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The Use of Dental Air Polishing

New technology is transforming all areas of the way we live and dentistry is no exception. The innovative air flow polishing technique uses a machine that cleans and polishes the teeth with a mix of water, compressed air and fine powder particles. This method is far superior to traditional cleaning methods that use scraping tools, rubber cups and polishing discs and which can be time-consuming and uncomfortable.

A powerful yet controlled jet of water, air and fine powder not only polishes all the surfaces of a tooth, removing plaque, discoloration and soft deposits, but also reaches deep into periodontal pockets up to a depth of 5 mm. It is far more efficient than traditional scrape and polish treatment at removing the damaging biofilm that develops when dental plaque is colonized by bacteria and can cause periodontitis and peri-implantitis to develop. Air flow polishing is completely safe to use with dental implants, veneers, crowns and bridges.

In air polishing, the powder of choice is usually sodium bicarbonate which is abrasive and helpful with the removal of heavy stains and soft deposits above the gumline. With dental air polishers, the tip is specialized to be able to effectively enter the periodontal pocket and deliver a very low abrasive powder. The powder of choice with air polishing is Glycine. Glycine is an amino acid and is significantly smaller in particle size than sodium bicarbonate. It appears to have an active role in the disruption of bacterial recolonization making it both preventive and therapeutic.

The main goal in air polishing is root debridement resulting in the removal of biofilm. This biofilm elimination can result in a beneficial shift in the oral microbiota. Studies have shown that air polishing tends to have less adverse effects for the patient such as pain and sensitivity versus hand instrumentation. Moreover, the air polisher is much more effective in reaching the base of pockets over 5mm and removing biofilm than hand instrumentation.

Air polishing is also proven to be clinically efficient and effective for the removal of biofilm without endangering soft tissues, enamel, dentin, or cementum. The procedure is very quick and simple. The tip is placed at a 90-degree angle to the long axis of the root, and a 5-second application disperses air, water, and glycine powder for the removal of biofilm.

Air flow polishing is ideal for those who suffer from sensitive teeth. This is not only due to the lack of direct contact and the absence of heat and vibration, but because the tiny micro particles of powder can actually fill any exposed dentine tubules and reduce dental sensitivity. Air flow polishing can also encourage the re-mineralization of damaged teeth.

The Problems of Dental Air Compressor

One major problem that emerges in compressed air systems is pressure drop, which is marked by a loss of pressure between the compressor and the end point. While a certain amount of pressure drop is inevitable, it should never amount to more than a 10 percent loss of pressure during a given application. Otherwise, higher pressure demands end up being placed on the compressor, which results in more rapid wear and tear across the entirety of an air system.

For each pound of pressure either increased or decreased, a power plus or minus 0.5 percent is required. For example, a five percent power savings can be gained with a decrease of 10 psig. On a 100 hp compressor, this would translate to $1,740 in annual energy savings.

Pressure drop is usually caused by trouble with the pipes and weaknesses at the filters and dryers. Unfortunately, system operators will often compensate for the pressure loss by boosting the system pressure, which results in costlier operations. The correct way to handle this issue is to check for problems at the filters and dryers and replace certain items as necessary.

It’s crucial for air system pipes to remain clean and free of dirt, rust or other contaminants. After all, compressed air reaches its end point through these pipes. When contaminants are present, air pressure weakens, and the problem gradually accelerates when left un–rectified. The pipes should always remove air from the top of the air line, otherwise contaminants will travel to the pneumatic tools.

Airstream contamination increases with velocity, which in turn increases with restrictions in pipe size. Basically, the velocity of the pipes that run to the end point should be 50 seconds or less, while the interconnecting pipes and main headers should have velocity in the range of 20 to 30 feet per second. System velocity can be calculated by dividing the flow in cfm by the pipe’s compression ratio, divided by the pipe area, divided by 60.

Another factor that can impact condensation is the ambient temperature that surrounds a facility. Simply put, condensation levels multiply as temperatures rise from average to humid. For example, a 200 hp compressor will produce roughly 50 gallons of condensate over the course of a 60–degree day. However, that same machine will generate more than five times the amount of condensate if the temperature is 30 degrees higher. A 200 hp compressor will produce roughly 50 gallons of condensate over the course of a 60-degree day.

Further inefficiency can stem from problems with the system drains, which are designed to deal with condensation. Drains are placed at strategic points along a dental air compressor system, such as the tank, dryer and aftercooler. The trouble emerges when the drain fails to do its job properly, and sludge accumulates along the drainage points from a mix of water, oil and dirt.

Some of the most common mistakes in compressed air maintenance are easily avoidable if everyone on an air system staff understands how to properly care for the equipment at hand. From the compressor itself to the various parts that make up an air system, routine inspections along key areas must be made for signs of wear, condensation and dirt deposits.