment would be difficult and of insufficient quality.

What it is?

A drill is a device that provides movement of the instrument with which dental procedures are performed . The device is rotary - this means that the movements performed are rotational.

The rotation speed of the instruments is high enough to perform many operations performed at dentists of various specializations.

The operating speed of these devices can reach 40 thousand revolutions per minute . Due to this, the sensations experienced by the patient are minimal. He does not feel pain, but many people develop a persistent dislike for the drill.

The fact is that during operation, the drive parts interact with each other, and their interaction generates a sound - whistling and quite high-pitched.

Photo: dental drill

Its tone affects the patient. At the same time, doctors do not experience such sensations, since they hear it constantly, get used to it and stop reacting.

An additional disadvantage and a negative factor influencing the attitude of patients is the vibration that will inevitably arise when working at such a speed, especially since the instrument comes into contact with hard tissues in the oral cavity, which enhances the perception.

Another feature of the operation of this dental apparatus is the rather unpleasant odor that occurs during the preparation of hard tissues . The tool seems to cut off parts of the tissue with fine dust, which is highly volatile.

Due to the high speed of movement, these particles heat up and, when they hit the corresponding receptors in the nose, cause associations with burnt bone. Water is used to cool the working tool, but it cannot completely prevent the spread of tissue particles removed from the tooth.

The best thing a patient who experiences extremely negative sensations just at the sight of a dental drill can do when entering the office is to relax as much as possible.

It must be remembered that all the unpleasant nuances of its operation are just technical features that should be treated like the engine of a running car.

To increase functionality, dental drills can be equipped with additional tools that are used to perform a wide range of operations with the highest precision.

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What equipment was used in Soviet times

Dentistry has undergone many changes during the USSR, which also affected equipment. The mechanical drill was used from 1920 until about the 50s. It was a complex mechanism for transmitting muscle movement into the rotational action of the drill - the dentist needed to pump the pedal. However, there was no control of rotation speed and torque, which made treatment with such a device painful, and burns were also common.

Electromechanical drive devices were introduced to replace mechanical variations. This type of equipment can still be found today - some public dentists have not yet had the opportunity to replace them. The basis for transmitting rotational motion is multi-link transmission via a cord on a rigid base.

Soviet equipment

This equipment has only disadvantages:

low rotation speed;
low mobility of the tip;
presence of strong vibrations;
noisy operation.

Some patients, after treatment with outdated equipment, have developed a fear of dentistry and it is almost impossible to get rid of it.

Application

Most often, it is used by therapists when treating cavities damaged by caries, cleaning and grinding hard dental tissues, fillings, and many other manipulations necessary during treatment.

Periodontists also use the drill . With its help, you can quickly and efficiently remove deposits formed on the enamel surface.

Orthopedists also use this device in their work. It may be required to cut bone tissue and smooth it. He can also handle the processing of the bed for the installation of various orthopedic structures, but the most common manipulation is considered to be the preparation of hard dental tissue for various purposes.

Dental technicians also use different types of drills with a wide variety of tips . The properties of these devices turn out to be indispensable in the manufacture of artificial dental crowns and various prostheses.

After fitting, additional processing may be required, which is also carried out using a drill.

Drilling work in dental subsoil and fillings

The dentists drilled the teeth very slowly but forcefully. Many compared him to a driller, as if he was trying to get to precious rocks. But the reason for this was that there were simply no other examination methods.

Expert opinion

Konstantin Pavlovich Vetrov

Assistant and Advisor to the Minister of State Control of the USSR, Hero of Socialist Labor, historian, Doctor of Historical Sciences. Author of many scientific works on the history of the Soviet Union.

For a modern person, it is enough to take an X-ray, but in the Soviet Union such an opportunity did not exist in principle. In order to establish a diagnosis, the dentist had to constantly drill into healthy tooth tissue. Even this technique led to further tooth decay.

After completing this procedure, the patient simply dreamed of quickly escaping from the office. Drilling could take about two hours.

Soviet seal

Then the doctor put in fillings, which were of poor quality. Their color usually did not match the color of the tooth enamel. The fillings often crumbled after some time. They had no meaning because they could not be polished properly.

Such fillings resulted in caries, and then the entire tooth was destroyed.

Components

In one form or another, different models and types of dental drills contain several basic design elements that ensure the operation of the entire device and increase its functionality.

Nozzle .
A direct working tool used for processing fabrics or performing other manipulations. Most often it is a bur, which is used to remove tissue by cutting. Additionally, grinding attachments, discs, etc. with different sizes and other parameters can be used as attachments for the drill.
Tip .
Serves to secure the nozzle, that is, it is an intermediate link for transmitting torque. In dental practice, both straight and bent tips are used. The choice of a specific type depends on the convenience of manipulation, that is, the location of the area requiring treatment, and the characteristics of the clinical picture.
Drive unit .
The most important part of the device, which directly transmits torque to the tools, is a micromotor or turbine, which operate on different principles. It is by the type of drive used that different types of drills will differ.
Shlens .
This part serves to connect the device with the main part - the control unit or a separate dental unit. Its presence allows, if necessary, to place the main part of the structure in a separate room in order to minimize the level of noise generated.

Attachable attachments supplied with the engraver

Manufacturers of engravers usually do not skimp when equipping their power tools with various accessories and attachments. Very poor configurations can get by with a few dozen attached tools, but for large sets, two or three hundred is not the limit.

If you are looking for a suitable power tool, pay attention to the delivery set and what exactly is offered by the manufacturer in the set. If necessary, you can always purchase the necessary tools at affordable prices or even make some types of burs yourself, as the authors of numerous videos on the Internet indicate.

You may consider purchasing additional equipment in the form of a flexible shaft and a stand for hanging the engraver. A flexible shaft is necessary for fine and precise work, and a universal stand will solve the issue of its placement.

Kinds

The main feature by which different types of dental drills differ is the type of drive used in the design.

Pneumatic

The most commonly used drills are those with a pneumatic or pneumatic turbine drive. Compressed air under high pressure is transmitted from the compressor through a special hose to the turbine tip.

Thanks to the characteristics of the compressor, it was possible to increase the rotation speed of the tip to almost 300 thousand revolutions. Due to this, the doctor has the opportunity to perform very precise treatment with complete painlessness for the patient , and also in less time.

At the same time, pneumatic turbine machines do not have high torque. Because of this, for high-quality work with some filling materials and tissues, other types of devices are used .

Electrical

A more correct name would sound like electromechanical. In rare cases, you can find such machines, the basis of which is a multi-link belt drive, but now they are used very little.

These old, Soviet devices were distinguished by relatively low rotation speeds and patients felt quite strong vibrations during the treatment process, which gave rise to pain during the preparation of hard tooth tissues.

At the moment, this type of drill, used during the USSR, has been replaced by electromechanical ones with a micromotor, which eliminate the listed disadvantages.

The rotation speed can reach 40 thousand revolutions per minute, which is less than that of pneumatic devices. However, there are quite high torque values , which plays an important role for the comfort of both the patient and the specialist.

Devices of this type can be used not only for pre-treatment and preparation of hard tissues and treatment of distant teeth, but also as a tool used for fitting dentures and precision processing of artificial crowns.

The device creates a fairly high noise level, so it is most often installed in a separate room. This also allows you to connect multiple installations to it.

Laser

This is a new generation of devices that do not have a rotational motor at all. Light energy is used as a tool here. Preparation of hard tissues occurs safely, quickly and completely without pain .

However, chemical filling materials cannot be used for filling after using a laser. In this case, fillings are placed only from light-curing materials.

Erbium lasers are most often used to treat hard tissues in dentistry.

A few words need to be said about the components of the laser drill, since its design is somewhat different from those listed:

base unit – regulates the frequency and power of the light flow;
foot pedal – switches on/off;
light guide – directs and transmits the flow of light to the tip;
tip - performs direct manipulation.

Portable devices

Portable types are incredibly convenient, as they allow you to provide dental care outdoors - in the field, at home, in rural clinics where there is no electrical supply.

The devices are small in size and equipped with a separate power source .

And the use of brushless micromotors, such as in the Forte 200A model, has made it possible to minimize the need to repair faults.

For one of the latest modernizations of a traditional drill, watch the video:

Final finishing of products

To finish the wood surface, felt and felt circles are used. They are fixed in a drill and lubricated with polishing paste, which makes it possible to achieve an almost mirror-like state of the wood surface. After completing all stages of mechanical processing, soft wood varieties are coated with transparent varnishes in one or several layers. This coating will protect the product from moisture and significantly increase its durability.

After the varnish has dried, the surface is polished again to achieve perfect smoothness and a mirror shine. Hard types of wood are not varnished, emphasizing the original texture of the material. Sometimes they are slightly tinted.

What does the price depend on?

You can trace the dependence of the price of a dental drill on a wide variety of factors , some of which are related only to the general laws of the market.

Among them:

fluctuations in foreign currency exchange rates;
choice of domestic or foreign manufacturer (an inevitable increase in cost due to transport costs);
seller’s pricing policy (markups, discounts, promotions, etc.);
buying a new or used device;
the region in which the purchase is made, and much more.

The main factor influencing the cost is the specific type of installation being purchased. At the same time, among the same type of machine there may also be different prices, which in this case reflect differences in characteristics - power, additional functions, and so on.

Speaking about a specific numerical expression of price, we can give the average cost for individual types of drills :

pneumatic - about 28-32 thousand rubles;
electromechanical – 23-25 thousand;
combined devices - 55-60 thousand;
laser - more than 1 million rubles;
portable - about 7-10 thousand.

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Below is the estimated price at which you can buy some models from different manufacturers.

Selena-2000 (portable, electric) – about 24 thousand.
RESTAR-03 (portable electric) – 17 thousand.
Marathon N7 (portable electric) – 9,500 rubles;
BPS 300/40-TECH (pneumatic, stationary on a stand) depending on additional equipment - from 17 to 25 thousand.
BPK-01M (BPK-02/01) (pneumatic, stationary, has a built-in compressor) - 32-35 thousand.
Mobilico MBD-110 (portable, combined) – 67-70 thousand.
Waterlase C-100 Biolase (hydrokinetic laser for hard and soft tissues) – 1.2 million rubles.

Many people hate and fear going to the dentist. By learning more about one of the most important tools in dental practice, the drill, they can get rid of this aversion.

And regular preventive visits to the doctor will help prevent many problems with the teeth and the entire oral cavity.

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Tags: treatment, operations in dentistry

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