Installing a piezo tip with a torque-limiting wrench.
Today’s ultrasonic landscape is heavily populated with information from companies that have both units, tips, and inserts as well as companies that sell after-market replacement tips and inserts. Internet sites are a rich source of information, and many companies such as Hu-Friedy and Satelec have valuable videos that demonstrate various scaling techniques with different tip designs.
A wide variety of tip designs are available for piezo electric ultrasonic dental scalers.
Scaling tips used in magnetostrictive units are called inserts, a term that describes how the device fits into the handpiece. Magnetostrictive inserts are made with a series of nickel alloy strips stacked one on top of another, attached to a scaling tip via a connecting body called a transducer. Magnetostrictive inserts come in either 30K or 25K configurations. Most automatically tuned machines use the shorter 30K inserts, while a few units will accept either a 25K or 30K insert.
Right and left tip configurations.
For piezo scalers, the scaler portion is referred to as a tip. Piezo tips screw directly into the handpiece, which houses the crystal that creates tip vibrations. Piezo units use two different thread patterns to screw the tip into the handpiece. S-threaded tips work with Satelec scalers and compatible units. An E-thread works with EMS piezo scalers and units that accept that thread pattern. The tip is initially screwed onto the handpiece and a small wrench is used to ensure the tip is secure. Torque-limiting wrenches ensure that the tip is not over-tightened.