Methods. The authors performed cutting studies on a machinable ceramic block using an established testing regimen. One-port, three-port and four-port handpieces from one manufacturer were operated at maximum torque and rotation speed under a water flow of 25 milliliters per minute. The authors made 6-millimeter long edge and groove cuts in 13-mm cross-section blocks using six medium-grit diamond burs for each handpiece. Each bur cut a total of 78 mm. The authors determined CR as the time to transect the block and analyzed the data by two-way analysis of variance with post hoc Scheffé tests.

Results. CRs varied by the type of cut and the number of spray ports. No differences were found in CRs for the three handpieces during edge cutting. The one-port handpiece cut significantly slower (P < .001) than did the three- and four-port handpieces during groove cutting.

Conclusion. The data indicate that the number of handpiece spray ports, and their positioning relative to the bur affect water supply to the cutting interface and, consequently, the CR under these study conditions.

Clinical Implications. Optimal cutting efficiency requires good coolant access, especially within restricted areas. A multiple-port handpiece may be advantageous when preparing the interproximal region for a crown or a proximal box, owing to the better water spray pattern. Dentists should consider the influence of the number of spray ports when selecting handpieces for cutting procedures.