One of the most fundamental devices used in dentistry, the handpiece can enhance the efficiency of everyday dental tasks. Through the years, handpieces have gradually been redesigned and upgraded to become the highly accurate and sophisticated tools they are today. Technological advances continue to improve these indispensable dental equipment.

The dental handpiece is an essential element in any dentist’s armamentarium. It is a fundamental device that can enhance—or hinder, depending on its efficiency and maintenance—the daily routine of a practice. Selecting the right handpiece is critical to helping ensure the smooth operation of everyday activities. The two primary types of handpieces—air-driven and electric—have unique characteristics with specific benefits and drawbacks. Both can achieve excellent results, therefore it is important to understand the differences and advantages of each.

Speed and precision are two things that you should look for in a handpiece. The better your handpiece, the smoother the day-to-day operation of your dental practice will be. There’s many different kinds of handpieces. How do you select the one that’s right for your practice?

Traditional handpieces use an air-driven turbine to facilitate the rotators. These have a lighter weight and a skinny design, making them easy to work with. While turbine handpieces have many advantages, they can also cause higher levels of “noise” as the handpiece ages and the bearings wear down.

Electric handpieces (with variable revolutions per minute) are also available that give dentists added benefits when compared to their traditional air-driven counterparts. One significant difference is having a specific RPM, with constant torque and less “bur chatter” (more concentric), so that when polishing or cutting through various types of tooth structure or restorative materials, the bur does not “bog down” or slow down when performing the clinical task. In many clinical situations, an electric handpiece can perform the same functions that both an air-driven high-speed and separate low-speed unit can.

Since most clinicians still prefer individual handpieces for high and low speeds so they can be more efficient chairside, this may not make a difference when choosing between the two systems; however, the higher initial investment for electric handpieces may be a consideration for some clinicians. Also, given the ability to “dial in” the desired RPM and use different contra-angles that have different gearing ratios, the electric handpiece can be custom-tailored to perform many other types of clinical procedures such as rotary endodontics, implant placement, and third molar removal (via tooth sectioning), for example. This clinical versatility is very desirable in today’s dental practices where multidisciplinary treatments are becoming increasingly common.

Electrical handpieces operate at both high and low speeds. This makes them versatile for all kinds of procedures. Instead of bearings, this handpiece has gears instead of bearings. These handpieces are quieter due to the fact that air is not flowing through them for power.