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Dental treatment with a microscope

For the last years all branches of medicine have been evolving rapidly. And dentistry is no exception. Introducing new technology for treatment of the root canal, utilizing innovative devices, production of state of the art materials and instruments offer novel opportunities for the development of dental surgery and endodontic therapy.

One of the greatest advancements in treatment was magnifying optical systems, namely dental therapy using a microscope providing an image of a tooth with the highest possible magnification. This innovation is particularly important for microsurgery. Due to magnifying optical systems dentists could reach a new level of root canal treatment using a microscope. The advantages of using optics in medicine were also noted by Dr. Gary B. Carr, one of the fathers of microscopic endodontics. He argued that a doctor can only treat a condition he can see.

How can a doctor get adjusted?

Change of instruments during any stage of treatment can be stressful even for a highly qualified professional. Utilizing innovative technologies can increase the stress considering the lack of experience and the need to get used to operating new equipment.

To avoid discomfort during microscopic treatment, it’s necessary to abide by a list of rules. One is the correct position and posture of the dentist while operating the optical device. Application of microscope technology in dentistry requires proper set-up the device. If we try to elaborate the microscope installation and getting started process in chronological order, it would be as follows:

  • Selecting the right dentist’s posture during treatment.
  • Selecting the right patient’s position.
  • Appropriate positioning for the microscope.
  • Pupil distance adjustment of binoculars.
  • Adjusting the position of the patient during treatment.
  • Focus adjustment (performed previously).
  • Fine focus feature adjustment.
  • Adjustment of dental assistant’s binoculars.

There are some simple rules that can easily solve the issue of correct positioning of the dentist, the optical device and the patient through the entire medical procedure. Thus, the dentist should sit up straight, the light beam should be perpendicular to the floor and the root canal of the tooth treated, so that the therapy using a dental microscope is comfortable for both the doctor and the patient.

All procedures of conventional endodontic therapy should be monitored on the reflected image, thus the light beam of the optical magnification device is directed to the mirror, and from further into the root canal. The patient’s positioning is adjusted according the one of the microscope and not the other way around. It should be noted, that all these endodontic surgery procedures are much simpler since they are provided under direct vision. Moreover, in case it’s necessary to check the shape for the retrograde cavity using the microsurgical mirror, the device light is directed perpendicular to the axis of the root canal.

Dental diagnostics: Microscopy

The diagnostic process of any dental disorder is much simpler with a microscope. Its use is vital to diagnose the cracked tooth syndrome. After removing existing restorations, special dye stains or optical devices make it easy to detect craze lines.

If the vertical root fracture is suspected, the doctor can examine the internal canal wall under a microscope and avoid a diagnostic surgery.

Visualization of the root canal under a microscope

To ensure a true success of the endodontic treatment, the accessibility and sufficient visualization of root canal orifices are necessary.

In this case a microscope is indispensable. Microscope is used for:

  • detecting missing root canals;
  • uncovering calcified root canal orifices;
  • visualizing secondary mesio-buccal canals of maxillary molars.

Drawing upon latest research results, it can be argued that the number of cases of existing fourth root canal in maxillary first and second molars (wisdom tooth) is close to zero. However, decade-old statistics are less optimistic. Rather than pointing out root canal transformation processes, these changes in figures back up the development of dentistry and skill advancement of dentist utilizing innovative technologies like a surgical microscope in dental treatment.

The use of a microscope improved the predictability the following procedures:

  • removal of broken instruments;
  • open-apex dental treatment;
  • closing perforations.

Optical systems become more popular in dentistry by the day. If you have any questions regarding microscopic dental treatment, please give us a call on phone numbers on our web-site.