Palisades Dental Impact Air 45 9 Guide

PALISADES DENTAL
HIGH SPEED HANDPIECE
www.palisadesdental-llc.com
Care and Use
of the Impact Air 45®
Push Button (Model 9)
High Speed Handpiece
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FOR PROFESSIONAL USE ONLY
THE IMPACT AIR 45
®HIGH SPEED HANDPIECE IS A PRESCRIPTION
DEVICE AND IS INTENDED FOR USE ONLY BY LICENSED DENTAL
PRACTITIONERS.
BEFORE OPERATING HANDPIECE, CAREFULLY READ AND FOLLOW THESE
INSTRUCTIONS. SAVE THESE INSTRUCTIONS FOR FUTURE REFERENCE.
OBSERVE ALL CAUTIONS AND WARNINGS DURING USE.
CAUTION:
FEDERAL LAW RESTRICTS THE DEVICE TO SALE BY OR ON THE ORDER
OF A LICENSED DENTIST.
WARNING:
UNDER
NORMAL OPERATING CONDITIONS, AIR IS RELEASED FROM THE
BACK
OF THE HEAD OF THIS HANDPIECE. IF THIS AIR IS DIRECTED INTO
A
N OPEN SOFT TISSUE WOUND OR BENEATH THE MUCOSA OR DERMIS,
INJURY
TO THE PATIENT COULD RESULT FROM AIR EMPHYSEMA OR AIR
EMBOLISM.
• When using this handpiece, do not turn it so that the back of the head
is directed toward a tissue flap.
• The Impact Air 45
®is designed to prevent the release of air from the
front of the device head (i.e., onto the bur). Prior to each use, the
handpiece should be evaluated to ensure that it is operating correctly.
The instructions in this booklet should be followed carefully.
CAUTION:
This
handpiece must be sterilized prior to initial use. Please follow
instructions
listed in Section 4 - Sterilization of this booklet. The Food
and
Drug Administration (FDA) strongly recommends that handpieces be
re-sterilized after each patient use.
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- 2 -
DIAGRAM A
WRENCH
HEADCAP
CHUCK
BLACK O-RING
TURBINE
BLUE O-RING
HEAD
BUR
WASHER
WASHER
BEFORE OPERATING THE HANDPIECE, CAREFULLY READ AND
FOLLOW ALL OF THESE INSTRUCTIONS. SAVE THESE
INSTRUCTIONS FOR FUTURE REFERENCE. TO MINIMIZE RISK OF
SERIOUS INJURY, OBSERVE ALL WARNINGS AND CAUTIONS.
The Impact Air 45®High Speed Handpiece is an air-powered dental
handpiece intended for use in procedures such as: apicoectomy (root
canal drainage), osteoplasty (bone contouring), root resection, and other
Endodontic and Periodontal procedures for which a conventional
handpiece would be used.
Your new handpiece is a high-precision, ultra-high-speed instrument,
and in order to obtain the fine service it can deliver, some specific
procedures must be followed.
System Requirements
1. Air/Water Requirements
The Impact Air 45®handpiece should always have dry filtered air or nitrogen and filtered
water supplies. Periodically check and maintain your air filter and dryer to ensure a
steady supply of clean, moisture-free air. This may prolong the life of the bearings.
2. Pressure
The recommended drive air pressure for the Impact Air 45®handpiece is between 32
p.s.i. and 40 p.s.i. Proper drive air pressure is essential for optimal handpiece
performance. NEVER OPERATE this handpiece at HIGHER PRESSURE than the maximum
40 p.s.i. recommended. Doing so may shorten the life of the bearings and will void
warranty.
3. Cleaning
NEVER immerse or soak handpiece and/or turbine in water-based cleaner, chemical
disinfectant,ultrasonic cleaner, or cold sterilization solution.
Failure to follow these cleaning procedures may lead to premature turbine failure
and will void warranty.
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- 2 -
DIAGRAM A
WRENCH
HEADCAP
CHUCK
BLACK O-RING
TURBINE
BLUE O-RING
HEAD
BUR
WASHER
WASHER
BEFORE OPERATING THE HANDPIECE, CAREFULLY READ AND
FOLLOW ALL OF THESE INSTRUCTIONS. SAVE THESE
INSTRUCTIONS FOR FUTURE REFERENCE. TO MINIMIZE RISK OF
SERIOUS INJURY, OBSERVE ALL WARNINGS AND CAUTIONS.
The Impact Air 45®High Speed Handpiece is an air-powered dental
handpiece intended for use in procedures such as: apicoectomy (root
canal drainage), osteoplasty (bone contouring), root resection, and other
Endodontic and Periodontal procedures for which a conventional
handpiece would be used.
Your new handpiece is a high-precision, ultra-high-speed instrument,
and in order to obtain the fine service it can deliver, some specific
procedures must be followed.
System Requirements
1. Air/Water Requirements
The Impact Air 45®handpiece should always have dry filtered air or nitrogen and filtered
water supplies. Periodically check and maintain your air filter and dryer to ensure a
steady supply of clean, moisture-free air. This may prolong the life of the bearings.
2. Pressure
The recommended drive air pressure for the Impact Air 45®handpiece is between 32
p.s.i. and 40 p.s.i. Proper drive air pressure is essential for optimal handpiece
performance. NEVER OPERATE this handpiece at HIGHER PRESSURE than the maximum
40 p.s.i. recommended. Doing so may shorten the life of the bearings and will void
warranty.
3. Cleaning
NEVER immerse or soak handpiece and/or turbine in water-based cleaner, chemical
disinfectant,ultrasonic cleaner, or cold sterilization solution.
Failure to follow these cleaning procedures may lead to premature turbine failure
and will void warranty.
After each use, the handpiece should be cleaned as follows:
a. To clean the Exterior of the Handpiece:
•Wipe with damp sponge or brush to remove debris.
b. To disassemble and clean the Interior of the Head:
•Make sure a bur is in place prior to disassembly.
•Fit the head cap wrench, provided with the handpiece, into the slots
of the head cap. Turn the wrench counter-clockwise to loosen and
unscrew the headcap.
•Remove turbine from head. If turbine stays with head cap, separate
these two parts with a gentle pull.
•If turbine does not come out with head cap removal, push turbine
out through the rear, using the bur.
•INSPECT interior of head carefully to ensure that all turbine
components, such as the two washers and the front, blue O-ring,
have been removed. Clean interior of the head with Isopropyl Alcohol
(I.P.A.) using a bristle brush and/or swab. DISCARD AND REPLACE
any O-rings that are hardened, no longer supple, or that allow loose
movement of the turbine in the head or head cap, or vibration during
running. DISCARD AND REPLACE any washers that are worn. After
cleaning, ensure that the interior of the head is dry, clean and free of
debris.
c. To clean the Head Cap:
•Prior to cleaning, inspect the head cap to ensure that the turbine’s
rear, black O-ring has been removed. If it is present, carefully
remove the O-ring. Using I.P.A.with a bristle brush and/or swab,
clean the head cap. Ensure that the head cap is clean and dry.
d. To clean the Turbine:
•Hold the turbine by the bur.
•Gently clean all exterior surfaces of the turbine using I.P.A. and a
bristle brush.
e.To clean the Chuck:
•Place turbine – chuck side down – against a hard flat surface. Grip
the turbine and push down against the surface, then remove the bur.
•Grasp the back of the chuck in front of the stack of small, curved
spring washers and remove the chuck from the turbine (refer to
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Diagram B). Gently clean the exterior of the chuck with I.P.A. and a
small bristle brush. Gently clean the interior of the chuck with I.P.A.
and a pipe cleaner.
f. To clean the Spindle:
•Insert a pipe cleaner dampened with I.P.A. into the spindle hole as
far as possible and twist (refer to Diagram B).
•Remove pipe cleaner from spindle and wipe debris from, or trim,
pipe cleaner. Repeat until pipe cleaner comes out clean.
Reassembly after Cleaning (refer to Diagram A):
•Re-install the chuck into the spindle.
•Insert the bur back into turbine by placing the turbine – chuck side
down – against a hard, flat surface. Insert a bur into the spindle
hole as far as it will go. Grip turbine, push down against the surface,
and slide the bur in completely.
•Apply one drop of Impact Air 45®Autoclavable Lubricant to each of
the bearings.
•Slide the rear, black O-ring onto the rear bearing.
•Slide the front, blue O-ring onto the front bearing (bur end).
•Slide the two washers, in either order, onto the bur end of the
turbine, flush against the front bearing.
•Lubricate the head cavity with Impact Air 45®Autoclavable Lubricant.
•While holding the turbine with the bur end facing upward, carefully
insert the turbine assembly completely into the head with gentle
pressure.
•Push turbine into the interior of the head using the bur to guide it
into the center of the hole. As the turbine begins to seat, apply firm
pressure with a wobbling motion to seat the front, blue O-ring. The
end of the rear bearing should be flush with the open end of the
head chamber.
•Using your fingers, carefully screw the head cap back onto the rear
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DIAGRAM B
SPINDLE HOLE
of the head and tighten with the head cap wrench. Do not force the
head cap. If resistance is experienced, refer to the troubleshooting
section of this booklet. WARNING:
BE SURE TO TIGHTEN HEAD CAP SECURELY WITH HEAD CAP WRENCH
SO IT DOES NOT LOOSEN DURING OPERATION. OPERATING HANDPIECE
WITH LOOSE HEAD CAP COULD CAUSE PERSONAL INJURY.
4.Sterilization
- 5 -
•Follow cleaning instructions listed in Section 3 - Cleaning prior to
sterilizing handpiece. The handpiece could be damaged if it is not
properly cleaned and lubricated before autoclaving.
•A wrapped handpiece should be steam sterilized as follows:
•Gravity Displacement sterilizer:
• At a minimum of 250°F(121°C) for a minimum exposure time of 30
minutes and a minimum drying time of 15-30 minutes; or
• At a minimum of 270°F(132°C) for a minimum exposure time of 15
minutes and a minimum drying time of 15-30 minutes; or
• At a maximum of 275°F(135°C) for a minimum exposure time of 10
minutes and a minimum drying time of 30 minutes.
• Do not exceed 275°F(135°C).
•Dynamic Air Removal sterilizer:
• At a minimum of 270°F(132°C) for a minimum exposure time of 4
minutes and a minimum drying time of 20-30 minutes; or
• At a minimum of 273°F(134°C) for a minimum exposure time of 10
minutes and a minimum drying time of 60 minutes; or
• At a maximum of 275°F(135°C) for a minimum exposure time of 3
minutes and a minimum drying time of 16 minutes.
• Do not exceed 275°F(135°C).
•DO NOT AUTOCLAVE with bur in chuck.
•Do not use a chemical or cold sterilization process.
•Do not exceed the sterilizer manufacturer’s guidelines for load capacilty.
•Always use complete dry cycle of sterilizer in accordance with sterilizer
manufacturer’s instructions.
•Always allow product to cool in bag to room temperature prior to using.
•Contact your sterilizer manufacturer if moisture remains inside bag and
on product after drying.
•After cleaning, proceed with sterilizing the handpiece in accordance
with the instructions listed in Section 4 - Sterilization below.
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Diagram B). Gently clean the exterior of the chuck with I.P.A. and a
small bristle brush. Gently clean the interior of the chuck with I.P.A.
and a pipe cleaner.
f. To clean the Spindle:
•Insert a pipe cleaner dampened with I.P.A. into the spindle hole as
far as possible and twist (refer to Diagram B).
•Remove pipe cleaner from spindle and wipe debris from, or trim,
pipe cleaner. Repeat until pipe cleaner comes out clean.
Reassembly after Cleaning (refer to Diagram A):
•Re-install the chuck into the spindle.
•Insert the bur back into turbine by placing the turbine – chuck side
down – against a hard, flat surface. Insert a bur into the spindle
hole as far as it will go. Grip turbine, push down against the surface,
and slide the bur in completely.
•Apply one drop of Impact Air 45®Autoclavable Lubricant to each of
the bearings.
•Slide the rear, black O-ring onto the rear bearing.
•Slide the front, blue O-ring onto the front bearing (bur end).
•Slide the two washers, in either order, onto the bur end of the
turbine, flush against the front bearing.
•Lubricate the head cavity with Impact Air 45®Autoclavable Lubricant.
•While holding the turbine with the bur end facing upward, carefully
insert the turbine assembly completely into the head with gentle
pressure.
•Push turbine into the interior of the head using the bur to guide it
into the center of the hole. As the turbine begins to seat, apply firm
pressure with a wobbling motion to seat the front, blue O-ring. The
end of the rear bearing should be flush with the open end of the
head chamber.
•Using your fingers, carefully screw the head cap back onto the rear
- 4 -
DIAGRAM B
SPINDLE HOLE
of the head and tighten with the head cap wrench. Do not force the
head cap. If resistance is experienced, refer to the troubleshooting
section of this booklet. WARNING:
BE SURE TO TIGHTEN HEAD CAP SECURELY WITH HEAD CAP WRENCH
SO IT DOES NOT LOOSEN DURING OPERATION. OPERATING HANDPIECE
WITH LOOSE HEAD CAP COULD CAUSE PERSONAL INJURY.
4.Sterilization
- 5 -
•Follow cleaning instructions listed in Section 3 - Cleaning prior to
sterilizing handpiece. The handpiece could be damaged if it is not
properly cleaned and lubricated before autoclaving.
•A wrapped handpiece should be steam sterilized as follows:
•Gravity Displacement sterilizer:
• At a minimum of 250°F(121°C) for a minimum exposure time of 30
minutes and a minimum drying time of 15-30 minutes; or
• At a minimum of 270°F(132°C) for a minimum exposure time of 15
minutes and a minimum drying time of 15-30 minutes; or
• At a maximum of 275°F(135°C) for a minimum exposure time of 10
minutes and a minimum drying time of 30 minutes.
• Do not exceed 275°F(135°C).
•Dynamic Air Removal sterilizer:
• At a minimum of 270°F(132°C) for a minimum exposure time of 4
minutes and a minimum drying time of 20-30 minutes; or
• At a minimum of 273°F(134°C) for a minimum exposure time of 10
minutes and a minimum drying time of 60 minutes; or
• At a maximum of 275°F(135°C) for a minimum exposure time of 3
minutes and a minimum drying time of 16 minutes.
• Do not exceed 275°F(135°C).
•DO NOT AUTOCLAVE with bur in chuck.
•Do not use a chemical or cold sterilization process.
•Do not exceed the sterilizer manufacturer’s guidelines for load capacilty.
•Always use complete dry cycle of sterilizer in accordance with sterilizer
manufacturer’s instructions.
•Always allow product to cool in bag to room temperature prior to using.
•Contact your sterilizer manufacturer if moisture remains inside bag and
on product after drying.
•After cleaning, proceed with sterilizing the handpiece in accordance
with the instructions listed in Section 4 - Sterilization below.
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5.Lubrication
The Impact Air 45®handpiece should be properly lubricated BEFORE
each standard autoclaving cycle with Impact Air 45®Autoclavable
Lubricant. Proper lubrication is the most critical factor in handpiece
bearing life. For maximum bearing life, use only Impact Air 45®
Autoclavable Lubricant.
To Lubricate a 2 Hole, 4 Hole, or 5 Hole Fiberoptic Handpiece:
•Remove handpiece from hose coupling and insert tip of Impact Air 45®
Autoclavable Lubricant into drive air hole. (refer to Diagram C). Inject 2
drops of lubricant and reconnect with hose coupling. Run handpiece
approximately 5 seconds to disperse lubricant.
DIAGRAM C
WATER
(SMALL
STAINLESS)
EXHAUST
(BRASS)
DRIVE AIR
(LARGE
STAINLESS)
WATER
DRIVE AIR
To Lubricate an Optic and Non-Optic Quick Disconnect Handpiece:
•Remove handpiece from hose coupling and insert tip of Impact Air 45®
Autoclavable Lubricant into drive air hole of the coupler (refer to Diagram D).
Inject 2 drops of lubricant into the drive air hole of the coupler and
connect Quick Disconnect handpiece and coupler. Run handpiece
approximately 5 seconds to disperse lubricant.
All Impact Air 45®handpieces should be lubricatedBEFORE
autoclaving for maximum turbine life.
DIAGRAM D
DRIVE AIR
4 and 5 Hole 2 Hole
- 6 -
- 7 -
6.Burs
USE OF INCOMPATIBLE BURS may damage push-button chuck or other
parts, and result in bur slippage. The following burs are incompatible
with an Impact Air 45®handpiece:
•Burs not made to (or worn beyond) I.S.0. and A.D.A. shank
standards (.0625 -.0630 in./1.59 - 1.60mm)
•Burs with carbide shanks
•#8 or larger round burs
•Burs with identifying grooves located from 4mm to 6mm from non-
cutting end of bur
USE COMPATIBLE BURS:
The Impact Air 45®handpiece is intended for use with friction-grip burs,
including surgical length burs up to 25mm in length, that conform to
I.S.O. and A.D.A. shank diameter standards (.0625 - .0630 in./1.59-1.60
mm).
CAUTION:
•Burs may break or dislodge from the handpiece with great velocity.
Operator eye protection is strongly recommended. Never attempt to
extend the bur from the chuck. Do not use burs that produce
excessive noise or increased vibration. This may indicate that the bur
is not securely in place or that the bur is bent. Never force a bent,
rusted or oversized bur into the chuck or damage may occur, voiding
warranty.
•Fully seat bur completely into the chuck before use. Always tug on
the bur, after the chuck is loaded, to confirm that the bur is securely
in place. A bur which comes out inside the oral cavity could cause
personal injury.
Be sure to remove the bur after each use. DO NOT AUTOCLAVE
handpiece with bur in chuck.
Sterilize burs in accordance with the bur manufacturer’s instructions
prior to use. Do not re-use corroded, worn or damaged burs.
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- 7 -
6.Burs
USE OF INCOMPATIBLE BURS may damage push-button chuck or other
parts, and result in bur slippage. The following burs are incompatible
with an Impact Air 45®handpiece:
•Burs not made to (or worn beyond) I.S.0. and A.D.A. shank
standards (.0625 -.0630 in./1.59 - 1.60mm)
•Burs with carbide shanks
•#8 or larger round burs
•Burs with identifying grooves located from 4mm to 6mm from non-
cutting end of bur
USE COMPATIBLE BURS:
The Impact Air 45®handpiece is intended for use with friction-grip burs,
including surgical length burs up to 25mm in length, that conform to
I.S.O. and A.D.A. shank diameter standards (.0625 - .0630 in./1.59-1.60
mm).
CAUTION:
•Burs may break or dislodge from the handpiece with great velocity.
Operator eye protection is strongly recommended. Never attempt to
extend the bur from the chuck. Do not use burs that produce
excessive noise or increased vibration. This may indicate that the bur
is not securely in place or that the bur is bent. Never force a bent,
rusted or oversized bur into the chuck or damage may occur, voiding
warranty.
•Fully seat bur completely into the chuck before use. Always tug on
the bur, after the chuck is loaded, to confirm that the bur is securely
in place. A bur which comes out inside the oral cavity could cause
personal injury.
Be sure to remove the bur after each use. DO NOT AUTOCLAVE
handpiece with bur in chuck.
Sterilize burs in accordance with the bur manufacturer’s instructions
prior to use. Do not re-use corroded, worn or damaged burs.
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- 8 -
7.Operation
•When attaching a standard handpiece to the coupling, be sure that all
tubes are fully inserted with the gasket flush to the connector and
maintained in position prior to tightening the coupler sleeve/nut onto
the handpiece.
•A Quick Disconnect handpiece is designed to connect to one of our
Quick Disconnect Couplers, Item #627, #628, and #629. The Quick
Disconnect handpiece is designed to also fit the KaVo Multiflex coupler
(KaVo is a registered trademark of KaVo Dental GmbH, Biberach,
Germany ). Insert the Quick Disconnect handpiece onto the appropriate
Quick Disconnect Coupler until it snaps securely into place.
•NEVER force a handpiece onto an incompatible coupler.
•NEVER depress the head cap button (the chuck release) while the
handpiece is running.
•Do not use the handpiece if an air leak is detected from the front
(bur end) of the head.
•NEVER operate the handpiece without an adequate water or saline
supply at the cutting site as cutting and cooling efficiency will be reduced.
TO CHANGE BUR:
•To remove a bur: Press the head cap button (the chuck release)
firmly and withdraw bur from spindle.
•To insert a bur: Slide bur in as far as it will go (approximately
halfway), then press the head cap button (the chuck release) firmly
and slide bur in the rest of the way.
•Test the bur for security by tugging the bur with your fingers.
8.To Change the Turbine (refer to Diagram A):
•Make sure a bur is in place prior to disassembly.
•Fit the head cap wrench, provided with the handpiece, into the slots
of the head cap. Turn the wrench counter-clockwise to loosen and
unscrew the head cap.
•Remove turbine from head. If turbine stays with head cap, separate
these two parts with a gentle pull.
•If turbine does not come out with head cap removal, push turbine
out through the rear, using the bur.
• NEVER operate the handpiece without an adequate partition in the throat,
or dental dam, to prevent ingestion or aspiration of dental materials.
•INSPECT interior of head carefully to ensure that all turbine
components, such as the two washers and the front, blue O-ring,
have been removed. Clean interior of the head with Isopropyl Alcohol
(I.P.A.) using a bristle brush and/or swab. After cleaning, ensure that
the interior of the head is dry, clean and free of debris.
•Clean the Head Cap : Prior to cleaning, inspect the head cap to
ensure that the turbine’s rear, black O-ring has been removed. If it
is present, carefully remove the O-ring. Using I.P.A. with a bristle
brush and/or swab, clean the head cap. Ensure that the head cap is
clean and dry.
•Remove the turbine, the two washers, and the two O-rings from the
Turbine Kit bag.
•Apply one drop of Impact Air 45®Autoclavable Lubricant to each of
the bearings of the new turbine.
•Slide the rear, black O-ring onto the rear bearing.
•Slide the front, blue O-ring onto the front bearing (bur end).
•Slide the two washers, in either order, onto the bur end of the
turbine, flush against the front bearing.
•Lubricate the head cavity with Impact Air 45®Autoclavable Lubricant.
•While holding the turbine with the bur end facing upward, carefully
insert the turbine assembly completely into the head with gentle
pressure.
•Push turbine into the interior of the head using the bur to guide it
into the center of the hole. As the turbine begins to seat, apply firm
pressure with a wobbling motion to seat the front, blue O-ring. The
end of the rear bearing should be flush with the open end of the
head chamber.
•Using your fingers, carefully screw the head cap back onto the rear
of the head and tighten with the head cap wrench. Do not force the
- 9 -
head cap. If resistance is experienced, connect handpiece to your air
source. Thread the head cap on approximately half way. Feed air
through the handpiece, being careful to maintain a grip on the cap.
Tighten the cap while handpiece is running. If the turbine slows,
manipulate the cap back and forth to increase the speed. Continue
this process until head cap is snug and tighten completely with head
cap wrench.
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•INSPECT interior of head carefully to ensure that all turbine
components, such as the two washers and the front, blue O-ring,
have been removed. Clean interior of the head with Isopropyl Alcohol
(I.P.A.) using a bristle brush and/or swab. After cleaning, ensure that
the interior of the head is dry, clean and free of debris.
•Clean the Head Cap : Prior to cleaning, inspect the head cap to
ensure that the turbine’s rear, black O-ring has been removed. If it
is present, carefully remove the O-ring. Using I.P.A. with a bristle
brush and/or swab, clean the head cap. Ensure that the head cap is
clean and dry.
•Remove the turbine, the two washers, and the two O-rings from the
Turbine Kit bag.
•Apply one drop of Impact Air 45®Autoclavable Lubricant to each of
the bearings of the new turbine.
•Slide the rear, black O-ring onto the rear bearing.
•Slide the front, blue O-ring onto the front bearing (bur end).
•Slide the two washers, in either order, onto the bur end of the
turbine, flush against the front bearing.
•Lubricate the head cavity with Impact Air 45®
Autoclavable Lubricant.
•While holding the turbine with the bur end facing upward, carefully
insert the turbine assembly completely into the head with gentle
pressure.
•Push turbine into the interior of the head using the bur to guide it
into the center of the hole. As the turbine begins to seat, apply firm
pressure with a wobbling motion to seat the front, blue O-ring. The
end of the rear bearing should be flush with the open end of the
head chamber.
•Using your fingers, carefully screw the head cap back onto the rear
of the head and tighten with the head cap wrench. Do not force the
- 9 -
head cap. If resistance is experienced, connect handpiece to your air
source. Thread the head cap on approximately half way. Feed air
through the handpiece, being careful to maintain a grip on the cap.
Tighten the cap while handpiece is running. If the turbine slows,
manipulate the cap back and forth to increase the speed. Continue
this process until head cap is snug and tighten completely with head
cap wrench.
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