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High Performance Handpieces for Modern Dental Practices: Technology, ROI, and Buying Guide

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High performance handpieces have become the backbone of modern restorative and cosmetic dentistry, transforming speed, precision, and patient comfort in every procedure. As practices compete on efficiency, chair time, and clinical outcomes, choosing the right high speed dental handpiece or electric high performance handpiece is now a strategic business decision, not just an equipment purchase.

What Are High Performance Handpieces in Dentistry?

High performance handpieces are advanced dental instruments engineered to deliver higher torque, stable speed, reduced vibration, and superior ergonomics compared to conventional air-driven models. These high speed dental handpieces typically operate in the 200,000 to 450,000 RPM range and are optimized for rapid tooth preparation, crown adjustments, and complex restorative workflows.

In practice, a high performance handpiece system often combines a high speed electric handpiece or premium air turbine handpiece with integrated water spray, fiber-optic illumination, and modern infection control features. These devices help clinicians cut efficiently through enamel, dentin, zirconia, and metal restorations while maintaining temperature control and minimizing microfractures.

Global Market Trends for High Performance Handpieces

The dental handpiece market has grown into a multibillion-dollar global segment, driven by rising demand for restorative and aesthetic dentistry, an aging population, and increased access to dental care. According to recent industry market reports, the overall dental handpiece market is projected to grow steadily through 2032, with compounded annual growth rates surpassing 4 percent in many regions.

Within this landscape, high speed handpieces dominate by share, with some analyses indicating that the high speed segment accounts for more than two-thirds of revenue as clinicians prioritize efficiency and clinical throughput. Reports focused on prophylactic and electric dental handpieces highlight that electric-powered devices are gaining momentum thanks to consistent torque, lower noise, and longer lifespan, especially in high-volume clinics.

Another notable trend is the expanding electric dental handpiece market, projected to increase from hundreds of millions of dollars in the mid-2020s to well over half a billion dollars by the mid-2030s, reflecting a steady shift from air-driven to electric high performance handpiece systems. Market observers also note that North America maintains a leading share of the dental handpiece market, supported by strong adoption of advanced technologies and high procedural volumes.

Why Clinics Are Upgrading to High Performance Handpieces

Clinics are upgrading to high performance handpieces to gain measurable improvements in productivity, patient experience, and clinical consistency. High speed handpiece technology reduces chair time by allowing faster tooth structure removal and more precise margin refinement, which can translate into additional daily appointments and higher annual revenue.

Electric high performance handpieces offer stable RPM and torque regardless of load, meaning that even under heavy cutting conditions, speed remains constant. This consistency supports smoother preparations, fewer bur stalls, and less operator fatigue. In addition, modern high performance handpieces often feature reduced noise and vibration, which can significantly improve patient comfort and perceived quality of care.

When practices assess equipment investments, a major theme is long-term value rather than low upfront cost. High quality handpieces with premium bearings, balanced rotors, and robust chuck systems typically outlast low-cost alternatives, needing fewer repairs and replacements. As a result, over a five-to-seven-year period, the total cost of ownership can be lower for a high performance handpiece, especially when coupled with proper maintenance.

Core Technologies Behind High Performance Handpieces

High performance handpieces combine mechanical engineering, fluid dynamics, material science, and digital control systems. The core technologies include:

High speed air turbine systems
These use compressed air to spin a lightweight turbine in the head of the handpiece, rotating the bur at extremely high RPM. Well-designed air turbine handpieces prioritize balanced turbines, precision bearings, and carefully engineered exhaust pathways to minimize vibration and noise while maximizing cutting efficiency.

Electric micromotor systems
Electric high performance handpieces harness brushless micromotors connected to contra-angle heads, offering precise electronic control of speed and torque. Unlike air turbine models, electric systems maintain consistent RPM even with varying load, making them ideal for crown and bridge work, endodontic access, and implant site preparation.

Advanced bearing and chuck designs
Ceramic bearings, precision steel races, and robust chuck systems help reduce friction, extend lifespan, and ensure bur concentricity. Better concentricity minimizes runout, which directly affects prep accuracy, margin integrity, and patient comfort.

Integrated cooling and illumination
High performance handpieces rely on multi-port water spray systems to dissipate heat at the cutting interface, protecting pulpal tissue and maintaining bur efficiency. Fiber-optic or LED illumination integrated in the handpiece or coupler enhances visibility inside the oral cavity, improving accuracy, especially in posterior or minimally invasive preparations.

Noise reduction and ergonomics
Engineers tune air pathways and motor housings to reduce whistling, vibration, and sound pressure levels, which benefits both patients and clinicians. Lightweight alloys, optimized grip contours, and balanced weight distribution reduce hand fatigue and support more stable hand positioning during delicate procedures.

Comparing Air-Driven vs Electric High Performance Handpieces

Dentists often evaluate whether to focus on high speed air-driven handpieces, electric handpieces, or a hybrid setup. The choice depends on case mix, budget, and clinical priorities.

Type Key Advantages Typical Use Cases
High speed air-driven handpiece Lightweight, simple, lower acquisition cost, easy maintenance Routine cavity prep, quick enamel reduction, emergency care
Electric high performance unit Stable torque, consistent speed, quieter, higher cutting power Crown and bridge, endodontic access, complex restorative
Hybrid high speed system Mix of air and electric for flexibility and redundancy Multi-operatory practices, teaching clinics, group practices
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High performance air turbine handpieces remain popular in general practice because they are light, nimble, and cost-effective. By pairing them with modern couplers and high quality burs, clinicians can achieve excellent results, especially in bread-and-butter restorative dentistry.

Electric handpieces, however, are increasingly favored in prosthodontic, cosmetic, and surgical workflows due to their power and control. In these cases, even slight gains in precision can reduce adjustment time on ceramic restorations or improve the fit of complex prostheses, helping practices differentiate on quality.

Market-Leading High Performance Handpiece Categories

Across the global marketplace, several categories of high performance handpieces stand out:

Premium high speed air turbine handpieces
These offer ultra-high RPM, superior bearings, multi-port spray, and fiber-optic lighting. They focus on smooth cutting and minimal vibration.

Electric contra-angle high performance handpieces
Typically part of an electric micromotor system, these high torque devices handle heavy-duty cutting while allowing variable speed control, making them suitable for fine finishing as well.

Prophy and hygiene high performance handpieces
Dedicated prophylaxis and polishing handpieces are optimized for balance, ergonomics, and low noise, supporting dental hygienists in high-volume scaling and polishing schedules.

Pediatric and specialty high performance handpieces
Compact, lightweight devices designed for pediatric dentistry or specialty applications emphasize maneuverability and patient comfort.

ROI and Financial Impact of High Performance Handpieces

Evaluating the return on investment of high performance handpieces requires looking beyond the sticker price. Industry analyses show that premium dental handpieces often yield better long-term ROI thanks to durability and productivity gains.

Several components contribute to ROI:

Increased chairside efficiency
Faster cutting speeds and fewer bur stalls shorten procedure times. If a clinic can add even one extra patient per day per operatory because of time savings, annual revenue can increase substantially.

Reduced maintenance and downtime
High quality bearings, better sealing, and corrosion-resistant materials decrease repair frequency and catastrophic failures. Less downtime keeps operatories productive and reduces the need for spare handpieces.

Enhanced clinical outcomes and patient satisfaction
Smoother margins, more accurate preparations, and quieter operation can improve patient trust, encourage word-of-mouth referrals, and support higher acceptance of treatment plans.

Extended lifespan
While low-cost handpieces might need replacement every one or two years under heavy use, high performance models maintained correctly can remain serviceable for many years. When amortized over their lifespan, their cost per procedure becomes highly competitive.

According to technical experts specializing in dental handpiece service, one of the most important drivers of ROI is adherence to a consistent maintenance protocol that includes cleaning, lubrication, and sterilization best practices. Neglecting maintenance shortens turbine life and increases repair costs, undermining the economic advantages of premium handpieces.

Maintenance Best Practices for High Performance Handpieces

Because high performance handpieces operate at extreme speeds, meticulous maintenance is non-negotiable. Biological debris, lubricant residues, and enamel particles can accumulate inside the head and turbine assembly, causing premature wear, clogging, or overheating.

Key elements of a maintenance routine include thorough external cleaning to remove visible contamination, internal flushing according to manufacturer instructions, properly metered lubrication using compatible oils, and validated sterilization cycles that avoid overheating or corrosion. Many clinics also implement rotation systems to ensure handpieces have adequate cooling and drying time between patients.

Some practices partner with specialized biomedical service providers to perform periodic performance checks, turbine balancing, and bearing replacements. This proactive approach can help maintain cutting efficiency, extend device lifespan, and support regulatory compliance for infection control.

Integrating ALLWILL’s Approach to High Performance Handpieces

Within this evolving landscape, ALLWILL is redefining B2B medical aesthetics and advanced equipment sourcing by aligning innovation, trust, and efficiency for clinics that rely on high performance handpieces and related systems. By leveraging its Smart Center for inspection, repair, and refurbishment, alongside the MET vendor management network and Lasermatch inventory platform, ALLWILL helps practitioners access rigorously tested, brand-agnostic devices, trade-up programs, and data-driven purchasing strategies that protect both clinical performance and long-term ROI.

Real-World Use Cases and Measurable ROI

Real user cases illustrate how investing in high performance handpieces can transform operations. Consider a busy general dentistry practice with three operatories performing a mix of restorative, hygiene, and cosmetic procedures. By upgrading from aging air-driven units to modern high speed handpieces with better turbines and spray patterns, the clinic may reduce average prep time for a single posterior crown by several minutes.

Over the course of a day, this time savings can open a slot for one or two additional appointments across the team, leading to a significant annual revenue increase without expanding staff or facility size. Reduced chair time also enhances patient experience, especially for anxious patients who appreciate faster procedures and quieter equipment.

In another case, a prosthodontic-focused clinic adopting electric high performance handpieces for full mouth rehabilitation may find that improved torque and control reduce post-cementation adjustments on ceramic restorations, saving lab remake costs and chair time. When measured over a year, lower adjustment rates and smoother workflows can offset the initial investment in electric systems.

Similarly, hygiene departments that move to lightweight, ergonomically designed high performance prophylaxis handpieces often report reductions in clinician fatigue and musculoskeletal strain. This contributes not only to quality of care but also to staff retention and reduced risk of work-related injuries.

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Clinical Performance Benefits for High Performance Handpieces

From a clinical perspective, high performance handpieces deliver several tangible advantages. Stable RPM and torque support more predictable depth of cuts, margin quality, and surface smoothness, which in turn influence bonding strength and restoration longevity.

Better cooling helps avoid thermal damage to the pulp, reducing postoperative sensitivity. This is particularly important when working with dense restorative materials like zirconia or when removing old metal crowns that require extended cutting time.

High quality lighting enhances visualization of fine details such as margins, microcracks, or caries at the enamel–dentin junction. With precise illumination, clinicians can refine preparations in real time and reduce the need for retraction or repositioning.

Low vibration not only increases patient comfort but also allows practitioners to hold the handpiece more lightly, improving tactile feedback. This can make a marked difference in delicate maneuvers, such as finishing margins near subgingival areas or accessing calcified canals.

High Performance Handpieces for Different Specialties

While general dentists are major users of high performance handpieces, multiple specialties have unique requirements:

Endodontics
Electric high performance handpieces paired with endodontic motors and torque control help shaping canals safely and efficiently. Precise torque limits reduce the risk of file separation and canal transportation.

Oral surgery and implantology
High torque electric systems with external irrigation and specific handpiece heads handle osteotomy creation and implant placement. Consistent speed and torque are critical for predictable primary stability and reduced heat generation.

Pediatric dentistry
Smaller, lighter high performance handpieces with reduced noise are favored to improve cooperation and minimize fear in young patients. Fast, efficient cutting also shortens appointments, benefiting children and parents.

Orthodontics
High speed handpieces play a role in bracket debonding and adhesive removal, where smooth cutting and minimal enamel damage are important.

Hygiene and preventive care
Prophy handpieces with ergonomic grips and low vibration help hygienists perform scaling, polishing, and biofilm removal more comfortably over long days.

Key Features to Evaluate When Buying High Performance Handpieces

When selecting high performance handpieces, practices should look beyond brand recognition and focus on specific features that align with their workflow and patient base.

Important dimensions include:

Torque and RPM range
Higher torque at clinically relevant RPMs improves cutting power, especially for full coverage crown preparations and removal of tough materials.

Head size and access
Smaller head profiles improve access to posterior teeth and help maintain better visibility, but must still accommodate adequate turbines and spray ports.

Noise level
Quieter operation can reduce stress for both patients and staff, particularly in practices that treat many anxious patients or children.

Ergonomics and weight
Balanced, lightweight handpieces reduce hand and wrist fatigue, important for clinicians performing procedures back-to-back throughout the day.

Compatibility
Coupler compatibility, hose connections, and system integration with existing chairs and delivery units can significantly impact total upgrade cost.

Infection control features
Autoclavability, sealed head systems, and anti-retraction valves contribute to safer operation and compliance with hygiene standards.

Service and parts availability
Easy access to turbine replacements, o-rings, and certified technicians helps minimize downtime.

Top High Performance Handpiece Categories and Use Cases

The following categories summarize how different high performance handpiece types align with specific clinical needs.

Category Key Advantages Ratings (Conceptual) Typical Use Cases
Premium high speed turbine handpieces Ultra-high RPM, low vibration, strong spray, fiber-optic High for general use Restorative dentistry, caries removal
Electric high torque handpiece systems Stable torque, precise speed, quieter operation High for complex cases Crown and bridge, implant-related procedures
Prophy high performance handpieces Ergonomic, light, low noise High in hygiene Scaling, polishing, perio maintenance
Pediatric-focused high speed handpieces Compact, low noise, easy handling High in pediatric care Restorative pediatrics, sealant prep
Refurbished high performance handpieces Lower cost entry to premium performance Variable by provider Budget-conscious expansion, backup inventory

These categories help practitioners map their current and future case mix against the high performance handpiece options available on the market.

Competitor Comparison Matrix for High Performance Handpieces

To clarify buying decisions, clinics often benchmark key feature sets across leading high performance handpiece categories rather than focusing solely on brand.

Feature Air-Driven High Performance Electric High Performance Prophy High Performance
Cutting power Moderate to high Very high Moderate
Speed consistency under load Moderate Excellent Not primary focus
Noise level Higher Lower Low to moderate
Weight Very light Heavier Light
Initial cost Lower Higher Moderate
Maintenance complexity Low to moderate Moderate Low
Best suited for General restorative Complex restorative, surgery Hygienists, preventive care

By mapping these attributes to clinic goals, owners and clinical directors can make more informed decisions about which high performance handpieces to prioritize in upcoming equipment cycles.

Digital Integration and Smart High Performance Handpieces

Emerging trends in high performance handpieces include digital integration and smart device capabilities. Some manufacturers are introducing handpiece systems that can track usage metrics, torque curves, sterilization cycles, and maintenance intervals.

These connected high performance handpieces may interface with practice management software or dedicated dashboards, giving decision-makers clearer insight into how often specific operatories use certain devices and when preventive service is due. Over time, this kind of data can guide more accurate capital planning, replacement timing, and training needs.

In the future, it is plausible that smart high performance handpieces will incorporate AI-enhanced feedback systems that alert clinicians to excessive pressure, overheating risk, or potential turbine imbalance in real time, further safeguarding patient safety and prolonging device lifespan.

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Sustainability and Environmental Considerations

Sustainability is gaining importance in dental equipment decisions, and high performance handpieces are no exception. Practices are increasingly evaluating how many devices they discard over a decade and how many can be refurbished or upgraded instead.

Electric systems, while more complex, may offer longer usable lifespans with motor replacements rather than full device disposal. Refurbished high performance handpieces that undergo rigorous performance testing and component replacement can reduce waste while providing budget-friendly access to premium technology.

Clinics can also reduce the environmental impact of high performance handpieces by selecting devices with robust construction, following maintenance protocols that extend turbine life, and partnering with service providers that offer responsible disposal or recycling of worn components.

Buying Strategy: New, Refurbished, or Hybrid High Performance Handpieces

Choosing between new and refurbished high performance handpieces often comes down to budget, risk tolerance, and vendor reliability. New high performance handpieces typically carry manufacturer warranties, the latest design improvements, and predictable performance, making them attractive for core operatories and new clinics.

Refurbished high performance handpieces, when sourced from reputable providers with stringent testing protocols, can deliver comparable clinical performance at a lower capital cost. For many practices, a hybrid strategy makes sense: purchasing new high performance handpieces for primary operatories while using refurbished devices as spares or for lower-acuity rooms.

Key factors in this decision include warranty length, availability of performance reports, traceable maintenance history, and whether the refurbishing facility uses original-equipment components and calibrated testing rigs.

Training and Change Management for High Performance Handpiece Adoption

Introducing high performance handpieces into a practice is not just a purchasing decision; it is also a change management exercise. Dentists and hygienists may need training on new torque profiles, speed settings, and handling techniques, especially when migrating from air-driven to electric systems.

Structured onboarding that includes live demonstrations, hands-on practice with typodonts, and clear written protocols helps clinicians quickly harness the benefits of their new high performance handpieces. Incorporating manufacturer or third-party training into the procurement process ensures that both dentists and assistants understand cleaning, lubrication, and sterilization requirements.

Administrative leaders can support adoption by collecting feedback on ergonomics, perceived efficiency, and patient reactions, then adjusting workflows accordingly. Over time, incorporating high performance handpiece usage into standard operating procedures and clinical templates reinforces consistent use.

Future Trends in High Performance Handpieces

Looking ahead, several trends are shaping the future of high performance handpieces:

Increased penetration of electric high performance systems
As motors become lighter and control units more compact, electric handpieces will likely expand beyond specialist practices into general dentistry at scale.

Greater focus on ergonomics and clinician wellness
Designs that reduce torsional stress on wrists and hands will support longer careers and minimize musculoskeletal disorders among dental professionals.

Smart monitoring and predictive maintenance
Integrated sensors and data analytics will help clinics anticipate turbine wear, schedule maintenance proactively, and optimize inventory.

Advanced materials and coatings
New alloys, ceramic components, and friction-reducing coatings will boost durability, reduce noise, and improve sterilization resilience.

Expanded refurbishment and circular-economy models
As cost pressures and environmental concerns grow, more clinics will turn to high-quality refurbished high performance handpieces supported by transparent testing standards.

Concise FAQs on High Performance Handpieces

What is a high performance handpiece in dentistry?
It is a high speed or electric dental handpiece engineered for superior torque, stable RPM, reduced vibration, and improved ergonomics, used to enhance speed and precision in clinical procedures.

Are electric high performance handpieces better than air-driven models?
Electric handpieces provide more consistent torque and quieter operation, making them ideal for complex restorative and surgical work, while air-driven models remain popular for their light weight and lower initial cost.

How often should high performance handpieces be serviced?
Service frequency depends on use and manufacturer recommendations, but many practices schedule periodic turbine checks, bearing replacements, and performance testing in addition to daily cleaning and sterilization.

Do high performance handpieces really improve ROI?
Yes, when properly maintained, they can reduce procedure times, minimize repairs, extend device lifespan, and enhance patient satisfaction, all of which contribute to stronger financial performance.

Can refurbished high performance handpieces be trusted?
They can be a reliable option when sourced from vendors who employ rigorous inspection, replacement of critical components, and verifiable performance testing, along with clear warranty terms.

Three-Level Conversion Funnel CTA for High Performance Handpieces

If your practice is still relying on aging dental drills or low-torque handpieces, start by assessing your current workflows, case mix, and downtime to identify where high performance handpieces could deliver measurable gains. Once you understand your needs, engage with trusted equipment partners or biomedical service providers to compare high speed air-driven and electric high performance handpiece options side by side, focusing on torque, ergonomics, compatibility, and long-term maintenance support. When you are ready to move forward, implement a phased rollout plan that pairs your chosen high performance handpieces with staff training, maintenance protocols, and ROI tracking so every upgrade directly supports better patient care, higher productivity, and sustainable growth for your practice.

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(c) Limited Warranties, If Any.

(i) If the Quote expressly states that the Equipment has a warranty for a certain time (a “Warranty Period”), then MRP warrants that the Equipment shall be in good working order under normal use for the Warranty Period, which Warranty Period shall commence from the date of delivery to Buyer (the “Delivery Date”), unless otherwise approved by an MRP Officer in writing, except for the following: (A) New (not used or pre-owned) Equipment that is to be serviced by MRP: if the Quote is silent, warranted to be in good working order under normal use for one hundred eighty (180) days from the Delivery Date; (B) Used Equipment sold refurbished by MRP: if the Quote is silent, warranted to be in good working order under normal use for thirty (30) days from the Delivery Date; (C) Consumable/disposable Equipment: if the Quote is silent, warranted to have been shipped from MRP in functional condition, and no additional warranty shall apply; no service shall be provided either. These items should be inspected for obvious damage, subject to Section 6 and 8(e), and MRP’s obligation under this warranty and this Section 8(c)(i)(C) is limited to replacement of the Equipment; and (D) New (not used or pre-owned) Equipment that is to be serviced by the manufacturer: if the Quote is silent, MRP makes no warranty for any such Equipment. Buyer’s sole warranty for any such Equipment, if any, shall be the original manufacturer’s warranty, which MRP agrees to pass on to Buyer, as applicable. (ii) For the limited warranties of Section 8(c)(i), including exceptions (A) and (B), but not (C) or this (D), Buyer is entitled to telephone, e-mail and video technical assistance and, subject to Sections 8(d) and 8(e), repair or replacement of such Equipment, in MRP’s sole discretion, should the Equipment become inoperative through normal use during the Warranty Period. Loaner equipment is not provided, but if so arranged by MRP, Buyer shall pay MRP the cash list price of any unreturned loaner equipment provided by MRP within seven (7) days of a written demand from MRP. (iii) Repair or replacement under any limited warranty of Equipment may be with parts or products that are new, used or refurbished, carrying the same limited warranty for the remaining term of the original item. Repairs or replacements shall not interrupt, extend or prolong the term of the warranty. (iv) For Services purchased under this Agreement, MRP warrants that the Services shall be performed using competent personnel in a professional manner in accordance with generally recognized industry standards for similar services. Subject to Sections 6 and 8(e) herein, if any Service was not performed in accordance with the aforementioned warranty, then MRP shall, in its sole discretion, either (A) repair or re-perform the applicable Service, or (B) credit or refund the price of such Service at the pro rata contract rate.

(d) Exclusions. MRP reserves the right, without liability, to void all warranties and remedies, including any obligation to service, repair, replace or otherwise remedy defects, errors or failures of the Equipment due to the occurrence of any of these events, and MRP shall be in no way responsible for: (i) handling, maintenance or use in a manner that is inconsistent with and/or contrary to the original manufacturer’s or MRP’s recommended procedures and/or instructions, including, without limitation, use of or with an unauthorized third-party good or part; (ii) any failure or damage resulting from negligence, alteration, modification or relocation of the Equipment by Buyer, its employees, agents or representatives; (iii) attempted or actual unauthorized dismantling, disassembling, service, repair, addition or change of the Equipment, including, without limitation, changing the serial number or shot count; (iv) abnormal wear and tear, including, without limitation, use under abnormal conditions (e.g., unclean, dusty, or exposure to extreme electromagnetic radiation, temperature or humidity); or (v) damage or failure of the Equipment due to a Force Majeure Event or a problem in the premises of the Equipment. In any of the above situations, or for any Equipment that has no warranty, MRP has sole discretion to service the Equipment, at Buyer’s expense, at MRP’s then-in-effect rates for service, labor, travel, shipping and materials.

(e) Notice and Inspection. The limited warranties contained in this Section 8 are made on condition that immediate written notice of any noncompliance with the Equipment’s and/or the Service’s warranty be given to MRP, and provided that MRP’s inspection reveals that Buyer’s claim is valid under the terms of such warranty.

        9.  DISCLAIMERS; NO OTHER WARRANTY. EXCEPT TO THE EXTENT AS PROVIDED IN SECTION 8(c)(i)(D), BUYER ACKNOWLEDGES THAT MRP IS NOT BOUND BY ANY WARRANTY THAT MAY BE SET FORTH IN A MANUFACTURER’S WRITTEN MATERIALS THAT WOULD HAVE APPLIED HAD BUYER PURCHASED THE EQUIPMENT DIRECTLY FROM THE MANUFACTURER IN ITS UNUSED STATE. BUYER ACKNOWLEDGES THAT BUYER HAS NOT RELIED UPON ANY WARRANTY OTHER THAN AS SET FORTH IN THIS AGREEMENT. IN ADDITION, BUYER ALSO HEREBY ACKNOWLEDGES AND AGREES THAT ANY ORAL OR WRITTEN STATEMENTS CONCERNING USE AND REGULATION OF MEDICAL DEVICES SOLD BY MRP ARE AND SHALL BE CONSTRUED AS FOR INFORMATIONAL PURPOSES ONLY AND WITHOUT WARRANTY OR ASSURANCE BY MRP AS TO THEIR ACCURACY OR VALIDITY. MRP ALSO HEREBY DISCLAIMS ANY AND ALL WARRANTIES REGARDING OTHER MEDICAL CARE OR HELP, INCLUDING THE SELECTION OF AESTHETIC AND MEDICAL PROCEDURES AND PRODUCTS FOR, OR CARE OF, PATIENTS. THE LIMITED WARRANTIES OF THIS AGREEMENT, IF APPLICABLE TO ANY EQUIPMENT OR SERVICE FURNISHED UNDER THIS AGREEMENT, CONSTITUTE THE ONLY WARRANTIES MADE WITH RESPECT TO THE EQUIPMENT AND/OR SERVICE AND ANY DEFECT, DEFICIENCY OR NONCONFORMITY. TO THE EXTENT PERMITTED BY LAW, SUCH WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED BY LAW, COURSE OF DEALING, COURSE OF PERFORMANCE, USAGE OF TRADE OR OTHERWISE, INCLUDING, BUT NOT LIMITED TO, ANY EXPRESS OR IMPLIED WARRANTY OF MERCHANTABILITY, TITLE, NONINFRINGEMENT OR FITNESS FOR A PARTICULAR PURPOSE.

        10.  LIMITATION OF LIABILITY. NOTWITHSTANDING ANYTHING TO THE CONTRARY IN THIS AGREEMENT, UNDER NO CIRCUMSTANCES SHALL MRP BE LIABLE FOR ANY INDIRECT, PUNITIVE, INCIDENTAL, CONSEQUENTIAL, EXEMPLARY OR SPECIAL DAMAGES, ARISING FROM, RELATED TO OR CAUSED, DIRECTLY OR INDIRECTLY, WHETHER FORESEEABLE OR NOT, BY THE EQUIPMENT AND/OR THE SERVICES, THE USE OR INABILITY TO USE THE EQUIPMENT, THE RESULTS GENERATED FROM THE EQUIPMENT AND/OR THE SERVICES, THIS AGREEMENT, ANY OTHER ACT OR OMISSION OF MRP, OR BASED UPON ANY OTHER LEGAL THEORY. IN NO EVENT SHALL MRP BE LIABLE FOR ANY LOSSES OF REVENUE, USE, BUSINESS OPPORTUNITY, PROFIT, SAVINGS OR ANY OTHER DAMAGES DUE TO ANY CAUSE WHATSOEVER, EVEN IF MRP OR ITS AGENTS HAS BEEN ADVISED OF THE POSSIBILITY THEREOF. THE FOREGOING IS A SEPARATE, ESSENTIAL TERM OF THIS AGREEMENT, AND SHALL BE EFFECTIVE UPON THE FAILURE OF ANY REMEDY, EXCLUSIVE OR NOT. IN NO EVENT WILL MRP’S TOTAL LIABILITY UNDER THIS AGREEMENT EXCEED THE PURCHASE PRICE ACTUALLY PAID TO MRP BY BUYER FOR THE EQUIPMENT AND/OR THE SERVICES GIVING RISE TO THE CLAIM FOR WHICH DAMAGES ARE BEING SOUGHT. NO SUIT OR ACTION MAY BE BROUGHT BY BUYER, ITS SHAREHOLDERS, DIRECTORS, MANAGERS, EMPLOYEES OR AGENTS FOR ANY BREACH OF THIS AGREEMENT MORE THAN ONE (1) YEAR AFTER THE ACCRUAL OF SUCH CAUSE OF ACTION. IT IS AGREED THAT MRP’S LIABILITY IS SO LIMITED. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, BUYER ASSUMES ALL RISK AND LIABILITY FOR THE RESULTS OBTAINED BY THE USE OF ANY EQUIPMENT IN THE PRACTICE OF ANY PROCESS, WHETHER IN TERMS OF OPERATING COSTS, GENERAL EFFECTIVENESS, SUCCESS OR FAILURE, AND REGARDLESS OF ANY ORAL OR WRITTEN STATEMENTS MADE BY MRP, BY WAY OF TECHNICAL ADVICE OR OTHERWISE, RELATED TO THE USE OF THE EQUIPMENT.

        11.  BUYER’S REPRESENTATIONS AND WARRANTIES. Buyer represents and warrants to MRP that: (a) Buyer is duly organized, validly existing, and in good standing in the jurisdiction of Buyer’s formation; (b) Buyer is duly qualified to do business and is in good standing in every jurisdiction in which such qualification is required; (c) Buyer has the full right, power, and authority to enter into this Agreement and to perform Buyer’s obligations under this Agreement; (d) the execution of this Agreement by the person whose signature is set forth at the end hereof has been duly authorized by all necessary corporate action of Buyer; (e) when executed and delivered by each of MRP and Buyer, this Agreement will constitute the legal, valid and binding obligation of Buyer, enforceable against Buyer in accordance with its terms; (f) Buyer is in compliance with all applicable laws relating to this Agreement, the Equipment and the operation of Buyer’s business; (g) Buyer is not insolvent and is paying all of its debts as they become due; and (h) all financial information that Buyer has provided to MRP is true and accurate and fairly represents Buyer’s financial condition.

        12. PROPRIETARY RIGHTS.

(a) Ownership. No sale shall be construed as granting to Buyer any license or other right in, or to, any of MRP’s (i) patents; (ii) trademarks; (iii) internet domain names, whether or not trademarks, registered by any authorized private registrar or governmental authority, web addresses, web pages, websites and URLs; (iv) works of authorship, expressions, designs and design registrations, whether or not copyrightable, including copyrights and copyrightable works, software and firmware, technical data, data files, and databases and other specifications and documentation; (v) trade secrets; (vi) environmental or other testing applicable to the Equipment and/or the Services; and (vii) industrial and other intellectual property rights, and all rights, interests, and protections that are associated with, equivalent or similar to, or required for the exercise of, any of the foregoing, however arising, in each case whether registered or unregistered and including all registrations and applications for, and renewals or extensions of, such rights or forms of protection pursuant to the laws of any jurisdiction throughout in any part of the world (collectively, the “Intellectual Property Rights”).

(b) Prohibited Acts. Buyer shall not (i) take any action that might interfere with any of MRP’s rights in or to Intellectual Property Rights, including MRP’s ownership or exercise thereof; (ii) challenge any right, title, or interest of MRP in or to the Intellectual Property Rights; (iii) make any claim or take any action adverse to MRP’s ownership of the Intellectual Property Rights; (iv) register or apply for registrations, anywhere in the world, for MRP’s trademarks or any other trademark that is similar to MRP’s trademarks or that incorporates MRP’s trademarks in whole or in confusingly similar part; (v) use any mark, anywhere that is confusingly

similar to MRP’s trademarks in whole or in confusingly similar part; (vi) engage in any action that tends to disparage, dilute the value of or reflect negatively on the Equipment and/or the Services or any of MRP’s trademarks; (vii) misappropriate any of MRP’s trademarks for use as a domain name without prior written consent from MRP; or (viii) alter, obscure or remove any of MRP’s trademarks, or trademark or copyright notices or any other proprietary rights notices placed on the

Equipment, marketing materials or other materials that MRP may provide.

        13.  CONFIDENTIAL INFORMATION. Without the prior written consent of MRP,Buyer, directly or indirectly, shall not disclose (and will direct its directors, shareholders, employees and agents not to disclose) any Confidential Information. The term “Confidential Information” means any information of or relating to MRP or the Equipment and/or the Services not generally known to the public (other than as a result of disclosure in violation of this Agreement) in spoken, printed, electronic or any other form or medium, including, but not limited to, business processes, practices, methods, policies, plans, publications, documents, research, operations, services, strategies, techniques, agreements, contracts, transactions, potential transactions, know-how, trade secrets, databases, manuals, records, supplier information, financial information, accounting information, legal information, marketing information, pricing information, payroll information, personnel information, and supplier lists.

        14.  NON-SOLICITATION. Buyer agrees not to solicit or hire any personnel of MRP involved with the delivery of the Services during the provision of such Services and for twelve (12) months after the completion of such Services; provided, however, that Buyer may hire individuals employed by MRP who, without other solicitation, respond to advertisements or solicitations aimed at the general public.

        15.  EQUITABLE REMEDIES. Buyer acknowledges and agrees that (a) a breach or threatened breach by Buyer of any of its obligations under Sections 13 or 14 would give rise to irreparable harm to MRP for which monetary damages would not be an adequate remedy and (b) in the event of a breach or a threatened breach by Buyer of any such obligations, MRP shall, in addition to any and all other rights and remedies that may be available to MRP at law, at equity, or otherwise in respect of such breach, be entitled to equitable relief, including a temporary restraining order, an injunction, specific performance, and any other relief that may be available from a court of competent jurisdiction, without any requirement to post a bond or other security, and without any requirement to prove actual damages or that monetary damages will not afford an adequate remedy. Buyer agrees that Buyer will not oppose or otherwise challenge the appropriateness of equitable relief or the entry by a court of competent jurisdiction of an order granting equitable relief, in either case, consistent with the terms of this Section 15.

        16.  INDEMNIFICATION. Buyer agrees to indemnify, defend and hold harmless MRP and its directors, shareholders, employees and agents (collectively, “MRP Indemnitees”) against any liability, damage, loss or expense incurred by or imposed in connection with any claims, suits, actions, demands or judgments arising out of (a) any breach or non-fulfillment of any representation, warranty or covenant set forth in this Agreement by Buyer or its directors, managers, employees or agents (collectively, “Buyer’s Agents”); (b) any negligent act or omission or willful misconduct of Buyer or Buyer’s Agents in connection with this Agreement; (c) any bodily injury, death of any person or damage to real or tangible personal property caused by Buyer or Buyer’s Agents, including the use of unauthorized parts in or service of the Equipment; (d) any failure by Buyer or Buyer’s Agents to comply with any applicable laws; (e) any fraud or other intentional acts by Buyer or Buyer’s Agents; and (f) the use or operation of the Equipment, including, without limitation, any medical and/or surgical procedures performed by Buyer, and any of Buyer’s Agents, using the Equipment unless said damages are determined by a court of competence jurisdiction to be solely by the gross negligence of MRP or solely as result of a breach by MRP of the limited warranties contained herein.

        17.  DEFAULTS; REMEDIES. Notwithstanding anything herein to the contrary, should Buyer fail to pay for the order or any other amount, in whole or in part, when due or perform its other obligations under this Agreement or as otherwise mutually agreed in writing between Buyer and MRP (each, a “Default”), then MRP may take any and all actions available under law or equity to collect said amounts with a ten (10) day prior written notice, including, but not limited to, enforcing its security interest, accelerating the payment of and declaring immediately due and payable any unpaid balance of the order, referral to outside collection agencies and/or commencement of legal action. MRP’s rights shall be cumulative, and it shall not be required to have attempted to realize upon to the Equipment before taking any other collection actions. MRP may require that Buyer assemble and return any or all of the Equipment to MRP and, in the event Buyer fails to return such Equipment peaceably, enter upon the premises where such Equipment is located, with or without legal process, and repossess such Equipment. Upon a Default, Buyer agrees to pay upon MRP’s demand: (i) all costs and expenses incurred by MRP or its assignee in connection with the enforcement of any remedies, including all expenses incurred in connection with the return, sale, release or other disposition of the Equipment, including attorneys’ fees and other costs incurred by MRP or its assignee in enforcing or defending its rights and remedies under this Agreement and any other written agreement between Buyer and MRP.

        18.  COMPLIANCE WITH LAWS. Buyer shall (a) carry out the transactions contemplated by this sale and deal with the Equipment in conformity with all applicable laws, rules and regulations of all government authorities, including, without limitation, export laws, (b) obtain all permits and licenses required in connection with the purchase, shipment, installation or use of the Equipment, and (c) be solely responsible to fully understand and comply with laws, rules and regulations. Any information provided is as a convenience only.

        19.  FURTHER ASSURANCES. Upon MRP’s reasonable request, Buyer shall, at its sole cost and expense, execute and deliver all such further documents and instruments, and take all such further acts, necessary to give full effect to this Agreement.

        20.  ASSIGNMENT; SUCCESSORS AND ASSIGNS. Buyer cannot delegate any duties nor assign any rights or claims under this Agreement without MRP’s prior written consent, and any such attempt or assignment shall be void. In the event that Buyer finances its acquisition of any Equipment with a third party, Buyer may direct MRP to transfer title of such Equipment to such third-party financing company, with all remaining terms and conditions of this Agreement remaining in full force and effect. This Agreement is binding on and inures to the benefit of the parties to this Agreement and their respective permitted successors and permitted assigns.

        21.  NO THIRD-PARTY BENEFICIARIES. Subject to Section 16, this Agreement benefits solely the parties to this Agreement and their respective permitted successors and assigns, and nothing in this Agreement, express or implied, confers on any other person any legal or equitable right, benefit, or remedy of any nature whatsoever under or by reason of this Agreement.

        22.  GOVERNING LAW; VENUE. The application of the UN Convention on Contracts for the International Sale of Goods is expressly excluded. The parties agree that any and all claims, demands, disagreements, controversies or disputes arising out of or relating to this Agreement and any agreement or document delivered in connection herewith (collectively, “Claims”) shall be governed by and construed in accordance with the laws of the State of Utah and adjudicated exclusively in the state and federal courts located in or nearest to Summit County, Utah, which courts shall have the sole and exclusive jurisdiction and venue for adjudication of all Claims. The parties hereby agree upon, consent and stipulate to the jurisdiction and venue of the aforementioned courts for the adjudication of all Claims, to the exclusion of all other courts, forums and venues whatsoever.

        23.  NON-DISPARAGEMENT. Buyer shall not disparage MRP or MRP’s trademarks, websites, products or services, or display any such items in a derogatory or negative manner on any website or in any public forum or press release.

        24.  NOTICES. Any notice, demand, or communication required, permitted or desired to be given hereunder shall be deemed effectively given when personally delivered, when sent by electronic means, when received by overnight courier, or when mailed by prepaid, certified or registered mail, return receipt requested, addressed to the other party at its address set forth on the Quote or to such other address that the receiving party may designate from time to time in accordance with this Section 25.

        25.  PUBLIC ANNOUNCEMENTS. Unless otherwise stated herein, neither party shall issue a press release or otherwise advertise, make a public statement or disclose to any third-party information pertaining to the relationship arising under this Agreement, the existence or terms of this Agreement, the underlying transactions between MRP and Buyer or agent for Buyer or refer to the other party in relation to this Agreement without the other party’s prior written approval.

        26.  ENTIRE AGREEMENT; ADDITIONAL OR INCONSISTENT TERMS. Subject to Section 32, this Agreement constitutes the sole and entire agreement between the parties hereto relating to the subject matter hereof, and any unincorporated representation, affirmation of fact, course of prior dealings, promise or condition in connection therewith, or usage of the trade, shall not be binding on either party. Terms and conditions set forth which differ from, conflict with or are not included in this Agreement shall not be part of any agreement between MRP and Buyer unless both parties specifically accept such terms and conditions in writing.

        27.  WAIVER. No waiver under this Agreement is effective unless it is in writing and signed by the party waiving its right. Any waiver authorized on one occasion is effective only in that instance and only for the purpose stated and does not operate as a waiver on any future occasion. None of the following constitutes a waiver or estoppel of any right, remedy, power, privilege or condition arising from this Agreement: any failure or delay in exercising any right, remedy, power or privilege or in enforcing any condition under this Agreement; or any act, omission or course of dealing between the parties.

        28.  SURVIVAL. Subject to the limitations and other provisions of this Agreement, the representations and warranties of Buyer contained herein shall survive the expiration or earlier termination of this Agreement for a period of twelve (12) months after such expiration o termination and (b) this Section 29 and Sections 10, 12, 13, 14, 15, 16, 17, 21, 22, 23, 24, 26, and 32 of this Agreement, as well as any other provision that, in order to give proper effect to its intent, should survive such expiration or termination, shall survive the expiration or earlier termination of this Agreement. All other provisions of this Agreement shall not survive the expiration or earlier termination of this Agreement.

        29.  RELATIONSHIP OF PARTIES. Nothing in this Agreement creates any agency, joint venture, partnership or other form of joint enterprise, employment or fiduciary relationship between the parties. Neither party has any express or implied right or authority to assume or create any obligations on behalf of or in the name of the other party or to bind the other party to any contract, agreement or undertaking with any third party.

        30.  HEADINGS. The headings in this Agreement are for reference only and do not affect the interpretation of this Agreement.

        31.  ORDER OF PRECEDENCE. In the event of conflict between the Quote, a written agreement by MRP, and these Terms, the order of priority shall be: (1) the written

agreement by MRP, if only if executed by an MRP Officer, (2) the Quote and (3) these Terms, and only to the extent of the direct conflict. Notwithstanding the foregoing, MRP shall not be bound by, and specifically objects to, any terms, conditions or other provisions, both written and oral, which are different from, in addition to or inconsistent with the provisions of this Agreement which are set forth in any purchase order, receipt, acceptance, confirmation, correspondence or otherwise of, or by, Buyer. Fulfillment of Buyer’s order shall not constitute acceptance of any of Buyer’s terms and conditions and does not serve to modify or amend the terms and conditions contained herein.

        32.  SEVERABILITY. If any part of this Agreement is held to be void, illegal or unenforceable, then it shall be deemed to be severed from this Agreement and the remaining provisions shall continue in full force and effect; provided, however, that if any fundamental term or provision of this Agreement is held to be void, illegal or unenforceable, the remainder of this Agreement shall be unenforceable. Upon a determination that any term or provision is void, illegal or unenforceable, the parties shall negotiate in good faith to modify this Agreement to effect the original intent of the parties as closely as possible in order that the transactions contemplated hereby be consummated as originally contemplated to the greatest extent possible.