ESSENTIAL VIDEO INSTRUCTIONS & CLINICAL DEMOS 42 minutes only
1 A Revolution in Dentistry with clinical demo 2:14
2/a Reinventing Dentistry with MMC & Gentle Hand Burs Dr. John Frachella 15:11
2/b Reinventing Dentistry Complete Parts I - II - III - IV John Frachella
3 Why Dr. Jeremy Horst Uses Hand Burs Dr. Jeremy Horst 1:52
4 Saliva is Your Greatest Friend: Dr. Graham Craig 1:22
5 Clinical Demos Dr. Thierry Boulanger 10:48
6 Clinical Demos Dr. Meenakshi Kher 2:52
7 Enamel Perforation - Trimming - Excavation 1:57
8 Non US residents: skip (9) and scroll down to International video below 3:59
9 How to Safely Secure & Use Burs in All-In-1 CBC Operation 2:24
10 Why only three bur sizes (2-4-6) are needed in SMART PDF John Frachella
SAFETY FIRST
HP Long Burs (44.5 mm) are required for maximum visibility, safety, and patient comfort.
Inherent Benefits Include:
* Facilitates bur shaft shielding to prevent slipping in enamel perforation
* Makes perpendicular alignment easier and more precise in enamel perforation
* Minimizes lip abrasion due to its long shaft, smooth surface and tiny diameter
* Provides efficient, friction free spinning for the same reason
* Enhances visibility for all distal operations
* Offers easier access to distal areas, particularly third molars
* Permits access to lingual and palatal surfaces across the arch when it is indicated
* Allows close bur-tip handling for greater control
* Provides space for added finger assistance from the opposite hand
* To Safely Reuse Burs: Keep burs submerged in a plastic water cup (while in use) for easy cleaning.
* Check Bur Security: at insertion, before use (pull tests); perpetually in use (bur stem must always feel tight.
* Security Attestation: Dale Ott (owner of Trusted Design Services in Lakehills Texas, designer of our custom
collar, says all his industrial drilling machines use the same gripping technology as seen here. He marvels at
their superb gripping force for such extremely light devices.
* For Best Visibility and Access: rotate your patient’s head as needed; sit lower, higher or stand.
* Do Not Cross Arches except for lingual or palatal lesions.
CLINICAL OPERATION
Enamel Perforation for SMART in 6 Steps: (maximum bur size: #6 )
Start with largest bur that does not fit in cavity: without cavitation.
(1) Dip end of handle in petroleum jelly. Place into handguard. Place bur over cavity.
(2) Grip handle firmly securing handguard. Align perpendicularly as possible to prevent slipping / injury.
(3) Shield bur with fingers to prevent slipping, while twisting the handle back and forth.
(4) Continue twisting til anchored. Test anchor with light pressure in all directions trying to dislodge it.
(5) Once tip is secure: release bur-shielding hand in order to apply counter-pressure:
Maxillary counter-pressure: gently push down on the head
Mandibular counter-pressure: support the mandible.
(6) Resume twisting, gradually adding pressure with equal counter-pressure, till #2,#4,#6 have sequentially penetrated. Do not skip #4.
* Master these steps for safe, pain-free care.
* Do NOT pinch lips!—remain vigilant as this is easy to do. Prevent lip friction with a 2x2 gauze or vaseline.
* Avoid wrist rocking to not disquiet your patients
A
Excavation
Excavation in MMC removes infected dentin only. Deeper ‘leathery’ decay should NOT be removed.
Cleanse lesions in (paa) poly acrylic acid with a micro-brush.
Third Molars
(1) Open mouth half-way; Place bur tip over lesion; Rely on your tactile sense as visibility is compromised
(2) Stabilize operating hand with finger or hand rest; perhaps rest your hand lightly on face if permitted.
(3) Same steps as above. Do not pinch lips!
(4) If lesion exceeds size #8: circumferentially scrape 360° (by wrist action only) for a good GIC seal.
(5) Cleansing lesions in (paa) poly acrylic acid with a stiff micro-brush replaces a spoon excavator.
Dental Care For All International
138 Georgia Ave. Lakehills, TX 78063
gerry@dentalcareforall.org
+19562801708 WhatsAp.
International
Instructions for Use
Self-Acquired Hand Bur Handles