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Indirect and Direct Restorative Protocols - Caulk

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Figure 4. The small head of the Stylus ATC (DENTSPLY Professional,<br />

York, PA) enables visualization of the preparation site.<br />

A<br />

Figure 5A. The cutting effi ciency of the bur can be optimized by the<br />

Stylus ATC h<strong>and</strong>piece. 5B. Note the smooth tooth preparation<br />

achieved with minimal structural removal.<br />

B<br />

Table. Practical Tips for Using the Midwest ® Stylus ATC<br />

Tip<br />

Rationale<br />

Avoid excess<br />

pressure on the<br />

bur during tooth<br />

preparation ; there<br />

is no need to feather<br />

Lubricate <strong>and</strong> sterilize the h<strong>and</strong>piece<br />

prior to use in the operatory<br />

<strong>and</strong> between patients.<br />

Review proper<br />

air <strong>and</strong> water<br />

spray output<br />

prior to use.<br />

Verify that the bur<br />

is fully seated into<br />

the h<strong>and</strong>piece<br />

chuck.<br />

The device’s adaptive torque<br />

control reduces the amount of<br />

pressure needed for enhanced<br />

patient control <strong>and</strong> clinician<br />

comfort.<br />

Proper sterilization prevents<br />

cross contamination <strong>and</strong> potential<br />

health hazards, <strong>and</strong> it prolongs<br />

the life of the h<strong>and</strong>piece.<br />

A fi ne mist of water should be<br />

expressed using the unit, not<br />

a steady stream; increase the<br />

coolant air as needed until the<br />

desired mist is achieved.<br />

Full seating ensures most<br />

safe <strong>and</strong> effective use of the<br />

h<strong>and</strong>piece.<br />

for superior access in the oral cavity. The<br />

selection of an appropriate type of h<strong>and</strong>piece<br />

is dependent on the individual clinician<br />

<strong>and</strong> his or her practice. A h<strong>and</strong>piece<br />

system with an air-powered adaptive control<br />

combines air <strong>and</strong> electric control in a<br />

single unit (eg, Midwest® Stylus ATC,<br />

DENTSPLY Professional, York, PA) to<br />

provide the power <strong>and</strong> efficiency of electric<br />

h<strong>and</strong>pieces, without sacrificing the<br />

superior access, lighter weight, <strong>and</strong> familiar<br />

comfort of conventional high-speed<br />

units (Table).<br />

Developed through a unique partnership<br />

between industry manufacturers <strong>and</strong><br />

professionals, this instrument is the culmination<br />

of dental h<strong>and</strong>piece technology<br />

<strong>and</strong> unifies the leading features of previous<br />

electric <strong>and</strong> air-driven devices. As optimizing<br />

chairtime remains a key consideration<br />

motivating dental professionals, instrumentation<br />

such as the Stylus ATC thus<br />

represents a valuable addition to the clinical<br />

armamentarium used for proper tooth<br />

preparation <strong>and</strong> finishing (Figure 5). ■<br />

6

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