OMS Surgical Motors (your preference?)

[Dr.Millisevert]

For all you OS guys out there...

What are your preferred handpieces and surgical motor systems for impacted 8s? What types and brand of burs do you use?

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[yunowu]

Hi Dr.Millisevert:

First of all, allow me to thank you for all your help. 🙂I am still waiting for that acceptance letter from the U of Sydney. 😉 I am not an oral surgeon of course. I am currently working for a local detention center. Usually extract about 100 teeth a day including many bony impacted 3rds. Since the state pays the bills😀, I use Palisades dental impact air 45 and surgical 557 burs for surgical extractions.

 

[Dr.Millisevert]

Hi Dr.Millisevert:

First of all, allow me to thank you for all your help. 🙂I am still waiting for that acceptance letter from the U of Sydney. 😉 I am not an oral surgeon of course. I am currently working for a local detention center. Usually extract about 100 teeth a day including many bony impacted 3rds. Since the state pays the bills😀, I use Palisades dental impact air 45 and surgical 557 burs for surgical extractions.

First of all.. good luck on your Sydney application! When did you submit your app? When do you expect to hear back from them? Which program did you apply for again?


Have you used any electric handpieces systems or nitrogen tank powered motors? What other brands have you used? What brand are the burs you use?

 

[yunowu]

I have many years of experience treating paediatric patients, developmentally-disabled (down-syndrome) patients and correctional inmates. Hence, I am applying to the Doctor of Clinical Dentistry Program in paediatric dentistry (please note the correct Aussie spelling) 😀as my first option and special care in dentistry as my second option. My designated Aussie agent in the States is very helpful..🙂 I completed the on-line application towards the end of last year. The admission officer said that U of Sydney will give me a reply around August of this year (Most Aussie programs start in March). Looking forward to spend the next three years of my life at Sydney, Australia..
I am an old fart sort of speak (class of 1996). Hence Never used electric handpieces systems or nitrogen tank powered motors. Midwest Quiet Air Highspeed Handpiece is what I used during my private practice days for operative, crown and bridge.
http://www.prevent.dentsply.com/catalog/prod_display.cfm?ID=4
If my fading memory serves me correctly, I believe each cost around 1000 $USD or so...
The surgical 557 burs are manufactured by Henry Schein. The company also caters to the Australian market:

Henry Schein, Inc. is a distributor of healthcare products and services primarily to office-based healthcare practitioners. The Company serves more than 600,000 customers worldwide, including dental practitioners and laboratories, physician practices and animal health clinics, as well as government and other institutions. It has operations in the United States, Australia, Austria, Belgium, Canada, China, the Czech Republic, France, Germany, Hong Kong SAR, Ireland, Israel, Italy, Luxembourg, the Netherlands, New Zealand, Portugal, Spain, Switzerland and the United Kingdom. The Company has two segments: healthcare distribution and technology. These segments offer different products and services to the same customer base. In October 2010, the Company acquired a 50% interest in Guney Dis Deposu, a dental distribution business.

http://www.americanbankingnews.com/2011/02/14/henry-schein-inc-hsic-hits-new-52-week-high-at-67-97/#

 

[Dr.Millisevert]

I have many years of experience treating paediatric patients, developmentally-disabled (down-syndrome) patients and correctional inmates. Hence, I am applying to the Doctor of Clinical Dentistry Program in paediatric dentistry (please note the correct Aussie spelling) 😀as my first option and special care in dentistry as my second option.

Thanks for your input.. and again.. good luck! You'll love it here. Keep me updated on how it goes. 🙂

 

[Dr.Millisevert]

bump

 

[dragonteeth]

We have three different surgical handpieces in our multi-specialist hospital clinic and I prefer the Stryker CORE Impaction by far for impactions. We also have Air Impact contra angle and Brassler PneuMicro. I strongly prefer the Stryker's foot control over the Brassler's hand control. For some reason it seems a bit unwise to have a control lever design which would accelerate a bur if a patient happened to bite down upon it. The Air Impact handpiece is great for quick emergencies or in situations where the contra angle makes life easier, but it just doesn't have the silky smooth torque that the Stryker does.

I have, in a pinch (usually in disaster relief/humanitarian situations) used a regular operative handpiece to section teeth, but I really really don't like doing that. They may be rare, but emphysemas do happen and they can be fatal. The chances for occurrence go up when you're working under a flap, and in the third molar space that can easily turn into an airway/mediastinum event. An Air Impact only costs around US$1000 - IMHO a small investment that gains a significant margin of patient safety.

 

[Dr.Millisevert]

We have three different surgical handpieces in our multi-specialist hospital clinic and I prefer the Stryker CORE Impaction by far for impactions. We also have Air Impact contra angle and Brassler PneuMicro.

An Air Impact only costs around US$1000 - IMHO a small investment that gains a significant margin of patient safety.

Thanks dragon for your input!


Anyone have any thoughts on how these compare:

NSK's XT Plus (40k RPM, ?Ncm)
W&H's elcomed (50k RPM, 80Ncm)
Stryker Core system (85k RPM, ?Ncm)
Bien-Air ChiroProL (?K RPM, ?Ncm)

... and any others.

Also any preference for particular burs?

 

[IcedOMFS]

NSK's XT Plus (40k RPM, ?Ncm)

Cheap. Too slow. You need >70K RPM for efficient surgery (17 cases a day, for example)

W&H's elcomed (50k RPM, 80Ncm)

This is the slightly souped up version of the implant units everyone uses. Mediocre performance.

Stryker Core system (85k RPM, ?Ncm)

Great cutting power, but loading the bur with the plastic bur guard is a pain in the ass. Expensive.

Bien-Air ChiroProL (?K RPM, ?Ncm)

Cuts teeth like a dream. Long term tend to break down if not cared for properly. Good balance of affordability vs performance.

Synthes Electric Pen Drive

Has 2 different motor units, 60K and 90K. 60K is underpowered. Work fine in the OR for placing screws, but don't stand up to heavy dentoalveolar use.

Linvatec/Microchoice

Great handpiece, great cutting power. Expensive. Durable but expensive when they do go down.

Hall Surgairtome 2

Nitrogen driven workhorse. Can't beat the price or the durability. Fricking loud though. No good for use on awake patients in a private office.


I would say the Linvatec, Bien Air, and Stryker would meet requirements for heavy office use.


Burs: 702L... Has a longer cutting surface than your regular 702.

 

[Dr.Millisevert]

NSK's XT Plus (40k RPM, ?Ncm)

Cheap. Too slow. You need >70K RPM for efficient surgery (17 cases a day, for example)

W&H's elcomed (50k RPM, 80Ncm)

This is the slightly souped up version of the implant units everyone uses. Mediocre performance.

Stryker Core system (85k RPM, ?Ncm)

Great cutting power, but loading the bur with the plastic bur guard is a pain in the ass. Expensive.

Bien-Air ChiroProL (?K RPM, ?Ncm)

Cuts teeth like a dream. Long term tend to break down if not cared for properly. Good balance of affordability vs performance.

Synthes Electric Pen Drive

Has 2 different motor units, 60K and 90K. 60K is underpowered. Work fine in the OR for placing screws, but don't stand up to heavy dentoalveolar use.

Linvatec/Microchoice

Great handpiece, great cutting power. Expensive. Durable but expensive when they do go down.

Hall Surgairtome 2

Nitrogen driven workhorse. Can't beat the price or the durability. Fricking loud though. No good for use on awake patients in a private office.


I would say the Linvatec, Bien Air, and Stryker would meet requirements for heavy office use.


Burs: 702L... Has a longer cutting surface than your regular 702.

Thanks Iceman!

 

[Dr.Millisevert]

I would say the Linvatec, Bien Air, and Stryker would meet requirements for heavy office use.


Burs: 702L... Has a longer cutting surface than your regular 702.

What about these 2 units:

http://archerwhite.com/chiro-pro980bienairsinglemotor.aspx

http://archerwhite.com/nouvagmd10.aspx

I wonder how the Chiro 980 compares to the Chiropro L

 

[Dr.Millisevert]

What about these 2 units:

http://archerwhite.com/chiro-pro980bienairsinglemotor.aspx

http://archerwhite.com/nouvagmd10.aspx

I wonder how the Chiro 980 compares to the Chiropro L

bump

 

[Dr.Millisevert]

What about these 2 units:

http://archerwhite.com/chiro-pro980bienairsinglemotor.aspx

http://archerwhite.com/nouvagmd10.aspx

I wonder how the Chiro 980 compares to the Chiropro L

bump

 

[Dr.Millisevert]

Synthes Electric Pen Drive

Has 2 different motor units, 60K and 90K. 60K is underpowered. Work fine in the OR for placing screws, but don't stand up to heavy dentoalveolar use.

When you say it doesn't stand up to heavy dentoalveolar use.. do you mean only the 60k version or the 90k version as well?

 

[DrTacoElf]

This isn't bad for a budget model. 30K RPM and if you use a 2:1 hand piece you get 60K

http://www.aseptico.com/mm5/merchan...&Product_Code=AEU-17Bv2&Category_Code=010surg

 

[zsy_lzy]

Is there loups designed for near sighted oral surgeon?

Thanks.