Monday, June 8, 2020

Belt driven dentist drill

I remember having teeth drilled with a belt-driven drill.

Lou Astrella posted
This post motivated me to find a couple of photos that I took when we visited the Centralia Area Historical Society. The second photo shows that the part that appears to go up from the end of the horizontal arm is actually mounted on the wall.
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 Note that they have another belt-driven drill hanging from the ceiling.

Zooming in on the first photo you can see there are two pulleys at each joint that help guide the belt (more like a rope) from the motor on the stand to the shaft of the drill bit. I thought there was a 90-degree turn on the end of the drill shaft, which I don't see in this photo. Note the bracket along the top side of the photo on the wall. Normally the drill would be stored with the end hooked over this bracket like the one shown hanging from the ceiling. I don't know what the big wheel hanging from the ceiling was for.
Digitally Zoomed


My dentist when I was a kid had a tool stand like the one in Lou's post. The upper "white disk" was a tool holder. The lower "white disk" was a spit bowl. They hadn't invented vacuum suction yet. So every once and a while they would quit drilling so that you could set up and spit. I noticed after their last remodeling, my current dentist no longer has a spit bowl.

Today's drill uses an air turbine with a water spray. I've asked my dentist, and he told me that the drill bit turns at 400,000 rpm. He also explained that it is very low torque and will stop if it hits flesh such as your gums. He demonstrated by touching his hand with the drill. I still don't understand how it can have enough torque to drill a tooth, but I didn't push the issue.

The old drills were a lot slower at 20,000 rpm. But that was fast enough to create heat. I never had Novocaine as a kid so I learned it was the generated heat that caused the pain. Some comments on Lou's post reminded me that sometimes you could smell the "burning tooth." Imagine the heat generated with 400,000 rpm. That is why they added the water spray. And the water spray is what probably caused the development of vacuum suction. I recently had a tooth done without Novocaine, and the cooling done by the water did seem to reduce the pain. But I am still very glad when the dentist is done drilling.

Because of the slower speed, it took a lot longer with the old drills to prepare a tooth for the filling. That makes another difference in terms of feeling pain. The longer you have to suffer pain, the more pain you perceive.

And the fillings had mercury in them, which is now known as a heavy metal that is toxic. (Update: a comment indicates that, while mercury the element is toxic, the mercury amalgam used today is considered safe.)

Ray Malquist posted

Kevin Piper posted
Dr. Scanlon's torture chamber at Blue Island, Illinois.
David Honor My dad had this set up for years while practicing in Evergreen Park. State of the art when he got it....finally changed over in the late 1960's. That belt drive drill was like hell, and you could smell the tooth enamel burning.

David commented on his comment
The drill head was run by an elastic 'belt' that was powered by a motor at one end of the arm. You can see the motor in the photo which was a BALL SHAPE, the belt ran through several pulley wheels to finally meet at the drill head.. I've labeled the photo for information and attached an image....I played with this chair for hours when I would go visit my dad.. ALSO...MY DAD ONLY USED NOVOCAINE for extractions....never for fillings.

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  6. Awesome info. I saw a reference online to a old driven dentist drill used as a Dremel for hobbyist purposes!

    Just a note on the mercury toxicity--they knew even back then that elemental mercury was toxic, but when in an amalgam of other metals it doesn't leech much into the body. (Many dentists still use mercury amalgam today, and it's widely recognized as safe. Ironically, replacing them can lead to more mercury release than leaving then, as some can end up becoming powderized.)

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    Replies
    1. Thanks for a comment that has information rather than advertisement. I have updated my notes concerning the toxic nature of mercury.

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