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Dental Delivery Systems: How to Choose.

How to choose a dental delivery system: over-the-patient, rear, and side delivery, and how A-dec, DentalEZ, Belmont, Pelton & Crane, Forest, and Planmeca…

Dr. Sean Myran, DMD

Reviewed by Dr. Sean Myran, DMDDoctor of Dental Medicine, University of Pennsylvania

How we rank explains how these product lists are ordered.

The delivery system is how handpieces, air, water, and suction reach the tooth. It is not the chair, though dealers sell them as one picture. The layout — over the patient, behind the patient, or at the side — decides where you and the assistant stand. Pick the layout from the dentistry you do, then pick the brand that can build that layout on the chair you are keeping.

How to choose a delivery system

  • Position. Over-the-patient (continental) delivery puts the handpieces in front of the doctor and is the usual four-handed setup. Rear delivery keeps the hoses behind the patient, which some doctors prefer for a cleaner sightline and a harder reach. Side delivery is the cart or cabinet-mounted middle ground.
  • Whip versus traditional hoses. Whips hang and return. Traditional hoses lie in a tray. This is a feel preference. Sit in both for a full mock procedure, not a handshake demo.
  • Handpiece positions and assistant’s instruments. Count high-speed, low-speed, scaler, and air-water syringe. Then count the assistant’s suction and syringe. A doctor-only head that starves the assistant is the wrong head.
  • Water. Self-contained water bottles are easier to treat and shock. City-water connections need a working waterline protocol. Know which one the unit uses before you argue about upholstery.
  • Left and right. Ambidextrous units cost more and matter if more than one doctor shares the room. A converted left-hand unit that was designed as right-hand will fight you all day.

How common delivery lines differ

BrandKnown forBest fitWatch for
A-dec300 and 500 series delivery, continental and traditionalOffices buying a full A-dec operatoryDelivery, chair, and light are one system; mixing brands gets expensive
DentalEZDelivery matched to DentalEZ chairs, including Simplicity and Forest lines under the same groupPractices staying with DentalEZ or ForestConfirm the control head fits the chair generation you own
BelmontOver-the-patient and side delivery on Belmont chairsOffices standardizing on BelmontSpecify ambidextrous if two doctors share the room
Pelton & CraneSpirit-era delivery, now parts and refurbishedKeeping a Spirit chair in serviceNew units are not in production
ForestDelivery with a reputation for finish choices on DentalEZ platformsOffices that care about the look of the room as well as the hosesFinish options do not change hose geometry
PlanmecaCompact and Pro delivery integrated with Planmeca unitsOffices that want chair, light, and delivery from one manufacturerIntegrated units are harder to split up later
Delivery systems differ by where the handpieces sit and whether the unit is sold as part of one chair brand.

A-dec

A-dec’s delivery heads are designed with A-dec chairs and lights. Continental and traditional configurations both exist in the 500 series. The reason to stay with A-dec is service and the fact that the pieces were drawn together. The reason not to is price, which you should compare against a complete Belmont or DentalEZ room, not against a head alone.

DentalEZ and Forest

DentalEZ and Forest sit in the same family and cover chair-mounted and cabinet delivery with a wide set of finishes. Finish is the showroom conversation. Hose position and assistant access are the clinical conversation. Do the second one with both of you seated.

Belmont

Belmont delivery follows Belmont chairs, with over-the-patient and side options. If two doctors of opposite dominance share the room, say so before the unit is built. Converting a handed unit later is not a small parts order.

Pelton & Crane

Spirit delivery is a maintain-what-you-have decision. Pelton & Crane is no longer manufacturing new dental equipment. A refurbished head can keep a sound chair working. It is not a platform to standardize a new office on.

Planmeca

Planmeca sells the chair, the light, and the delivery as one unit, including the Compact line. That is an advantage when you want one installer and one software-adjacent equipment family. It is a constraint when you later want to swap only the control head.

Delivery questions

Can I put a new delivery system on an old chair?

Sometimes, when the chair and the head are from the same manufacturer and the same generation. Cross-brand mounts are where install days go wrong. Send the chair’s model and serial number to the dealer before you buy the head.

Is a cart a delivery system?

A cart is one way to deliver handpieces, and it is the right answer for a room that changes jobs or for a specialist who rolls instruments between chairs. It is a poor answer if the hoses have to cross the assistant every patient.

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