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1. How do I change (or place) the tip?

The tip threads onto the end of the autoclavable handpiece (AHP). The color-coded tip-enclosing wrench provided prevents you from having to touch the actual tip. The slot in the wrench is placed around the base of the tip, pressed into place, and turned counter-clockwise to loosen the tip. It is best to have the tip always either on the AHP or inside the wrench to reduce the risk of being misplaced.

When using this system for the first time, hand tighten a tip to the handpiece. Select the appropriate colored wrench (see color band on tip), and align the hole in the wrench to the flat sides of the tip and press down. The wrench will lock into place. Now unscrew the wrench and the tip remains inside, helping prevent the loss of tips or injuring hands and fingers. The hand tightening only needs to be done the first time they use the unit or acquire new tips and wrenches. The tip more than likely will remain in the color – coded wrench unless it’s in use.

Tip: If using the universal wrench (metal six sided shape), it may be faster to disconnect the AHP and twist while holding the wrench/tip steady with the other hand.

 2. How do I remove the handpiece from the tubing?

The handpiece pulls straight away from the tubing to be disconnected. Do not twist or unscrew the handpiece or you may damage the handpiece connector. 

 3. What parts are autoclavable? 

The handpiece, tip, LED ring, wrench, and tip box are all autoclavable. You must separate the tip from the handpiece (and the LED ring and the opptical guide) before sterilizing. Do not soak the handpiece in an ultrasonic bath. All items may be autoclaved in the box provided or in individual pouches.

 4. Is there any maintenance to be done for the handpiece?

Yes. After each use, the AHP should be wiped down with dental (alcohol) wipes. Around the base of the HP is a larger o-ring to ensure a tight fit between handpiece and tubing. There is also an o-ring, which is smaller, inside the base of the AHP. This o-ring ensures a tight fit where water runs from tubing through the HP. If autoclaving the AHP, the o-rings should be changed every 2-3 months (spare o-rings are provided in the handpiece’s original box). If not autoclaving the AHP (because using protective sheaths), the o-rings should be changed every 6 months (or sooner if any wear or fluid leakage is detected.) At the end of the day the handpiece should be removed from and stored separately from the handpiece tubing. The nose cone also unscrews from the handpiece and should be removed after each treatment to clean the inside where blood or other substances may have accumulated.

 5. How do I set the water flow or how much water is needed?

Most users of magnetostrictive technology are used to using excessive amounts of water to cool their handpiece. This is not necessary using a SATELEC piezoelectric ultrasonic. A good way to set the water flow is to do the following:
1. Place the # 1 tip on the Newtron handpiece. 
2. Then turn the power setting down to its lowest point
3. Now adjust the water to a drip rate of two to three drips per second 
4. Now adjust the power to the blue range and depress the foot control 
5. You should now have a light mist “halo effect” when the water comes in contact with the tip 
This is all the water required to keep the tip cool to the touch.

 6. Can I run medicaments through my ultrasonic?

Yes, if any medicament other than water is run through the unit, you must flush the unit and AHP with regular tap or distilled water for one full minute after use. With the NEWTRON P5 XS you have a dedicated 300 ml tank appropriate for any type of irrigant such as sodium hypochlorite, chlorhexidine, or water. 

 7. I am working with the unit and I don’t feel, hear or see any vibration. Is the unit “on”?

SATELEC piezoelectric ultrasonics operate quietly with no heat or vibration felt in the handpiece. This is not the case with magnetostrictive systems. More than likely, the user does not realize the tip is vibrating. Gently apply the tip to a metal object (key or coin) for a second or two to verify its vibrating.

 8. Can I sharpen these tips?

No. Satelec tips should not to be altered in any way. “Sharpening” these tips will change the mass of the tip and negatively affect the tip’s ability to vibrate properly leading to decreased efficiency and increased risk of breakage.

 9. Can I use this on a patient with a pace-maker?

There was a study done in 1989 named “A Triservice Comparison of Dental Scaling Devices: Sonic and Ultrasonic.” This study was done by the School of Aerospace Medicine, Brooks AFB, TX. This study looked to show if there was a difference between magnetostrictive and piezoelectric scalers (including Satelec). A portion of the study also included a review of the literature regarding ultrasonic scalers and their effect on pacemakers.
A review of the literature showed that a magnetostrictive scaler must be used no closer than 6 cm from the patient’s carotid artery to avoid any electromagnetic interference (EMI) with pacemakers. Piezoelectric scalers are free of this EMI hazard.
Even though these studies show there is no EMI interference our products are contraindicated for use on patients with pacemakers. The reason is that none of these studies were done in vitro, and we do not know how these pacemakers would react in the body.

10. The tip “chatters” on the tooth and does not seem to be removing the calculus efficiently. What am I doing wrong?

More than likely, tip orientation is incorrect.

Magnetostrictive tips are designed to be used differently from the way a Satelec tip should be used. With the elliptical motion of the magnetostrictive tips the end-user applies the front, side or back of the tip to remove calculus.

SATELEC tips vibrate in a linear motion on the same plane as the handpiece (straight forward and back). This makes the lateral sides of the tip extremely efficient for the “SHAVING” of the calculus. The stroke required is a mirror image of hand instrumentation (with extraordinary results achieved), requiring very little pressure resulting in reduced hand fatigue. Often a user will grasp this concept when instructed to scale without stepping on the foot control.
They will instinctively use the side of the tip just like a hand instrument. Now have them continue the same stroke and depress the foot pedal. They will more than likely be pleasantly surprised with the results, quietness of the system, and tactile sense preserved. The H3 Tip (in the Intro Scaling Kit) is an excellent tip to convey this concept since it looks just like a hand instrument curette.

The SATELEC ultrasonic provides greater patient comfort than the Cavitron due to the fact that it works along the tooth structure shaving calculus rather than leaving the tooth and striking it over and over again to bang calculus off.

 11. How long do the tips last?

This is a loaded question. The best way to answer is that it’s similar to the tires on their car and how often they drive. Most users experience at least 6 – 9 months of use prior to having to replace a tip due to its wear. SATELEC offers the widest variety of tip designs and manufactures the thinnest perio tips on the market. SATELEC was the first company to develop tips with an internal coolant spray, diamond coated tips and carbon composite tips for implant maintenance. 

SATELEC manufactures tips for all applications including: Perio, Sub-gingival scaling, Root-planing, Implant maintenance, Bio-film disruption, Cavity preparation, Margin preparation, Condensing of Composites, Glass-ionomers and Gutta-percha points, Conventional endodontics, Re-treatments, Post and Crown removal and Apical surgery. (See Tip Book for more details)

 12. Where do I purchase additional tips?

The user can acquire additional SATELEC tips through their dealer. A price list has been provided to assist you in providing Reference Numbers if required.

 13. Does it matter what power level I use for a particular tip?

Yes! Once you are sure you have an authentic Satelec tip on your AHP, it is important to use the proper power level. Operating within the correct power level range assures optimal tip vibration (amplitude) for efficient performance during application. Some tips may break when the recommended power setting is exceeded. Rule of thumb is the thinner the tip the lower the power setting. SATELEC features a unique color-coded system (CCS) for their tips to match recommended power settings for each application. 

  • Green: Low power for Sub-gingival scaling, Root-planing, Perio and Implants
  • Yellow: Medium power for conventional endodontics, Re-treatments, Gutta-percha condensing and Surgery.
  • Blue: High power for Supra-gingival scaling, Cavity preparation and Margin preparation.
  • Orange: Very high power for Condensing composites and Removing Post and Crowns.

These power settings correspond with the color-coded power control knob on their table top unit or A-dec unit with Standard Touch Pad. 

 14. Can I use other manufacturers’ tips on my SATELEC?

Yes, although SATELEC can only guarantee that SATELEC Tips will give the optimal performance.
Since SATELEC is known in the industry as the market leader of this technology, often other manufacturers make their tips to have the same threading diameter as the SATELEC. 
However, the manufacturing standards of these companies are sub par and often tips don’t vibrate and can damage the handpiece. Therefore we ONLY recommend our tips. An easy way to tell if it’s a SATELEC Tip is if it has a color-coded band. 

ALSO: We cannot recommend any power level setting for other tips used on our units or our tips used on other devices. Satelec will not honor any warranty if it has been determined that non-Satelec tip has caused thread or other damage to a Newtron handpiece, or if a Satelec tip breaks on a non-Newtron handpiece.

 15. Can I cut bone with a conventional Satelec Ultrasonic?

No, the conventional ultrasonic line from Satelec which includes all of the devices in this training manual are not indicated for bone surgery. The Piezotome™ from Satelec is indicated for pre implant bone augmentation surgery. The differences between the two are numerous. The major difference is that the Piezotome tips will not fit on a Newtron AHP and vice versa. The vibration of the Piezotome tips is modulated to provide a selectivity of cut where you can espanaviagra.net cut bone but preserve soft tissue. To learn more about the Piezotome, please see the Acteon Surgical Range Training Manual.