Know the Machine Parts
Wheeled cart
The unit sits on a mobile cart and connects to the operatory's air output.
Water chamber/bottle
Fill with distilled water only. Check the level before starting.
Cleaning powder chamber
Contains the cleaning powder used by the Air Flow handpiece.
Supra- and subgingival powders
Use the correct powder for the procedure. The fast powder is used for most regular cleanings.
Prophy / scaling handpiece
Used with the machine's compatible Cavitron-style tip.
Air Flow cleaning handpiece
Delivers the air + powder + water cleaning spray.
Air Flow foot pedal
The Air Flow unit uses its own wireless pedal. Keep it charged and ready for use. The Cavitron/scaler has a separate pedal.
Setup Before Every Patient
- Confirm there is enough distilled water for the procedure.
- Confirm there is enough cleaning powder.
- Confirm the correct powder is loaded.
- Confirm the correct handpiece/tip is installed.
- Confirm the Air Flow wireless pedal is charged.
- Make sure you are using the Air Flow pedal, not the separate Cavitron pedal.
- If the wireless pedal is discharged, connect it with the cable so it can be used while connected.
- Set up high-volume suction before beginning.
The Four Main Controls
Correct Clinical Technique
Hold the handpiece at an angle
Direct the spray toward the coronal/tooth surface, not straight into the gingiva.
Never point directly at soft tissue
Direct spraying at gingiva or other soft tissue may injure or irritate the tissue.
Maintain adequate water
Do not run the cleaning spray too dry. Adjust water and power together as needed.
Use suction
This is easier with an assistant who can hold suction and control excess water/powder.
Use Only Air Flow-Compatible Cavitron Tips
The tip connection/thread is different from a regular Cavitron.
| Correct | Wrong |
|---|---|
| Use the Air Flow-specific compatible Cavitron tip. | Do not use a regular Cavitron tip just because it looks similar. |
| Thread/install it gently by hand. | Never force a tip that does not fit easily. |
| If there is resistance, stop and verify the tip. | Forcing the wrong thread can damage the handpiece/unit. |
The Most Important Step: PURGE
Powder left inside the tubing can mix with moisture and clog the system.
Sterilize the Handpiece Between Patients
Remove contaminated components safely
Handle the handpiece/tip as a contaminated clinical item after treatment.
Follow Smile Center sterilization protocol
Process the handpiece and reusable tip/components according to the approved office/manufacturer sterilization instructions.
Common Problems and What to Check
| Problem | First things to check |
|---|---|
| No/poor air flow | Confirm the cart is connected to the air output, not water. |
| Weak cleaning spray | Check powder level, power setting, water setting, and handpiece connection. |
| Machine starts clogging | Think about whether purge was completed after the previous use. Moisture + powder can clog tubing. |
| No water / low water | Check the distilled-water level and water setting. |
| Water is coming out but no powder | The powder system may be clogged. Purge the system multiple times. If powder flow does not return, stop using the unit and contact the manager for additional troubleshooting. |
| Air Flow pedal is not responding | Check whether the wireless pedal is charged. Confirm you have the Air Flow pedal and not the separate Cavitron pedal. If the battery is discharged, connect the pedal with the cable and use it while connected. |
| Cavitron tip will not thread smoothly | Stop. Verify it is an Air Flow-compatible tip. Never force it. |
How to Explain & Offer Air Flow
Every patient should receive a simple explanation of what Air Flow is and why they may want to upgrade their cleaning.
Explain the benefit in patient-friendly language.
Air Flow uses a controlled stream of air, distilled water, and fine cleaning powder to help remove plaque, bacteria, buildup, and surface stains from the teeth.
The upgrade is $60.
I clearly tell the patient that Air Flow is an additional $60. I do not change the price or present it as included in the regular cleaning.
First-time patients may try it with a money-back guarantee.
The money-back guarantee is used only when a patient is trying Air Flow for the first time and is unsure whether they will like the new technology.
No repeated money-back guarantee.
If the patient has already tried Air Flow before, I can explain the service and the $60 upgrade, but I do not offer the first-time money-back guarantee again.
“We also offer Air Flow, which is an upgraded cleaning technology that uses air, water, and a fine cleaning powder to remove plaque, bacteria, buildup, and stains. It is an additional $60.”
“If you would like to try it today, we offer a money-back guarantee the first time you try the technology. If you do not feel that you liked the Air Flow upgrade, let us know.”
If the patient wants Air Flow at their next cleaning
Give the clinical team enough time.
When a patient requests Air Flow for the next visit, add 5 extra minutes to the cleaning appointment.
Make the request visible.
Add a clear note that the patient wants Air Flow so the hygienist/clinical team can prepare the machine and supplies before the appointment.
Air Flow Checklist
BEFORE
- Connect to AIR output.
- Use distilled water only.
- Check water level.
- Check powder level/type.
- Use correct Air Flow-compatible tip.
- Keep the Air Flow wireless pedal charged.
- Confirm you have the Air Flow pedal — the Cavitron has a separate pedal.
- If the pedal battery is dead, connect it with the cable.
- Set temperature 3, medium water/air as starting point.
- Set up suction.
- Confirm whether the patient selected the $60 Air Flow upgrade.
DURING
- Hold handpiece at an angle.
- Aim toward coronal tooth surface.
- Do not point at soft tissue.
- Maintain adequate water.
- Adjust power/water for stain and sensitivity.
- Use assistant/suction when possible.
AFTER
- PURGE THE SYSTEM.
- Confirm powder/particles are cleared.
- Remove reusable handpiece/tip safely.
- Sterilize handpiece between patients.
- Prepare the unit for the next patient.
NEVER
- Never use tap water.
- Never connect to water output.
- Never force the wrong Cavitron tip.
- Never store Air Flow Cavitron tips mixed with regular Cavitron tips.
- Never point directly at gums/soft tissue.
- Never skip purge.
- Never reuse an unsterilized handpiece.