Ausgabe 1/2010,   Jahrgang 2   (01.12.2010)

Seite 7
Editorial: In Pursuit Of Clinical Excellence
Pearson, Bryan S.

Seite 10 - 14
The General Dentist And Timely Referral To The Endodontist
Berdichewsky, Andrei

The use of endodontic treatment to solve problems related to pulpal and periapical pathologies is extremely common throughout the world. Most of these procedures are performed by the general dentist. However, in more complex cases, a specialist will be needed to avoid complications and provide complete root canal treatment. Ideally, the patient should be referred to a specialist before treatment begins, since it is always more difficult for the specialist to treat a case in which problems have already occurred. This paper examines some of the difficulties that arise when the general dentist attempts to treat patients in situations where immediate referral would have been the better option. Comprehensive diagnosis using radiographs and magnification will help the general dentist decide whether consultation with a specialist is required.

Seite 15 - 19
Evolutionary Perspectives On The Dental Operating Microscope: A Macro Revolution At The Micro Level
Fanibunda, Ushaina / Meshram, Ganesh / Warhadpande, Manjusha

The introduction of the dental operating microscope in 1981 was a turning point in the history of dentistry, triggering a rapid transition from the conventional world of macrodentistry to the precise, detailed world of microdentistry. This paradigm shift is evident in almost all dental specialties, but particularly in endodontics, periodontics, restorative dentistry, and dental technology. This article traces the development and acceptance of the operating microscope from the introduction of primitive magnifying tools and the early beginnings of microsurgery to the arrival of the modern sophisticated instrument. For the dental office of today, the dental operating microscope is a state-of-the-art diagnostic and therapeutic tool, with significant clinical applications in both surgical and nonsurgical dental specialties. Microscope-assisted precision dentistry, with its increased clinical success rates, has set a new standard in patient care. This simple yet powerful technology has created a macro revolution at the micro level and is set to alter the practice trends of present and future generations of dentists.

Seite 20 - 27
The Dental Operating Microscope In Endodontics
Gondim, Eudes Jr / Setzer, Frank

The operating microscope has greatly enhanced endodontic therapy. The increased magnification and illumination offered by the microscope and the use of associated microendodontic and microsurgical techniques provide clinicians with better treatment options for improved long-term prognoses. This article reviews the correct indications of the microscope for both surgical and nonsurgical endodontics and demonstrates the most commonly used microendodontic or microsurgical techniques by case examples.

Seite 28 - 41
Uses Of The Operating Microscope In Minimally Invasive Implantology
Shakibaie-M, Behnam

Minimally invasive procedures are ubiquitous in medicine and now show an increased presence in invasive disciplines of dentistry. In implantology, this requires three-dimensional diagnostics, microsurgical instruments and suture materials, and especially optical magnification with axially aligned illumination. The operating microscope (OPMI) combines these last two requirements, which are essential even at high magnification. Customized sterile draping sheets allow the OPMI to be used even under the aseptic conditions of implant surgery. The advantages of the OPMI in implantology are numerous and are apparent especially in clinical assessment, diagnosis, management of the esthetic zone, sinus lift procedures, soft tissue management, and photographic and video documentation. Technical developments such as autofocus, xenon illumination, magnetic fixation, and charge-coupled device and high-definition digital cameras enhance the precision of the OPMI while also improving ergonomics. This article describes the main indications for using the OPMI in minimally invasive implantology.

Seite 42 - 47
Enhancing Marginal Fit Through Magnification
Hidaka, Toyohiko

Magnification using surgical microscopes has advanced the art and science of restorative dentistry by providing the clinician with significant advantages in the performance of clinical restorative procedures. Understanding these advantages is important to maximizing the overall impact of magnification on restorative dentistry. The most easily recognized benefit for the clinician is the improvement in fine motor skills. The microscope is indispensable in the identification and refinement of preparation design and marginal fit. In the delivery phase, the microscope provides superior detail when examining the internal aspect of the restoration and the accuracy and integrity of the marginal fit. The use of a silicone fit-checking material enhances the evaluation process. Visual assessment of marginal fit using the microscope is significantly more accurate than tactile examination with an explorer. Mastery of the dental microscope ultimately leads to a higher level of treatment, and the resulting professional and personal gratification is of the highest importance for a successful dental practice.

Seite 48 - 55
Optimal Root Cleaning And Microinvasive Periodontal Pocket Surgery With Microscope-Controlled Glass Bead Blasting
Kotschy, Peter

The use of a microscope with a magnification power of 15× to 20× combined with kinetic glass bead blasting offers clinicians a microinvasive approach to the treatment of inflammatory periodontal conditions. This treatment places minimal demands on the patient and provides excellent results. Using a one-stage approach that combines conservative initial and nonsurgical treatment, optimal root cleaning and pocket debridement can be achieved.

Seite 56 - 63
Microdentistry: Concepts, Methods, And Clinical Incorporation
Murgel, Carlos

Microdentistry can be defined as the practice of minimally invasive dentistry with the aid of any optical device that magnifies the operative field. As a direct consequence of the better visualization obtained, treatment can be more precise and less invasive, thus preserving the oral tissues and dental structures from unnecessary substance loss during procedures such as diagnosis, caries removal, and cavity preparation. This concept can and should be applied to dentistry as a whole, not only to those specialties that "need to see more." This misconception is one of the factors preventing dental professionals from seeing the complete picture of magnified dentistry. The advantages of microdentistry for the dental team are numerous: lower stress levels, effective control of the operatory field, less fatigue, improved ergonomics, and more efficiency. The result is satisfaction and pride for the dental team and an unprecedented level of clinical excellence in treatment. This paper provides a brief summary of the primary factors to consider when transitioning from traditional treatment to the practice of microdentistry with the operating microscope.