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        ART-SP1 Scaler /Polisher Combo Unit Instruction
         Contents
1.  Before leaving the operation room  make sure that the ART SPI is turned off and the water  faucet 1s tightly closed    D  If you find that the power output to the hand piece 1s insufficient  the insert 1s probably worn  out  Inserts should typically be replaced after six months or when worn out     E  Please contact a local authorized agent for technical support     Section IX  Troubleshooting    While Bonart offers repair service  the following trouble shooting procedures can help you save    time   9 A Troubleshooting Guide  Basic procedures     1  Check all lines and connections to and from the system  A loose plug or connection is the    most common cause of problems   2  Check the setting of all control knobs   System will not operate     LED power indicator is not lit  1  Check that the three prong power plug is fully seated in the AC receptacle on the back of the  ART SPI  and that the voltage is supported   2  Check that the power plug is plugged into the wall outlet     LED power indicator is lit     Check that the footswitch connector 1s fully seated in the foot control receptacle on the back   91     of the system     System operates   No water reaches the tip  scaling mode   1  Assure that the water control knob is turned on or adjusted to allow water to flow  turning  counter clockwise allows for more water    2  Check that the water supply control valve  dental office water supply  is open     3  Check that the external water tube is properly connected     9 B 
2.  SP1     299 2    
3.  WARNING   Alerts users of danger that may cause severe injury when proper procedures    are not followed    e SYMBOLS    Aa          Compliance with MDD 93 42 EEC  0434  BF equipment    Grounding terminal    Attention  Please read instructions     gt  OP    Warnings    Important        Only trained and qualified doctors  dentist  and hygienists should operate the  ART SP1    Patients with pacemakers cannot be treated with the ART SPI    gt  Donotimmerse the ART SPI in water      gt  If the patient or operator is pregnant  consult a physician prior to performing    Y    dental scaling for safety purposes   The ART SPI requires a shielded AC power cord        Plug the power cord into a well grounded outlet     Y     N Attention to users with cardiac pacemakers     Patients with pacemakers should avoid treatment with the ART SPI  Electronic appliances  including razors  hair dryers  microwave ovens  TV receptors  and other medical equipment     such as the ART SPI  may interfere with the performance of pacemakers   For more information on this subject  please refer to the following articles        Advances in Cardiac Pacemaker   The New York Academy of Sciences  Vol  167   Article 2  pp  515 1075       Electromagnetic Radiation Interference with Cardiac Pacemaker   U  S  Department of  Health  Education and Welfare     The Individual with a Pacemaker in the Dental Environment   Journal of the American  Dental Association  Vol  91  No  6  pp  1224 1229    Please Read Before Oper
4.  indicators or chemical indicators for ensuring the efficiency of the sterilization cycle are    recommended     NOTE   Routine spore testing will determine the sterile conditions of your office     NOTE   The Sterilization Assurance Level  SAL  of steam autoclave should be 10     According to ISO 13683 Sterilization of health Care products     WARNING   High room temperature conditions  improper dilutions  or extended  immersion time in chemical sterilizers can result in damage to the plastic  and other materials of the insert tips     CAUTION  The use of a dry heat oven  incompatible chemical vapor type sterilizers or    quaternary ammonium compounds must be avoided as damage can result  to the plastic and elastomeric materials     Main Unit    To clean the main unit  wipe with a nonabrasive disinfectant     230 2    Micro motor    Remove all attachments to the micro motor prior to cleaning  The outer surface of the  micro motor should be cleaned with an antiseptic solution  Never oil the micro motor   Make sure no moisture gets inside the micro motor     Warning  Do not dip the micro motor and extension wire directly into the sterilization  chemical  The sterilization chemical will interfere with normal operations if  it reaches the inside of the system     Warning  Do not leave the disinfectant on parts longer than recommended by the  disinfectant manufacturer to avoid damaging materials     Note  The hand piece should be cleaned after each use between patients     Straig
5.  straight hand piece  there may be  a metal rod at the top that serves as a placeholder  Remove the rod after you open the lock   B  Match the groove at the base of the prophy head with the top of the straight hand piece and  connect them together   C  Close the lock by turning the locking ring counter clockwise     The prophy head should now  be locked onto the straight hand piece and should not fall off during operation   D  If you wish to remove the prophy head  follow step A to release the lock on the prophy head     WARNING   The prophy head needs lubrication and cleaning on a regular basis     When you are ready to begin polishing  follow the steps below    Place a rubber cup on the prophy head and put paste in the cup to begin polishing   Press the Micro motor  mode  button to switch from scaling to polishing mode  Adjust the Oscillating dial to a low speed  2 000 rpm    Press on the foot switch to engage the polishing hand piece and begin polishing     pa qn De prob    Add paste as needed       15     5 J  Assembling the Scaler Unit    1  Switch the power of the ART SPI off  The power indicator should not be lit if the machine 1s  off   Plug the power cord of the main unit into a grounded AC power outlet    3  Install an insert into the hand piece pushing it into the hand piece until it 1s firmly seated     4  Check the water tube connection to the water supply source and main unit     Section VI  General Description and Information of Parts    Main unit   Water contr
6.  water    when the office 1s unoccupied     5 C  Electrical Requirements    Refer to Section X  Specifications    25     5 D  Unpacking the Unit    Carefully unpack your ART SPI unit and verify that all components and accessories are included         Figure 1  All components and accessories     6     ART IF 50 Streamline Universal Plastic Handle Internal Flow Insert  Optional    ART P 10 Straight Angle Universal Metal Handle External Flow Insert  Optional    NOTE         While unpacking  check your ART SPI unit for any damages  If any damages are found   please contact your dealer immediately  Enter the unit serial number on your warranty card  and mail it within 14 days from the date of purchase     a    5 E  Power Cord   Power Connection  e Always make sure that the power switch is set to the OFF position before performing the  following tasks   o Plug the detachable AC cord into the back of the unit   o Plug the 3 prong plug into a grounded outlet      N Safety Instructions    A  Grounding   Prior to connecting accessories to the unit  check that the main unit is plugged into a    grounded wall outlet     B  Main voltage range and fuse     Prior to plugging the AC adapter into the power outlet  check that the voltage 1s supported   5 F  Foot Control Cable Assembly Connection  Align the pins of the foot control plug with the receptacle on the back of the device and push in  until the plug is firmly seated     5 G  Water Supply Line Connection    Push the blue water tube  ho
7.  will cause damage to teeth enamel  For optimum performance  we  suggest practicing on a model or aluminum plates to become more familiar with the scaling tips    before performing on patients     Table of Contents    COPDES        5                        exibuesmetim tani cet m VUE  OperatorSalety                       enedauusesssiesesvuveses desee lve  Wammes                       agase ed aid odinate  Pickice OO L C pompe MM  EM    OO  Section I  Indications for USE 9 ttis  Section II  Contraindications and Warnings     in    cece cece cece eee eeees  Section III  PrecautionS        2 24     Section IV  Infection Control          411144     44440        SECHONEN  InstalldtiOf      aie vest ia se tea d xeu ede POPE dau rad   Section VI  General Description and Information of Parts                   SECHON  VIL  Techiqu  S                   aysudnbsiicuinidivsbustepemesbstas  Section VIII  System Maintenance                                          esee  Section IX  Troubleshooting        2 44 4444   DecHOn X  Specifications           1    teste nesese    Section XL Disposal                               eske ESSE Mts    Section I  Indications for Use    Ultrasonic procedures     Removal of calculus and plaque during dental prophylaxis   General supra and sub gingival scaling applications   Periodontal debridement for all types of periodontal diseases   Endodontic procedures     Polishing procedures     Section II  Contraindications and Warnings    Do not use the ART SPI f
8. ART SPI Scaler  Polisher Combo Unit    Instruction Manual    anal Bonart Co   Ltd  Jorgen Kruuse A S  AF 11  No 3 Wuquan 1st Rd   Xinzhuang Havretoiten 4  DK 5550 Langeskov   Denmark    Dist   New Taipei City 24892  Taiwan  R O C    Tel  886 2 22983980   Fax 886 2 22983981 C     434   Email  sales 9bonartmed com 043  COPYRIGHTO 2012 BONART CO   LTD     BONART Co   Ltd  owns all rights to this publication  This publication shall be used solely as a  reference for operation  maintenance  and repair on BONART equipment  No part of this document    may be reproduced or distributed in any form for any other purpose    In the event of inadvertent or deliberate publication  BONART intends to enforce its rights to this  manual under the copyright law  Reproduction of the materials presented in this manual without the  express written permission of BONART Co   Ltd  is prohibited    The contents of this manual are subject to change without prior notice     PROPERTY OF BONART CO   LTD   ALL RIGHTS RESERVED    ART is a registered trademark of BONART Co   Ltd   amp  its affiliates     Document No  RD 02 13 02 Rev 1 0  08 12   Printed in Taiwan  R O C     Operator Safety    Please read this manual before operating unit     The ART SPI Scaler Polisher Combo Unit should be operated  maintained and repaired by qualified    and properly trained personnel   6 NOTE  CAUTION  AND WARNING STATEMENTS    NOTE   Provides tips and advice  CAUTION   Provides correct operating or maintenance procedures 
9. Technical Support and Repairs  For technical support and assistance call 1 888 526 6278 or 626 600 5330 Monday through  Friday  9 00 AM to 5 00 PM  Pacific Time   For other areas  contact your local Bonart    representative      X  Specifications    Classification       Protection against electric shock   Class I       Degree of protection against electric shock   Type BF      Mode of operation   Continuous  o    Medical device directive   IIa    Standards Followed  18013485  Medical Devices  Quality Management Systems  Requirements for regulatory  purposes  93 42 EEC  MDD CE Directive  EN60601 1      Medical Electrical Equipment  General Requirement for Safety  EN60601 1 2  Medical Electrical Equipment  Electromagnetic Compatibility     Requirements and Tests    20D    e Specification  e Power supply    e Working frequency    e Polisher speed  e Water supply    Dimension  Weight   Hand piece Cable  Footswitch Cable    Operation environment  e    Temperature  e Relative Humidity    Transport and storage conditions  e    Temperature   e Relative Humidity   e Atmospheric pressure    Section XI  Disposal    115V 45     50 60Hz  160VA  230V  5     50 60Hz 160VA    24 5KHz  5   for 25 KHz Insert   2000   30000 R P M   25 60 PSIG 172 414KPa   24 5cm L  x 22 5cm W  x 8 5cm H   4 Kg include hand piece     250 cm  250 cm    0 230  C  10    90   non condensing     0   C 60  C  10    90   non condensing   860 1060 hPa    Please follow county and state regulations for disposal of the ART
10. ating         Make sure the device is connected to a grounded outlet     Failure to meet this requirement may severely damage the       user and equipment         Place the device on a flat and stable surface  Placing the    device on a tilted or unstable surface may degrade       performance and also cause damage to the device         Do not modify this device  Modifications to the device will  invalidate the safety codes and warranty while endangering    the patient and operator         Do not place heavy objects on top of the power cord and keep    the power cord away from intense heat          Unplug the device and call Bonart for service and instructions    if you observe any abnormalities while operating the device        Preface    About the ART SPI Scaler Polisher Comb Unit    The ART SPI is CE 0434 certified in compliance with the applicable requirements of the Council  Directive 93 42 EEC  The reviewing council also classifies the ART SPI in accordance with  EN60601 1 and EN60601 1 2 safety requirements     How it works    The ART SPI consists of two parts  The main electronic system and the scaling hand piece     The  main electronic system utilizes two closed loops  One loop provides automatic tuning to match  the resonance of the insert  The other loop will control the tip stroke based on various working    conditions     The scaling hand piece utilizes a pulsing magnetic field     This magnetic field 1s applied to a  metal    stack    which flexes and moves an i
11. hand piece to clear the hand piece of any residue accumulated during treatment  Then  clean  the surface of the hand piece with antiseptic soap or solution and rinse thoroughly with water   Afterwards  wipe or spray a chemical disinfectant on the hand piece  Please try to use a    nonabrasive disinfectant to avoid damaging the hand piece     After disinfecting the hand piece  a sterile insert may be re inserted into the hand piece in    preparation for the next patient     At the end of the day  remove the insert from the hand piece and scrub both  the hand piece and  cable  with antiseptic soap  Rinse thoroughly with water     NOTE   Cleaning the hand piece after every patient is advised     WARNING   Do not dip the hand piece and extension cable directly into sterilization fluid   Doing so will cause the ART SPI to malfunction     WARNING   Do not leave the disinfectant on the surface of the hand piece and extension  cable any longer than instructed by the manufacturer of the disinfectant     Insert    Saliva  blood  and other debris will leave a residue on the insert after each use  Therefore  it is  necessary to clean inserts after each use  Cleaning can be done manually by scrubbing the  insert with a brush  water  and detergent  Be sure to rinse thoroughly after scrubbing  Let  the insert dry  Then  place the insert in a bag and autoclave at 275    F  135  C  for 15 minutes   or as recommended by the manufacturer of your sterilization unit  to sterilize the insert   Bio
12. ht Hand Piece Attachment    The straight hand piece should be lubricated at the end of each day of use  Drop 2 3 drops of  mineral oil into the top and allow it to flow down through the hand piece     Prophy Head    The prophy angle should be cleaned to remove hair and debris after each patient  At the end of  the day it should be cleaned and lubricated  To clean the Prophy Head  follow the steps  below     1  Remove the rubber cup   2  Remove the cup holder with pliers by turning the knurled knob right  the knurled knob has a  reversed thread      Wash away debris from the inside     Then put 1 drop of oil onto the gears   3 1n   multipurpose oil works well     3  Make sure all hair and fur  if any  is removed from the end of the prophy angle    4  Replace the knurled knob     Section V  Installation    5 A  General Information    If the installation of your ART SPI system is performed by non Bonart distributor personnel  check    to see that the requirements below are followed     5 B  Water Line Requirements    e Incoming water supply line pressure to the Scaler must be 25 psi  172 kPa minimum  to 60  psi  414Kpa maximum   If your dental water supply line pressure is above 60 psi  install a  water regulator on the water supply line to your ART SPI unit    e After the above installation requirement is fulfilled  thoroughly flush the water prior to    connecting to the scaler     2 g    e Please use the manual shut off valve on the dental water system supply line to shut off
13. in unit  It is located    on the back of the main unit at the bottom left     Footswitch Socket  The foot switch socket is where you connect the foot switch to the main unit  It is located    next to the water hose input on the back of the main unit     9  Water hose input connector  The water hose input connector is the contact point for the water tube and the main water  supply line  Use either a male or female quick connect to connect the water tube to the water    supply  The ART SPI comes with a male quick connect attached to the water tube     Power cord socket  The power cord socket is where you connect the power cord to the main unit     Forward   Reverse switch    The Forward Reverse switch allows you to control the direction of the micro motor  It 1s    located on the back of the main unit       18     Section VII  Techniques    7 A  Performing Ultrasonic Scaling Procedures    l     Use purified or distilled water to prevent infection when patients experience tissue    laceration during treatment  Keep the power cord tidy to avoid tripping and other accidents     Position the footswitch in an easily accessible spot for the user  Keep the footswitch cord    tidy to avoid tripping and other accidents     Hold the empty hand piece in an up right position when testing to see if the scaler is  working properly  Tap the footswitch until water appears  Do not repeatedly tap or hold    the footswitch down  The empty hand piece will melt       Lubricate the rubber O ring on 
14. it     A Do not depress the foot switch while turning on the ART SPI     Micro motor  Mode  button   The micro motor  Mode  button is used to switch between polishing and scaling  mode  When pushed  the LED indicator should be lit  indicating that the system  is operating in polishing mode  Under polishing mode  the micro motor is  engaged  To return to scaling mode  push the button again     Water control knob    The water control knob allows you to control the amount of water that flows through the hand  piece  If turned clockwise  the amount of water will decrease  If turned counter clockwise   the amount of water will increase  Please note that water is necessary to cool the tip and  prevent overheating so it is necessary to ensure that an adequate amount of water flows  through the hand piece while operating the device  The larger the water stream  the lower the  temperature  and vice versa     WARNING   Do not turn the water knob counter clockwise more than three full turns   Doing so will damage the internal water line needle     WARNING   If needed  gently adjust the water control knob to prevent any serious    damages to the water valve     Power control knob    The Power Control Knob allows you to control the power intensity  When turned clockwise   the power intensity increases  When turned counter clockwise  the power intensity decreases     xq us    Te    8     10     11     Micro Motor Socket  The micro motor socket is where you connect the micro motor to the ma
15. maged  bent  or reshaped  Discard  immediately     Use the long axis of the scaling tip  insert  to wipe accretions from the tooth  Do not gouge     8     the tooth with the tip     3 C  Precautions for hand piece  In order for the system s hand piece to function consistently and effectively  Accumulated  air pressure from the handle  or hand piece  must be released every 10 to 15 minutes on  every procedure by doing the following steps   1  Put the insert into the hand piece and make sure it 1s fully seated   2  Hold the hand piece vertically with the insert tip on top  depress the foot Switch  control      3  Let the water spray out for a minute or so  then start scaling procedure     Section IV  Infection Control    4 A  General Infection Control Recommendations     As with all dental procedures  use standard protective equipment such as face masks  eyewear  face  shields  gloves and protective gowns   To ensure safety to the operator and patient  carefully follow the Infection Control Procedures    detailed in this section     4 B  Water Supply Recommendations    All dental water supply systems should conform to applicable Centers for Disease Control and  Prevention  CDC  and the American Dental Association  ADA  standards  These standards should    apply to flushing  chemical flushing  and general infection control procedures     4 C  Cleaning and Sterilization     Hand piece    Prior to cleaning  remove the insert from the hand piece  Next  drain any water left in the  
16. nstalled scaling tip  insert  approximately 25 000  cycles per second in an elliptical pattern based on the amount of power used  Thus  more power  results in greater tip displacement  which allows for more robust scaling  However  the  vibrating metal stack generates heat and requires adequate amounts of fluid to cool the hand    piece and tissues during treatment     When the two parts of the ART SPI are placed together  the properties of the main unit and  scaling hand piece enable the ART SPI to    power away  the heaviest calculus deposits  In  addition  tips may be rotated 360 degrees within the hand piece to relieve cord tension and  alignment  Asa result  the ART SPI provides maximum comfort to the patient and ease of use    to the operator    Features   e Scaler and polisher in one system  e Automatic phase lock and power control  e Automatic feedback control    e Micro motor speed control of 2 000 to 30 000 RPMS    Technical Support    For technical support and repairs in the U S   call 1 888 526 6278 or 626 600 5330  Monday  through Friday  9 00 AM to 5 00 PM  Pacific Time   For other areas  contact your local Bonart    representative   Supplies  amp  Replacement Parts    To order supplies or replacement parts 1n the U S   contact your Bonart Distributor or Dealer  A    list of Bonart distributors can be found on our website at www bonartmed com     CAUTION   Since the scaling tip  insert  is made of stainless steel  avoid direct contact with  teeth  Direct contact
17. ol knob 9  Water hose input   Hand piece   Power control knob 10  Power cord socket  Power button   Micro motor socket 11  Forward Reverse switch  Micro motor  Mode  button   Foot switch socket       Figure 2  ART SP1 diagram    1  Main Unit  The main unit generates power and produces a signal that 1s passed to the hand piece  The    hand piece is then powered up and vibrates the installed insert     2  Hand piece  The hand piece is the housing for scaling inserts  Inserts are interchangeable and can be  installed with a firm push  To remove the insert  hold the insert at the grip and pull from the  hand piece  Be careful not to cut yourself in the process  Inserts that are compatible with  the ART SPI are made by  Bonart  Dentsply and Hu Friedy     2462    The hand piece will heat up when used due to the power generated by the main unit   Therefore it is necessary to cool the hand piece by ensuring that an adequate amount of water    flows through the hand piece     CAUTION   Make sure that new insert is firmly seated   CAUTION  Do not depress the footswitch when there is no insert installed  Doing so    will cause the hand piece to melt   NOTE   The ART SPI is a stand alone unit and is now only available in 25Khz  Please    do not use 30Khz inserts with the hand piece     Power button  ON OFF   The power button is used to turn the ART SPI main unit on and off     When the power 1s on   the LED indicator should be lit  When turned off  the LED power indicator should not be l
18. or amalgam restorative dental procedures    Do not use the ART SPI if the patient or operator is wearing a pacemaker    Do not immerse the ART SPI in water or liquid  If the ART SPI has water damage  return  the machine to Bonart for servicing    Do not modify the ART SPI  Modifications will invalidate the warranty on the machine as    well as invalidate safety codes and endanger the patient and operator     Section III  Precautions    3 A     Precautions for all Ultrasonic Scaler Units and Systems   Ensure sufficient water flow to the scaler tip during use to cool the hand piece and insert   Take precaution as all ultrasonic scalers produce aerosols that may transmit contagious  diseases    Keep the unit away from intense heat  Excessive heat may damage the electronic  components    Switch the water valve off when the ART SPI is not in use    Avoid treating patients with pacemakers due to the magnetic field produced by the ART SPI   The magnetic field may cause monitoring devices to malfunction and provide inaccurate    readings     3 B  Precautions for Ultrasonic Prophylaxis Procedures    Scaling tips  inserts  will wear with use  Inserts with 2mm of wear will lose approximately  50  of their scaling efficiency  In general  it is recommended that inserts be discarded and  replaced after 2mm of wear to maintain optimal efficiency and avoid breakage    Avoid direct contact of inserts with the patient s lips  cheeks and tongue    Do not reuse scaling tips  inserts  that are da
19. reating sensitive areas   e  reat less sensitive area first  and then return to sensitive areas     e If the problem persists  reduce the power output intensity of the hand piece     Section VIII  System Maintenance  Daily start up    I  Open the water supply valve    2  Turn the ART SPI on using the main power switch  Verify that the LED power indicator  LED   is lit    3  Set the power control knob to full power    4  Turn the water control knob counter clockwise to the maximum setting    5  Hold the empty hand piece upright over a sink or drain    6  Depress the footswitch and flush the water line for at least 2 minutes    7 Place a scaling insert  or a compatible insert  into the hand piece and adjust the water level as    desired     NOTE   If no water is detected  check the water supply and the water control knob   NOTE  If the power LED is not lit  contact a local authorized agent     so     Preparations for treating each patient     Remove  clean  and sterilize all used ultrasonic inserts   2  Make sure the scaling insert tip has been sterilized before treating the next patient     3  Clean and disinfect the surface of the power cord  hand piece  and cable assembly     Daily shutdown  1  Use the power switch to turn the ART SPI off   2  Close the water supply valve     Daily Maintenance    The suggestions below will help maximize the lifespan of the scaler   A  The ART SPI should be used in a well ventilated room    B  Handle the ART SPI with care when moving it    C 
20. se  into the stainless steel receptacle until the hose cannot be pushed    any further  Then tighten the screw    Connect the quick connect to the water supply line  The ART SPI should be prepackaged with a  male quick connect  If a female quick connect is necessary  please contact a Bonart distributor to  purchase it    Inspect all connections for leaks    To remove the water line from the ART SPI scaler  first  turn off the water supply or disconnect the  water supply line  Then loosen the screw on the water tube from the receptacle of the unit and  gently pull the water hose out    5 H  Hand piece Cable Assembly Connection   The ART SPI scaling hand piece is designed only for inserts with a frequency of 25khz  The    ART SPI is no long available in 30khz so please do not try using a 30khz insert with the ART SPI       14      5 I  Polishing Hand Piece Assembly and Start Up        Prophy Angle Straight Hand Piece Micro motor       Knurled Knob Locking Ring    To assemble the polishing hand piece  connect the Prophy Head  Straight Hand Piece  and  Micro motor by following the steps below     1  Connect the straight hand piece and the micro motor by pushing the straight hand piece over  the rod of the micro motor  It should snap into place   2  Attach the prophy angle to the straight hand piece by following the steps below   A  Unlock the prophy head from the straight hand piece by turning the locking ring clockwise   This should open the lock  Note  When you first unpack the
21. the insert with water before placing it into the hand piece     Install the insert by firmly pushing until seated     Hold the hand piece over a sink or drain with an insert installed  Verify that water is    reaching the tip   Check your scaling inserts for wear and replace as needed     Use your foot to press down on the foot switch to allow water to reach the hand piece     Release the foot switch to stop the water     Control the amount of water that flows through the hand piece by using the water control  knob  Turn counter clockwise to increase water flow and clockwise to decrease water    flow     NOTE  To lower the temperature of the hand piece  increase the water flow   CAUTION   A continuous flow of water is required to keep the hand piece cool during    use     219     7 B  Patient Comfort Considerations    1  Position the patient comfortably on the patient chair  Adjust the chair angle and position to    access the patient s oral cavity with ease and comfort   2  Put the saliva ejector into the patient s mouth to remove excess saliva and debris     3  Rotate the patient s head gently so that the oral cavity can be easily accessed without causing    discomfort to the patient  see figure below         4  During treatment  try to keep the angle between the surface of the tooth and scaling insert at 15  degrees  If the patient experiences any discomfort during treatment  follow the suggestions    below     e Increase the hand piece movement speed on the surface when t
    
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