Laurence Bohan
Content Writer
Laurence Bohan
Content Writer

Laurence is a copywriter and trained journalist. His passion is creating insightful and educational content for dental professionals of every level. Outside of work, he enjoys watching sport, quizzing and spending time with his family.

To make your scaling procedures as efficient and effective as they can be, it is important to understand the difference between different types of dental scalers and know what features to look out for. This includes knowing the difference between hand scaler designs, between sonic and ultrasonic devices and between magnetostrictive and piezoelectric devices.

What are dental scalers?

Dental scalers are one of the most widely used instruments in dentistry. They are used primarily for removing plaque (calculus and tartar) and other deposits from the teeth, both above and below the gum line. The three types of scalers used in modern dentistry are hand scalers, sonic scalers and ultrasonic scalers.

Ultrasonic scalers

Ultrasonic scalers are electric, high frequency devices that connect to a compact and portable power unit that sits on the counter and plugs in at the wall. A water source must also be connected.

Similar in design to sonic scalers, ultrasonic scalers are more effective at removing heavy calculus and tartar. Vibration occurs at approximately 25,000 cycles per second or higher.

An additional benefit of ultrasonic scalers is cavitation. Cavitation is the formation of air bubbles in the water stream that break down and destroy the cells of harmful bacteria when they burst.

Ultrasonic scalers can be either magnetostrictive (i.e. Cavitron) or piezoelectric (i.e. Varios). The differences between the two are outlined in the table pictured.

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Some hygienists prefer magnetostrictive scalers for their universal inserts and the fact that all sides of the magnetostrictive tip may be used for removing deposits, unlike the piezo tips which are designed specifically for that specific brand of scaler and only disperse power on the lateral sides.

Others might prefer piezo scalers for their wider and more ergonomic design and greater tactile sensitivity as the entire handpieces does not vibrate like magnetostrictive scalers do. Though piezo and magnetostrictive designs each have passionate advocates, both do a fine job of calculus removal.

What is the best dental scaler?

Hand scalers, sonic scalers and ultrasonic scalers are all still commonly used in practice. Even hygienists who use electric scalers are likely to also have a hand scaler nearby as these can be just as effective at clearing plaque from easy to reach area of the mouth.

Dental hand scalers also require no plug in or hose connection making them a convenient option for removing minor plaque accumulation. Another advantage is the fact they don’t produce any aerosols. However, all this can come at a cost to the patient with hand scalers more likely to cause pain, discomfort and bleeding compared to electric scalers.

If the question was 'what the most effective dental scaler', the answer is undoubtedly ultrasonic scalers which is why most hygienist now use one. As well as being gentler on the gums and therefore easier for the patient to tolerate, ultrasonic scalers save time and remove hard plaque that neither hand scalers nor sonic scalers can.

The advantages that ultrasonic scalers provide over other scalers is reflected in price which needs to be factored in when purchasing. Ultimately, the decision comes down to budget and person preference.

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