Air Abrasive Instrument Comparison - July 1996
Detailed Characterization of Air Abrasive Instruments
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Note: Evaluated in the July 1996 Edition of CRA Newsletter.  This information is intended to provide a more in-depth characterization of the air abrasive instruments ranking in the "Overall Performance" column on page 3 of the July 1996 CRA Newsletter.

Contents:  (1) Definitions of Performance Criteria
(2) Grades & Rankings Given to Each Air Abrasive Unit
(3) 18 Characteristics of an Ideal Air Abrasive Unit

Section 1:  Definitions of Performance Criteria

In order to receive an "excellent" rating, the air abrasive unit must have the following characteristics.

1. Precision of Cut: Provide fine, narrow cuts, and remove desired decay without excess tooth material.
2. Visibility: Vision around the handpiece tip into the preparation.
3. Access: Ability to access and comfortably cut any surface of any tooth in the mouth, especially the distal surface of molars.
4. Operator in Full Control:

  • Precise start and stop of the cutting abrasive with the footpedal.
  • Adjustable powder rate.
  • Adjustable operating pressure.

5. Minimal Powder Overspray:

  • No powder build-up on the tooth surface after releasing the footpedal.
  • Minimal cloud of powder coming from the patient's mouth during cutting.
  • Powder overspray is not felt by the operator, assistant, or patient.

6. Reliability: No interruption during use due to clogged tips or powder chambers, failed pinch valves, or other mechanical breakdowns.


Section 2:  Grades & Rankings

Following table shows CRA grade for all air abrasive units tested according to the above criteria.

Excellent = "E" or 4.0 points
Good = "G" or 3.0 points
Fair = "F" or 2.0 points
Poor = "P" or 1.0 points
(Very Good = "VG" or 3.5 points)

The following table shows each air abrasive unit with six scores that correspond to the six criteria mentioned above and the average score.

Characteristic

Associate Director Jetstream

KCP100

KCP1000

KCP2000

KV-1

Mach4.0
1. Precision of cut

2.5

2.5

2.0

3.5

3.5

3.0

2.0

2.0

2. Visibility

4.0

4.0

2.0

3.5

3.5

3.5

2.0

2.0

3. Access

4.0

4.0

2.0

4.0

4.0

4.0

2.0

2.0

4. Operator in Full Control

3.0

3.0

2.0

3.0

3.0

2.0

3.0

3.0

5. Minimal Powder Overspray

2.0

2.0

2.0

3.5

3.5

3.0

1.0

1.0

6. Reliability

3.5

3.5

3.5

3.5

3.5

1.0

2.0

2.5

Average Score

3.2

3.2

2.3

3.5

3.5

2.8

2.0

2.1

Ranking

G

G

F

VG

VG

F

F

F

After over 1 year of extensive clinical and laboratory testing, CRA clinicians and scientists compiled a list of features desired in an "ideal" air abrasive instrument and the importance weighting for each feature. (For importance weighting, 3 is highest.)

Section 3:  18 Features of an "Ideal" Air Abrasive Unit

Features listed as follows: (Importance value) - "Ideal" Feature

  1. (3) Produces a narrow, precise, and focused cut.
  2. (3) Provides a comfortable access on any surface of any tooth in the mouth.
  3. (3) Allows operator visibility at all times.
  4. (3) Consistently has no interruptions during use due to mechanical failure.
  5. (3) Minimal overspray.
  6. (3) Operator in full control, including precise on/off of cutting, and powder rate and pressure adjustment.
  7. (2) Clearly indicates need for powder refill and air filter/dryer maintenance changes.
  8. (2) Fast, easy, and clean maintenance by office personnel.
  9. (2) Useable for all dental air abrasion needs (tooth cutting, Microetcher, and Prophy Jet).
  10. (2) Flexible cord and swivel.
  11. (1) Reasonable cost.
  12. (1) Small size and attached to the dental chair.
  13. (1) Two-stage footpedal for air only and abrasive cutting.
  14. (1) Sterilizable handpiece and cord.
  15. (1) Quick-disconnect tips.
  16. (1) Clean, high-tech appearance.
  17. (1) Controls are easy, fast, cleanable, conveniently located, and clearly labelled.
  18. (1) Powder color contrasts with tooth and decay.

None of the air abrasive instruments met all of the above criteria in this evaluation.

The following show the 18 scores corresponding to the above 18 ideals for each of the air abrasive units (scores are 0, .5, & 1 with 1 being best or ideal is present):

Weighted Rankings Sum (34 total possible)

  1. KCP100 - 21.5
  2. KCP1000 - 17.5
  3. Director - 16.0
  4. KCP2000 - 15.5
  5. Associate - 13.0
  6. Jetstream - 6.5
  7. KV-1 - 4.0
  8. Mach 4.0 - 4.0

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