Ranking of the best dental handpieces for 2020

Not a single person in the world has perfect teeth that do not require at least periodic examination and treatment by dentists. Due to the rapid development of modern technology, dental treatment is fast and painless.

In order for the doctor to perform the necessary manipulations with maximum efficiency when treating the oral cavity, dental clinics try not to save on special equipment. One of the elements of such equipment are dental handpieces, which are designed to transfer rotary motion from the installation of the drill directly to the element itself, which acts on the surface of the tooth.

In this article, we will consider the main types, types, characteristics of handpieces, their purpose, as well as selection criteria.

Functions, features and selection criteria for tips

1. Backlighting. This feature is useful when the light source is low, and as a result the doctor cannot view the entire oral cavity. Almost all modern tips in the above-average price segment are produced with illumination.
2. The connection option with the installation (it can be fast - by clicking, using an adapter with a quick connection, or screw - in this case, you will have to screw it onto the sleeve, thus losing precious time).
3. Noise and vibration levels. These parameters are important not only for the doctor, but also for the patient, who may experience discomfort during the manipulation.
4. The presence of a valve preventing the ingress of biological fluid into the equipment hose.
5. Durability of the coating and the possibility of sterilization. Most of the nozzles are made of materials that require additional protection from the effects of aggressive media during boiling, treatment with bactericidal compounds. The better the coating, the longer the device will last.
6. Head size. The larger it is, the more powerful the cutting and drilling force. The small head allows you to reach hard-to-reach teeth and make a small incision.
7. Bearing type. The so-called "air" ones work at maximum speeds, but they do not tolerate lateral loads, the most inexpensive and common ones are metal, they perform the assigned function with average quality. Models with ceramic bearings provide a long service life due to their high reliability.

All nozzles are divided into 4 large groups - turbine, angular, straight, special.

The principle of operation of the turbine nozzle is based on the use of a compressed air stream that drives a rotating element. This system is the "weakest point" in the entire system, as it is subjected to increased stress.In order for the device not to malfunction, it must be lubricated at least twice a day, and also after each disinfection. Such devices also require special storage conditions - in accordance with the manufacturer's recommendations, they should be installed in special vertical holders with the head up or down. Special bags are provided for storing sterile dental equipment. The best manufacturers offer these bags with a tip. The main advantage of such nozzles is their high rotation speed - from 300,000 to 500,000 rpm. Cooling in such devices is mainly air-water. The staff must wear a protective mask, all work is carried out using a saliva ejector and a dust suction device to prevent dust and water particles from entering the patient's respiratory tract.

Angle nozzles (also called Right Angle) are powered by an electric or pneumatic motor. In appearance, they resemble the previous model, but their motor rotation speed is much lower - from 20,000 to 70,000 rpm. These devices are used for such manipulations as polishing fillings, preparing cavities for inlays, opening root canals, etc. In such manipulations, high power is important, which is achieved at low speeds. The power value of the angular model exceeds that of the turbine one by almost one and a half times.

The principle of operation and functionality of handpieces (Handpiece) is similar to angular, their feature lies in the design, due to which the impact on the rotating element is increased. Such devices are used in cases where the power of other attachments is not enough - opening root canals on the front teeth, processing dentures, etc.

In cases where the use of the considered attachments is impractical due to inconvenience, special devices are used, among which endodontic, surgical, and also for removing tartar can be distinguished.

Most of the popular models of endodontic instruments operate on their own battery, and can perform translational movements (used to expand root canals, contribute to the formation of a cavity convenient for filling), rotate at low speeds (used for filling using pins with applied gutta-percha), rotational movements (greatly facilitate the work of dentists to widen the canals), to carry out vibration action (used for the preparation of wide root canals).

The tips used to remove calculus are designed in such a way as to apply high vibrations to the treated surface. During surface treatment, water is continuously supplied to it to prevent excessive heating.

There are so-called sonic tips, which are driven by rotating a special sleeve with compressed air, as a result of which the device is given a circular motion.

Sandblasting nozzles are mainly used for grinding the tooth surface. Removal of the dentin layer is carried out by feeding particles of aluminum oxide and other compounds under high air pressure. Such devices are effective when working with hard-to-reach cavities. The advantage of the technique is the absence of vibration and discomfort in the patient.

Surgical tips are used in various operations and must withstand sterilization at elevated temperatures around 140 ° C.

Ranking of quality dental handpieces for 2020

NSTf-300 StomeK

This nozzle belongs to the category of turbine with a friction clamp. It is used for therapeutic and orthopedic work. The product is made of brass and plated with chrome. The tool fits all burs with a shank diameter of 1.6 mm.There is a built-in LED lamp to illuminate the work surface for a full view.

In order to make it easy to clean, special grooves are provided on the body. They also contribute to the comfortable position of the product in the hand. German-made components used in the tool (bearings, rotor group) ensure long and reliable operation.

Built-in dual spray cooling system prevents overheating and device failure. There is also a pressure control valve that reduces pressure to reduce increased wear on the rotor during rotary movements. The head of the product is completely metal, due to which the aerodynamic flows are optimally distributed.

3 types of nozzles are made, which differ from each other in the type of connection to the drill sleeve: M4, B2, R. The manufacturer guarantees trouble-free operation of the product for six months, and in case of failure later, it is possible to make repairs, with the replacement of the rotor group, ball bearings, lighting lamps. Since this tip is made in Russia, there are no problems with spare parts. The product can be sterilized at temperatures up to 135 ° C. The scope of delivery also includes instructions on how to use the device and what to pay attention to when using and storing the tool.

Specifications:

Index	Value
Manufacturer	JSC "Crystal"
Maximum power, W	15
Rotation frequency, rpm	300 000-350 000
Working air pressure, bar	2,1-2,4
Length, mm	131
Noise level, dBA	64
Connection type	M4, B2, P
Weight, gr.	100
Average price, rub.	1700

• there are no problems with where you can buy the device - it is sold in all domestic specialized stores, it is possible to order the device online in the online store;
• budget price;
• device with external water supply;
• suitable for most public medical institutions, since it has 3 types of connection;
• there are no difficulties with the purchase of spare parts, since the product is manufactured in Russia;
• a lot of positive reviews from dentists.

• according to dentists, in the mode of active use, the life of the tip is significantly reduced.

Tosi TX122

This tip is disposable. The popularity of models of this type throughout the world is due to the fact that when using them, the possibility of cross-infection is excluded, since one nozzle is used for only one patient.

The structure is fully assembled at the factory, sterilized and ready for use. Does not require additional configuration and maintenance.

Such attachments are priced an order of magnitude less than reusable counterparts, and are sold individually or in sets of five or ten. Despite the fact that this device is made in China, according to buyers, it is one of the best for professional dentists. Cooling is done with a single spray. When buying a package of 10 pcs., An adapter to the bur is provided as a gift. If you order a smaller quantity, you will have to purchase it separately.

Specifications:

Index	Value
Manufacturer	Tosi Foshan
Body material	plastic
Backlight presence	is absent
Burr rotation frequency, rpm	300 000-380 000
Working air pressure, MPa	0,18-0,3
The maximum diameter of the circular runout, mm.	0.03
Connection type	М4
Noise level, dBA	75
Weight, gr.	48
Average price, rub.	310

• inexpensive in price;
• individual application for each patient prevents the possibility of transmission of infection from one patient to another.

• made from cheap Chinese plastic;
• there is no backlight;
• high noise level;
• not suitable for all medical institutions, since it has only one type of connection (M4) and requires the purchase of an additional adapter.

Coxo CX207C1-2SP

This orthopedic head attachment, like the previous model, is originally from China.Thanks to the use of a turbine mechanism, a high performance is achieved in comparison with similar devices operating on a different principle.

Illumination with fiber-optic reflection function allows the dentist to work in full illumination of the treated area. The cooling system is single, the spray is distributed by the thinnest stream. Light alloy metal lightens the weight of the structure, making the handpiece more user-friendly. The head of the device is located in such a way as to allow access to the most remote places. The head is replaceable, it can be installed both orthopedic and ordinary. The quick-release connection allows you to quickly remove and install the attachment on the drill sleeve. Private dental clinics prefer to order such tips from AliExpress, while significantly saving money. This procurement method is not suitable for public hospitals that have to procure medical equipment through a tender.

Specifications:

Index	Value
Manufacturer	Soho
Body material	light alloy metal
Backlight presence	yes, fiber optics
Burr rotation frequency, rpm	280 000 - 350 000
Working air pressure, MPa	0,2-0,3
Cooling system	single spray
Connection type	М4
Fixing mechanism	button
Weight, gr.	40
Average price, rub.	4200

• there is a possibility of installing an orthopedic head;
• fixation is made by a push-button mechanism;
• small weight;
• ergonomic handle.

• in order not to make mistakes when choosing a device, you must carefully study the manufacturer's description, since some of them may not be equipped with optics;
• high price;
• only a single spray is used for cooling.

SMARTtorque S609 C

This is one of the best handpieces for the dental department, not only in public hospitals but also in private clinics. If you are in doubt about which company's tool is better, we recommend paying attention to this particular German brand. Despite how much the device costs, it has a wide range of characteristics that are not always available in similar products.

The turbine nozzle is equipped with ceramic bearings, which have high reliability and long service life. The working head diameter is 12.5 mm, the connection to the drill sleeve is M4. It is difficult to overheat the device, as a four-channel circuit with finely dispersed water spray is used for cooling. Even the top of the boron is cooled.

The head is designed so that the dentist can access the most distant cavities. The nozzle is attached to the sleeve with a proprietary clamp, which contributes to a reliable fixation (clamping force is at least 30 N, which makes it impossible to accidentally detach or slip off).

The device can not only be washed in disinfectants, but also sterilized at temperatures up to 135 ° C. The high power of the handpiece - 16 V, allows the necessary manipulations to be carried out quickly and efficiently.

Specifications:

Index	Value
Manufacturer	KaVo
Body material	stainless steel
Backlight presence	is absent
Power, V	16
Working air pressure, bar	2.8
Cooling system	four-channel spray
Connection type	М4
Fixing mechanism	button
Weight, gr.	50
Overall dimensions, w * h * d, mm	170 x 80 x 30
Average price, rub.	13500

• quality material;
• ceramic bearings;
• four-channel cooling.

• high price;
• there is no backlight.

Sirona T2 Boost S

The handpiece of the German manufacturer Sirona is available in three modifications: Control (the cutting element rotates at a constant speed), Boost (maximum power), mini (small dimensions allow working with the most distant teeth). Depending on what modifications are, the user can choose a suitable model for himself.

The Boost model has a titanium coating that prevents mechanical damage to the case and contributes to an ergonomic position of the nozzle in the hand. Ceramic bearings provide long, high quality performance. The valve with double suction blocking prevents biological fluid from entering the drill sleeve.

The device is equipped with a powerful illumination of 25,000 lux, which is able to illuminate the treated area in full. The increased power of 23V allows the dentist to apply minimal effort during work and minimize staff breaks. The head is reduced in size and thanks to the four-channel cooling, the noise level is kept to a minimum. The proprietary Click & Go adapter system allows you to connect the device to any standard connector.

Specifications:

Index	Value
Manufacturer	Sirona
Body material	stainless steel
Backlight presence	yes, 25,000 lx
Power, V	23
Working air pressure, bar	3
Cooling system	four-channel spray
Connection type	М4
Rotation speed, rpm	370000
Weight, gr.	56
Overall dimensions, w * h * d, mm	170 x 80 x 30
Maximum sterilization temperature, ° С	135
Average price, rub.	31200

• high power;
• bright backlight;
• quality components.

• high price;
• to connect to some drills, a special adapter is required.

PANA-MAX TU / SU

Japanese firm NSK Nakanishi is well known in the dental equipment market. The Pana series includes ceramic bearing turbine handpieces. The Max modification is a modified version that focuses on smoothness and reliability.

Unlike similar models, the Pana Max has a thinner handle, which not only fits comfortably in the hand, but also makes it possible to carry out complex manipulations in hard-to-reach places, while the doctor gets a full view. Since in this model the bearings are built directly into the shaft, this helps to reduce vibration, as a result of which the doctor's hand experiences less stress.

The branded push-button clip securely fixes the device and does not allow displacement or slipping off the sleeve. A special head cleaning system prevents the ingress of biological fluids, thereby protecting the boron from damage. The manufacturer allows sterilization of the product in an autoclave at a temperature of 135 ° C. For additional sterilization, you can use a thermodisinfector. There is a safety valve that prevents increased rotation speed, which can lead to damage to the device.

Specifications:

Index	Value
Manufacturer	NSK Nakanishi
Body material	stainless steel
Backlight presence	is absent
Bearing type	ceramic
Cooling system	single-channel spray
Connection type	М4
Rotation speed, rpm	360 000- 450 000
Weight, gr.	50
Overall dimensions, w * h * d, mm	170 x 80 x 30
Maximum sterilization temperature, ° С	135
Average price, rub.	7500

• low price;
• Japanese quality;
• can be sterilized in an autoclave;
• ergonomic shape of the handle;
• ceramic bearings;
• high rotation speed;
• low vibration.

• single-channel cooling;
• there is no backlight.

W&H Alegra WE-99 Led G

This nozzle belongs to the category of angular. Suitable for all drills with a 1.6 mm bore. There is a built-in swivel push-button clamp for easy installation and removal of the instrument.

To save energy, there is a built-in generator that powers the LED backlight, making the light source completely self-contained. The brightness level is close to daylight temperature. The tip is universal and suitable for all types of connections.

The device works almost silently, this is due to the ceramic bearings used in the motor. The cooling system uses a three-point spray that effectively cools the head during operation.

Specifications:

Index	Value
Manufacturer	DentalWerk
Body material	stainless steel
Backlight presence	yes, high quality
Bearing type	ceramic
Cooling system	three-channel spray
Color rendering index	exceeds 90
Gear ratio	1*4,5
Luminous flux, lumen	5
Head diameter, mm	10.1
Average price, rub.	45000

• built-in generator that provides autonomous operation of the device;
• good cooling system;
• high-quality materials of manufacture;
• angular design allows for manipulations in hard-to-reach places.

• high price;
• the wide grip can be uncomfortable for women dentists.

MASTERmatic M29 L

The contra-angle design of the handpiece of the German manufacturer KaVo is similar to the constructor - it can be combined with different heads and the ratio can be adjusted to suit a particular user. Since their choice is wide (14 items), such a nozzle can be used for work of any complexity.

The high transmission ratio ensures maximum working efficiency. There is a built-in light source with a capacity of 25,000 lux. The light can be positioned in the desired direction. Experienced doctors advise to estimate its dimensions before choosing a tip for a handpiece - although most of them are small, some may limit the view of the treated surface.

The friction clamp makes it possible to remove and install the unit with one hand movement. The three-channel spray cools heated surfaces quickly and virtually silently. To clean the circulating liquid, a microfilter with the function of quick removal and installation is provided.

The use of ceramic bearings also ensures a minimum vibration level. This is also facilitated by the use of proprietary Triple-Gear technology. Not only sterilization at 135 ° C is allowed, but also thermal disinfection under the same conditions.

The product is coated with a special non-slip compound to prevent slipping out even from wet gloves.

Specifications:

Index	Value
Manufacturer	KaVo
Body material	stainless steel
Backlight presence	yes, 25,000 lx
Bearing type	ceramic
Cooling system	three-channel spray
Noise level	55 dBA
Maximum sterilization temperature, ° С	135
Chuck holding force	30 N
Gear ratio	7,4:1
Average price, rub.	27800

• good value for money;
• low noise level;
• there is a removable filter for cleaning the cooling spray;
• ceramic bearings provide long and reliable performance.

• not detected.

AIR PROPHY UNIT

This device of Chinese origin is in great demand in dental offices, especially private ones. This is due to the fact that many managers, wondering which device is better to buy, focus primarily on price, not quality.

A nozzle is used for sandblasting the surface of the teeth to remove plaque, tartar and other contaminants. The principle of operation is to supply a mixture of air, water and special powder under pressure to the surface to be treated. As a result of mixing the composition, a spray is formed, which removes even old dirt, while the patient does not experience discomfort.

The nozzle is removable and can be thermally disinfected. It can be rotated around its axis, thereby allowing it to be guided to the desired location without any effort. A special container with a screw cap is provided for the powder. The package also includes a spare cover, a set of shims, and two cleaning needles (large and small). Also, the device is equipped with a filter that prevents powder from returning to the drill sleeve.

Specifications:

Index	Value
Manufacturer	Beijing Wandong Medical Equipment
Body material	stainless steel
Backlight presence	is absent
Air pressure, bar	2,3-3,2
Connection type	М4
360 ° swivel	there is
Clamp type	button
Average price, rub.	4000

• budget price;
• there is a possibility of 360 ° rotation;
• connects to a standard four-channel connector without an adapter;
• light weight;
• ergonomic handle;
• suitable for any powder.

• poor quality of components.

Conclusion

When buying a handpiece for a drill, it is important to understand what it is and how it works. Since such devices outwardly practically do not differ from each other, you can purchase a device that will not only perform the functions assigned to it poorly, but will also quickly become unusable.

First of all, you need to pay attention to the material of manufacture of the device, the availability and quality of bearings, the cooling system. Backlighting is desirable but not required. It will be useful to check the availability and duration of the warranty. The higher it is, the better the device is in front of you.

We hope that our review will help you make the right choice and purchase a device that will work for a long time and with high quality, while not causing discomfort to either the patient or the attending physician.