The Next Big Thing is Really Big!! Magnification in Dentistry

Abstract

BACKGROUND The advances in the magnification sector have revolutionised the endodontic treatment from tactile and radiograph based to the vision driven. Using magnification tools like loupes, microscopes, rod lens endoscopes and oroscopes in the endodontic practice enables the clinician to magnify the field of treatment further than that by naked eyes. Suitable illumination along with magnification adds to the success of any dental procedure. Dating back to 1870, surgical loupes have been used. Apotheker and Jako introduced microscope in dentistry for the first time in 1978. Carr, in 1992 highlighted the role of the surgical operating microscope in endodontics. Various applications of surgical operating microscopes include minimally invasive surgical techniques like in periodontal regenerative procedures, adhesive dentistry and various procedures in endodontics like caries detection, for hidden canals, pulp stone removal, instrument removal, surgical endodontics, retreatment, perforation seal etc. Parts of operating microscope include optical components, objective lens, binocular tubes, eyepieces, lighting unit and mounting system. Accessories include motorised / foot-controlled adjustment of focal length, mechanical optical rotating assembly (MORA) interface and beam splitter. Magnification aids assist in producing higher quality procedures due to better precision and accuracy. Using the microscope aids improved ergonomics for the operator. Using loupes or microscopes improves the clarity in treatment plan as well as its execution. The magnification aids with camera and video monitor attached, enhance the patient education and better documentation. A strong consideration should be given to adopt using the concept of magnification. This review intended to explain the use of these tools in dental procedures for better accuracy, handling and thoroughness, which will lead to fewer procedural errors. KEY WORDS Magnification, Illumination, Loupes

Magnificación en Periodoncia

“…Si se comparan las lupas con el microscopio quirúrgico, éste último ofrece mayores ventajas en cuanto a que alcanzan mayores aumentos, son ajustables sin necesidad de cambiar de posición el microscopio y poseen iluminación coaxial (Bud et al, 2020). Con las lupas se pueden obtener aumentos hasta x10 (Sedani et al, 2021) y con el microscopio hasta x63 (Uluç et al, 2009). Otra de las ventajas del microscopio sobre las lupas es que trabaja con la óptica Galileo, no es necesaria la convergencia de las pupilas a diferencia de las lupas que trabajan con la óptica Greenough donde convergen las pupilas (Shanelec, 1992).…”

The role of micro-endodontics in the management of complex root canal anatomy

“…Dental professionals need to undergo specific training to effectively use magnification devices and master advanced techniques. 10 This can take time and effort, and not all practitioners may have access to adequate training opportunities.…”

“…Collaborations between endodontists and other dental specialties can contribute to advancements in microendodontics. 10 Shared knowledge and expertise from fields such as periodontology, implantology, and oral and maxillofacial surgery can lead to comprehensive treatment approaches that address complex cases more effectively.…”

“…By utilizing these techniques, micro-endodontics helps to create a hermetic seal, preventing reinfection and promoting long-term success. 10…”