Aquacut Quattro 5000+ Series – User Manual
Contents
1. 20 11 06 Page 6 Aquacut Quattro User TREATMENTS CONT FISSURE CARIES TREATMENT Settings Powder 29micron Aluminium Oxide blue container Cutting Nozzle 0 5mm diameter or 0 6mm diameter Cutting Speed 3Bar Powder Flow The AQUACUT QUATTRO is of particular use for treating fissure caries To treat the caries use the Settings as listed at above Hold the cutting nozzle about 2mm from the surface of the tooth and direct the particulate beam at the caries use it in short bursts sweeping it along the vein until all the dark caries is removed and the sound tooth structure is revealed The beauty of this procedure is its speed and the absolute control possible ensuring that the minimum amount of tooth structure is removed The newly prepared surface being dry and abraded is now ready for restorative materials Normally local anaesthetic is not necessary for the above treatment NOTE If there is soft caries present in the dentine a rotary instrument may have to be used or use the Sodium Bicarbonate on cleaning setting This is because soft and moist caries are resilient and therefore not so effectively removed by the use of fluid abrasion 20 11 06 Page 7 Aquacut Quattro User TREATMENTS CONT CAVITY PREPARATION Settings Powder 53micron Aluminium Oxide red container Cutting Nozzle 0 6mm diameter or 0 8mm diameter Cutting Speed 4Bar to 6Bar Powder Flow 3 to 5 The procedure for th2. Fluid Abrasion g Unit m User Manual WARNI NG Do not Connect to the air supply before reading this manual BY MEDIVANCE MEDIVANCE INSTRUMENTS LTD Barretts Green Road Harlesden London NW10 7AP UK Tel 44 0 20 8965 2913 Fax 44 0 20 8963 1270 www velopex com CONTENTS Page INDICATIONS FOR USE WARNINGS SUGGESTED TREATMENT METHODS FOR AQUACUT QUATTRO PREPARATIONS BEFORE TREATMENT TREATMENTS CLEANI NG TREATMENTS FISSURE CARIES TREATMENT TREATMENTS CAVITY PREPARATION TREATMENTS REMOVAL OF COMPOSI TE RESTORATIONS TREATMENTS BONDI NG ORTHODONTI C BRACKETS CE 0120 O O O N OU UN F INDICATIONS FOR USE Preparation of Pit and Fissure for Sealants Removal of Composites for Restoration Cavity Preparation Cleaning Polishing and Stain Removal Etching 20 11 06 Page Aquacut Quattro User WARNINGS ONLY QUALIFI ED DENTISTS SHOULD USE THE AQUACUT QUATTRO ON PATIENTS AFTER READI NG THIS MANUAL AND THE AQUACUT QUATTRO INSTALLATI ON OPERATI ON AND MAI NTENANCE MANUAL IN PARTICULAR THE SECTI ON HEADED THE FIRST STEPS TO MASTERI NG THE AQUACUT QUATTRO SPECI AL CONSI DERATI ON MUST BE GI VEN TO THE USE OF THE AQUACUT QUATTRO ON PATI ENTS WHO HAVE 1 RESPI RATORY DIFFICULTIES 2 ASTHMA 3 A COLD 4 BLOCKED NASAL PASSAGES 5 RESTRI CTED SODI UM DI ET 6 ANY OTHER MEDI CAL PROBLEM THAT MAY PREVENT THE PATI ENT FROM BREATHI NG THROUGH THE NOSE ANY PATI ENT SUFFERI
3. Powder Sodium Bicarbonate clear container Cutting Nozzle 0 6mm diameter or 0 8mm diameter Cutting Speed 3Bar to 5Bar Powder Flow This treatment is particularly easy when using the AQUACUT QUATTRO and gives a superior finish to the teeth Where the teeth have been stained by coffee and or smoking fluid abrasion comes into its own The fine particles of sodium bicarbonate penetrate the micro crevasses of the tooth surface and the particulate beam easily follows the contours of the tooth surface enabling the staining to be removed very quickly and with no discomfort to the patient The settings as listed above will create a wide particulate beam of high velocity and medium particulate density This is to prevent removal of the tooth enamel yet provide sufficient power to remove staining The cutting nozzle should be held approximately 4mm from the surface of the tooth at an angle of approximately 45 Deg By moving the nozzle further away from the surface of the tooth the rate of removal of staining can be slowed down Move the handpiece slowly over the tooth surface The most effective way to use fluid abrasion for this procedure is to use the handpiece of the AQUACUT as if it were a paintbrush making light strokes across the surface of the tooth until the surface is clean With experience the dentist will be able to work with a high degree of control the learning curve being similar to that when first using a high speed drill
4. to Aquacut Quattro and it is 20 11 06 Page 3 Aquacut Quattro User liked by both dentists and patients because of the low noise and the lack of vibration and heat Its ability to cut wet and dry increases its flexibility of use Generally there is no need to give a local anaesthetic as fluid abrasion is in most cases quite painless however always offer anaesthetic to nervous patients NOTE The following pages give a range of settings for each procedure Start at the lower end of the recommended settings and work up as you become more proficient Increasing the air pressure or the abrasive powder flow will increase the cutting speed or cleaning rate and conversely decreasing either of the settings will decrease the cutting speed or cleaning rate If the air pressure is increased but the abrasive powder flow decreased then the cutting speed will remain substantially the same but with less powder out flow from the working area If the air pressure is decreased but the abrasive powder flow Increased then the cutting speed will remain substantially the same but the patient will be subjected to a less aggressive treatment which is ideal for use on sensitive areas 20 11 06 Page 4 Aquacut Quattro User PREPARATIONS BEFORE TREATMENT WARNI NG BEFORE OPERATING WI TH AQUACUT THE PERSON OPERATI NG THE UNIT ANY ASSISTANTS THE PATI ENT AND ANYONE ELSE IN THE OPERATING AREA MUST WEAR EYE PROTECTION TO BS EN 166 IF 415 AND EXC
5. EPT FOR THE PATI ENT THEY MUST ALL WEAR RESPI RATORY MASKS TO EN 149 FFP2S 1 It is recommended that a light coating of petroleum jelly is smeared around the patient s lips to prevent cracking and to attract some of the out flow of abrasive powder 2 Rubber dam should be used to protect adjacent teeth and soft tissue Metal Matrix bands should be used to protect adjacent teeth during interproximal preparations A Bib should be used protect a patient s clothes from any out flow of the material from the mouth during the course of a treatment 3 USE A HIGH SPEED INTRA ORAL ASPIRATOR PREFERABLY WITH A FLARED TIP 4 An extra oral evacuator can also be used with the extraction cone sited below the patient s chin 5 Important When switching chambers from Aluminium Oxide for cutting to Sodium Bicarbonate for cleaning it is important to clear the air lines of any residual cutting powder To achieve this simply switch over to the required chamber Aim the handpiece nozzle into the aspirator and operate the machine foot pedal CUT position for 10 seconds minimum This will purge the lines of any previously used powder 6 Only Aquacut Quattro Fluid should be used in the Aquacut Quattro Fluid System The 500ml bottles supplied with the machine should be discarded when empty The fluid can be used with all recommended treatments using this instrument 20 11 06 Page 5 Aquacut Quattro User TREATMENTS CLEANI NG Settings
6. NG FROM ANY OF THE ABOVE CONDITIONS SHOULD CONSULT THEI R PHYSI CI AN BEFORE HAVI NG TREATMENT WI TH AQUACUT QUATTRO AQUACUT QUATTRO MAY CAUSE SOFT TI SSUE DAMAGE I NCLUDI NG INFLAMMATI ON AND BLEEDI NG AND CREATI ON OF AN AI R EMBOLI SM THEREFORE ALWAYS USE TOWARDS I NCI SAL EDGE OF THE TOOTH BE AWARE THAT IF INCORRECTLY USED THE AQUACUT QUATTRO CAN CAUSE HARD TI SSUE DAMAGE I NCLUDI NG ETCHI NG OR ABRASI ON OF ENAMEL OR EXPOSED ROOT SURFACES OF THE TEETH HANDPI ECES MUST BE STERI LI SED BEFORE FIRST USE AND BETWEEN PATI ENT TREATMENTS REFER TO THE I NSTALLATI ON OPERATI ON AND MAI NTENANCE MANUAL DI SPOSABLE FEEDLI NE AND TI PS ARE FOR ONE TI ME USE ONLY ALWAYS USE A NEW FEEDLI NE AND TI P WI TH EACH PATI ENT DO NOT TURN ON THE AI R SUPPLY UNTI L YOU HAVE READ THE COMPLETE USER MANUAL AND I NSTALLATI ON OPERATI ON AND MAI NTENANCE MANUAL ALL POWDERS SUPPLI ED BY MEDI VANCE ARE STERI LE WHEN PACKED AND THE POWDER CONTAI NERS ARE NOT REUSABLE USE ONLY ORIGI NAL MEDI VANCE CONSUMABLE PRODUCTS POWDERS ETC AS OTHER MAKES MAY DAMAGE OR ALTER THE PERFORMANCE OF THE AQUACUT QUATTRO AND MAKE THE MACHI NE DANGEROUS ALWAYS ENSURE SAFETY GOGGLES amp MASKS ARE WORN BY EVERYONE IN THE AREA WHEN SETTI NG UP OR USI NG THI S EQUI PMENT 20 11 06 Page 2 Aquacut Quattro User ALWAYS ENSURE THE HANDPI ECE IS UNDER CONTROL AND THE NOZZLE IS POINTING IN A SAFE DIRECTION SUGGESTED TREATMENT METHODS FOR AQUACUT QUATTRO The Brit
7. e preparation of a cavity with the AQUACUT QUATTRO will depend on the size of the cavity and the extent and type of caries For small cavities the cutting nozzle should be held at an angle of between 35 Deg and 45 Deg to the surface being abraded and about 2mm or 3mm from the surface The best approach is to use a slow circular motion over the affected area until sound tooth structure is revealed The tooth is now ready for to be filled in the normal way For larger cavities a combination of the AQUACUT QUATTRO and a rotary instrument may be of benefit This is because fluid abrasion is a technique designed to produce a very conservative cut with a working area of less than 2mm Diameter Finally the surface of the cavity should then be finished using the AQUACUT QUATTRO to ensure a suitable key for the bonding agent NOTE Fluid abrasion is not a suitable technique for shaping undercuts for amalgam restorations Traditional rotary instruments should be used for this application 20 11 06 Page 8 Aquacut Quattro User TREATMENTS CONT REMOVAL OF COMPOSITE RESTORATIONS Settings Powder 53micron Aluminium Oxide red container Cutting Nozzle 0 6mm diameter or 0 8mm diameter Cutting Speed 4Bar to 6Bar Powder Flow 3to5 The AQUACUT QUATTRO is very useful for the removal of old composite restorations Hold the cutting nozzle at an angle of about 45 Deg to the surface of the old composite restoration and about 2mm or 3m
8. ish Dentist Dr Raghuvir Patel is principal of a general dental practice in Essex and has been a vocational trainer for the last 10 years He is a keen advocate and user of the fluid abrasion technique Dr Patel who also lectures on the subject has established that fluid abrasion can be used successfully in a variety of tooth preparations Dr Patel has prepared the following pages that outline these procedures which are all based on his considerable experience with a wide variety of Air Abrasion Products Please note that the following methods of treatment are advisory Each dentist will quickly develop a preference for the settings of the air pressure abrasive powder and fluid flow as well as variables such as the abrasive powder type and the cutting angle of the nozzle For set up and control of cutting fluid refer to the installation operation and maintenance manual Every user will soon find the most convenient setting for each of the treatment techniques Note that the tip of the cutting nozzle should be held approximately 1 5mm from the surface being worked on Also avoid holding the cutting nozzle square to the perpendicular being worked on as this will cause the abrasive particles to blur the view of the working area and also reduce the cutting efficiency Angle the cutting tip towards the aspirator Instruct the Dental Assistant to follow the Aquacut Quattro tip with the Aspirator It has been found that dentists quickly adapt
9. m from the surface The best approach is to use a slow circular motion over the old restoration beginning at the edge particularly at the failed margin until all the old composite has been removed and the cavity preparation completed The new restorative can now be applied in the normal manner without any further treatment Follow the manufacturers recommendations with regard to the use of acid etch with bonding systems BONDING ORTHODONTIC BRACKETS Settings Powder 29 or 53micron Aluminium Oxide red container Cutting Nozzle 0 6mm diameter or 0 8mm diameter Cutting Speed 4Bar Powder Flow 1 The enamel of the tooth to be treated can be etched to the exact size of the orthodontic bracket at the place of attachment This is achieved by holding the cutting nozzle 2mm above the surface of the tooth and gently moving it in a circular motion over the required area This will result in a dry etched surface ready to accept the bonding agent and the risk of saliva contamination is greatly reduced because the aluminium oxide dries the surrounding mucosa The same technique can be used to clean the orthodontic brackets 20 11 06 Page 9 Aquacut Quattro User BY MEDIVANCE MEDIVANCE INSTRUMENTS LTD Barretts Green Road Harlesden London NW10 7AP UK Tel 44 0 20 8965 2913 Fax 44 0 20 8963 1270 www velopex com Medivance Aquacut Quattro User Manual UK OM51 Issue 4 20 11 06 Pt No I LI T2808P Velo
10. pex is a trademark of Medivance Instruments Ltd
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