When I do use one, I use two drums: coarse to get the bulk of the nail off, then use the finer grit to smoothe things out. I think Chris found a grinding stone that he felt worked well and didn't require replacement as often (like the bands do).
While I love the smoothness of nails done by the Dremel and how far back I can grind the nails, I have to say that for the most part, unless someone has a show, a weekly trim with a clippers is "good enough". If your nails are clicking, I'm coming after you, and it's just easier to grab the clippers sometimes!
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