Benefits of using the microscope in endodontics
DOI:
https://doi.org/10.5281/zenodo.7888438Keywords:
Microscopy, Endodontics, Illumination.Abstract
The dental microscope has been used since ancient times, to magnify our vision giving the opportunity to perform analysis and methods with greater precision, it has been worked in stereoscopic vision and coaxial illumination, helping in the diagnosis of pathologies, elimination of calcifications, as well as the vision with accuracy of instruments that are trapped in the dental pieces. It allows the study and localization of minute structures at the radicular level, this instrument has allowed the professional to generate a better position in terms of hands, back, head, neck with a good position of the operator, microscope and patient. The use of the microscope in endodontics has technical advantages for the operator and advantages for the patients, which is important at the time of performing a treatment and diagnosing a dental condition. In root canal treatment it is necessary to have good instruments. The anatomy of the root canal of the maxillary molars is considerably complicated, so there have been high levels of failure of endodontic treatment of teeth that have the second mesiobuccal canal. The use of microscope and other devices may explain the higher detection rate of additional canals and improve the quality of treatment. The present study was conducted with the aim of describing the benefits of the use of the microscope in the field of endodontics. A total of 41 articles were reviewed.
Downloads
Download data is not yet available.
References
1. Plotino G, Pameijer CH, Grande NM, Somma F. Ultrasonics in endodontics: a review of the literature. J Endod [Internet]. 2007;33(2):81–95. Disponible en: https://www.sciencedirect.com/science/article/pii/S0099239906009976
2. Microscopio operatorio en endodoncia - Revisión de la literatura [Internet]. Actaodontologica.com. [cited 2023 Mar 2]. Disponible en: https://www.actaodontologica.com/ediciones/2010/3/art-27/
3. Desarrollo4App SL. Utilidad del microscopio operatorio dental y el CBCT en la localización del conducto mesiopalatino. A propósito de un caso [Internet]. Rcoe.es. [cited 2023 Mar 2]. Disponible en: https://rcoe.es/articulo/71/utilidad-del-microscopio-operatorio-dental-y-el-cbct-en-la-localizacin-del-conducto-mesiopalatino-a-propsito-de-un-caso
4. Navarro AIJ. Estudio del microscopio óptico en el diagnóstico de conductos de primeros y segundos molares maxilares y mandibulares en endodoncia [Internet]. Ucm.es. [cited 2023 Mar 2]. Disponible en: https://eprints.ucm.es/id/eprint/27427/1/TFM%20Irma%20Ju%C3%A1rez.pdf
5. McGuigan MB, Louca C, Duncan HF. Clinical decision-making after endodontic instrument fracture. Br Dent J [Internet]. 2013 [cited 2023 Mar 2];214(8):395–400. Disponible en: https://www.nature.com/articles/sj.bdj.2013.379
6. Floratos S, Kim S. Modern endodontic microsurgery concepts. Dent Clin North Am [Internet]. 2017 [cited 2023 Mar 2];61(1):81–91. Disponible en: https://www.dental.theclinics.com/article/S0011-8532(16)30079-9/fulltext
7. Del Fabbro M, Taschieri S, Lodi G, Banfi G, Weinstein RL. Magnification devices for endodontic therapy. Cochrane Database Syst Rev [Internet]. 2009;(3):CD005969. Disponible en: http://dx.doi.org/10.1002/14651858.CD005969.pub2
8. Evolutionary perspectives on the dental operating microscope: A macro revolution at the micro level [Internet]. Quintpub.com. [cited 2023 Mar 2]. Disponible en: http://www.quintpub.com/journals/micro/abstract.php?iss2_id=894&article_id=10235&article=3&title=Evolutionary%20Perspectives%20On%20The%20Dental%20Operating%20Microscope:%20A%20Macro%20Revolution%20At%20The%20Micro%20Level
9. Vera González V, García Barbero ÁE. Estudio in vivo de la eficacia del uso del microscopio óptico, ultrasonidos y tintes para la localización de conductos de molares en endodoncia. Universidad Complutense de Madrid; 2018.
10. REDOE - Revista Europea de Odontoestomatologia [Internet]. Redoe.com. [cited 2023 Mar 2]. Disponible en: http://www.redoe.com/ver.php?id=250
11. West J. Endodontic update 2006. J Esthet Restor Dent [Internet]. 2006;18(5):280–300. Disponible en: http://dx.doi.org/10.1111/j.1708-8240.2006.00039.x
12. Kersten DD, Mines P, Sweet M. Use of the microscope in endodontics: results of a questionnaire. J Endod [Internet]. 2008;34(7):804–7. Disponible en: https://www.sciencedirect.com/science/article/pii/S0099239908003506
13. Mines P, Loushine RJ, West LA, Liewehr FR, Zadinsky JR. Use of the microscope in endodontics: a report based on a questionnaire. J Endod [Internet]. 1999;25(11):755–8. Disponible en: https://www.sciencedirect.com/science/article/pii/S0099239999801253
14. Alhazzazi TY, Alzebiani NA, Alotaibi SK, Bogari DF, Bakalka GT, Hazzazi LW, et al. Awareness and attitude toward using dental magnification among dental students and residents at King Abdulaziz University, Faculty of Dentistry. BMC Oral Health [Internet]. 2016;17(1):21. Disponible en: http://dx.doi.org/10.1186/s12903-016-0254-4
15. Castellucci A. Magnification in endodontics: the use of the operating microscope. Pract Proced Aesthet Dent [Internet]. 2003 [cited 2023 Mar 2];15(5):377–84; quiz 386. Disponible en: https://pubmed.ncbi.nlm.nih.gov/12901065/
16. Salazar JMV. Universidade de São Paulo; 2022.
17. Friedman MJ, Landesman HM. Microscope-assisted precision (MAP) dentistry. A challenge for new knowledge. J Calif Dent Assoc [Internet]. 1998;26(12):900–5. Disponible en: https://europepmc.org/article/med/10388441
18. Sanchez G, Alegría M, Pesce D, Alcántara R. Localización de conductos radiculares: Visión directa versus microscopio quirúrgico. Estudio in-vitro. J Oral Res [Internet]. 2012 [cited 2023 Mar 2];1(1):10–4. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=4941293
19. Ospina Contreras IC, Contreras Ruiz DS, Oñate Andrade JG. Frecuencia del uso de magnificación en los egresados de endodoncia de la Universidad Santo Tomás de Bucaramanga del año 1989 – 2021. Universidad Santo Tomás; 2022.
20. Perrin P, Jacky D, Hotz P. The operating microscope in dental general practice. Schweiz Monatsschr Zahnmed [Internet]. 2000;110(9):946–60. Disponible en: https://europepmc.org/article/med/11050893
21. Mendes EB, Soares AJ, Martins JNR, Silva EJNL, Frozoni MR. Influence of access cavity design and use of operating microscope and ultrasonic troughing to detect middle mesial canals in extracted mandibular first molars. Int Endod J [Internet]. 2020;53(10):1430–7. Disponible en: http://dx.doi.org/10.1111/iej.13352
22. Buhrley LJ, Barrows MJ, BeGole EA, Wenckus CS. Effect of magnification on locating the MB2 canal in maxillary molars. J Endod [Internet]. 2002;28(4):324–7. Disponible en: https://www.sciencedirect.com/science/article/pii/S0099239905606358
23. Khademi A, Zamani Naser A, Bahreinian Z, Mehdizadeh M, Najarian M, Khazaei S. Root morphology and canal configuration of first and second maxillary molars in a selected Iranian population: A cone-beam computed tomography evaluation. Iran Endod J [Internet]. 2017 Summer [cited 2023 Mar 2];12(3):288–92. Disponible en: http://dx.doi.org/10.22037/iej.v12i3.13708
24. Perrin P, Jacky D, Hotz P. The operating microscope in dental practice: minimally invasive restorations. Schweiz Monatsschr Zahnmed [Internet]. 2002;112(7):722–32. Disponible en: https://europepmc.org/article/med/12185726
25. Liao H, Zhang H, Xiang J, Chen G, Cao Z. The effect of the surgical microscope on the outcome of root scaling. Am J Transl Res. 2020;12(11):7199–210.
26. Franken RJ, Gupta SC, Banis JC Jr, Thomas SV, Derr JW, Klein SA, et al. Microsurgery without a microscope: laboratory evaluation of a three-dimensional on-screen microsurgery system. Microsurgery [Internet]. 1995;16(11):746–51. Disponible en: http://dx.doi.org/10.1002/micr.1920161109
27. Stropko JJ. Canal morphology of maxillary molars: Clinical observations of canal configurations. J Endod [Internet]. 1999 [cited 2023 Mar 2];25(6):446–50. Disponible en: https://reader.elsevier.com/reader/sd/pii/S0099239999802763
28. Omergorduysus M, Gorduysus M, Friedman S. Operating microscope improves negotiation of second mesiobuccal canals in maxillary molars. J Endod [Internet]. 2001;27(11):683–6. Disponible en: https://www.sciencedirect.com/science/article/pii/S0099239905604840
29. Sempira HN, Hartwell GR. Frequency of second mesiobuccal canals in maxillary molars as determined by use of an operating microscope: a clinical study. J Endod [Internet]. 2000;26(11):673–4. Disponible en: https://www.sciencedirect.com/science/article/pii/S009923990560814X
30. Ahmed HA, Abu-bakr NH, Yahia NA, Ibrahim YE. Root and canal morphology of permanent mandibular molars in a Sudanese population. Int Endod J [Internet]. 2007;40(10):766–71. Disponible en: http://dx.doi.org/10.1111/j.1365-2591.2007.1283.x
31. Gu L, Wei X, Ling J, Huang X. A microcomputed tomographic study of canal isthmuses in the mesial root of mandibular first molars in a Chinese population. J Endod [Internet]. 2009;35(3):353–6. Disponible en: https://www.sciencedirect.com/science/article/pii/S0099239908011060
32. Coelhodecarvalho M, Zuolo M. Orifice locating with a microscope. J Endod [Internet]. 2000;26(9):532–4. Disponible en: https://www.sciencedirect.com/science/article/pii/S0099239905608862
2. Microscopio operatorio en endodoncia - Revisión de la literatura [Internet]. Actaodontologica.com. [cited 2023 Mar 2]. Disponible en: https://www.actaodontologica.com/ediciones/2010/3/art-27/
3. Desarrollo4App SL. Utilidad del microscopio operatorio dental y el CBCT en la localización del conducto mesiopalatino. A propósito de un caso [Internet]. Rcoe.es. [cited 2023 Mar 2]. Disponible en: https://rcoe.es/articulo/71/utilidad-del-microscopio-operatorio-dental-y-el-cbct-en-la-localizacin-del-conducto-mesiopalatino-a-propsito-de-un-caso
4. Navarro AIJ. Estudio del microscopio óptico en el diagnóstico de conductos de primeros y segundos molares maxilares y mandibulares en endodoncia [Internet]. Ucm.es. [cited 2023 Mar 2]. Disponible en: https://eprints.ucm.es/id/eprint/27427/1/TFM%20Irma%20Ju%C3%A1rez.pdf
5. McGuigan MB, Louca C, Duncan HF. Clinical decision-making after endodontic instrument fracture. Br Dent J [Internet]. 2013 [cited 2023 Mar 2];214(8):395–400. Disponible en: https://www.nature.com/articles/sj.bdj.2013.379
6. Floratos S, Kim S. Modern endodontic microsurgery concepts. Dent Clin North Am [Internet]. 2017 [cited 2023 Mar 2];61(1):81–91. Disponible en: https://www.dental.theclinics.com/article/S0011-8532(16)30079-9/fulltext
7. Del Fabbro M, Taschieri S, Lodi G, Banfi G, Weinstein RL. Magnification devices for endodontic therapy. Cochrane Database Syst Rev [Internet]. 2009;(3):CD005969. Disponible en: http://dx.doi.org/10.1002/14651858.CD005969.pub2
8. Evolutionary perspectives on the dental operating microscope: A macro revolution at the micro level [Internet]. Quintpub.com. [cited 2023 Mar 2]. Disponible en: http://www.quintpub.com/journals/micro/abstract.php?iss2_id=894&article_id=10235&article=3&title=Evolutionary%20Perspectives%20On%20The%20Dental%20Operating%20Microscope:%20A%20Macro%20Revolution%20At%20The%20Micro%20Level
9. Vera González V, García Barbero ÁE. Estudio in vivo de la eficacia del uso del microscopio óptico, ultrasonidos y tintes para la localización de conductos de molares en endodoncia. Universidad Complutense de Madrid; 2018.
10. REDOE - Revista Europea de Odontoestomatologia [Internet]. Redoe.com. [cited 2023 Mar 2]. Disponible en: http://www.redoe.com/ver.php?id=250
11. West J. Endodontic update 2006. J Esthet Restor Dent [Internet]. 2006;18(5):280–300. Disponible en: http://dx.doi.org/10.1111/j.1708-8240.2006.00039.x
12. Kersten DD, Mines P, Sweet M. Use of the microscope in endodontics: results of a questionnaire. J Endod [Internet]. 2008;34(7):804–7. Disponible en: https://www.sciencedirect.com/science/article/pii/S0099239908003506
13. Mines P, Loushine RJ, West LA, Liewehr FR, Zadinsky JR. Use of the microscope in endodontics: a report based on a questionnaire. J Endod [Internet]. 1999;25(11):755–8. Disponible en: https://www.sciencedirect.com/science/article/pii/S0099239999801253
14. Alhazzazi TY, Alzebiani NA, Alotaibi SK, Bogari DF, Bakalka GT, Hazzazi LW, et al. Awareness and attitude toward using dental magnification among dental students and residents at King Abdulaziz University, Faculty of Dentistry. BMC Oral Health [Internet]. 2016;17(1):21. Disponible en: http://dx.doi.org/10.1186/s12903-016-0254-4
15. Castellucci A. Magnification in endodontics: the use of the operating microscope. Pract Proced Aesthet Dent [Internet]. 2003 [cited 2023 Mar 2];15(5):377–84; quiz 386. Disponible en: https://pubmed.ncbi.nlm.nih.gov/12901065/
16. Salazar JMV. Universidade de São Paulo; 2022.
17. Friedman MJ, Landesman HM. Microscope-assisted precision (MAP) dentistry. A challenge for new knowledge. J Calif Dent Assoc [Internet]. 1998;26(12):900–5. Disponible en: https://europepmc.org/article/med/10388441
18. Sanchez G, Alegría M, Pesce D, Alcántara R. Localización de conductos radiculares: Visión directa versus microscopio quirúrgico. Estudio in-vitro. J Oral Res [Internet]. 2012 [cited 2023 Mar 2];1(1):10–4. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=4941293
19. Ospina Contreras IC, Contreras Ruiz DS, Oñate Andrade JG. Frecuencia del uso de magnificación en los egresados de endodoncia de la Universidad Santo Tomás de Bucaramanga del año 1989 – 2021. Universidad Santo Tomás; 2022.
20. Perrin P, Jacky D, Hotz P. The operating microscope in dental general practice. Schweiz Monatsschr Zahnmed [Internet]. 2000;110(9):946–60. Disponible en: https://europepmc.org/article/med/11050893
21. Mendes EB, Soares AJ, Martins JNR, Silva EJNL, Frozoni MR. Influence of access cavity design and use of operating microscope and ultrasonic troughing to detect middle mesial canals in extracted mandibular first molars. Int Endod J [Internet]. 2020;53(10):1430–7. Disponible en: http://dx.doi.org/10.1111/iej.13352
22. Buhrley LJ, Barrows MJ, BeGole EA, Wenckus CS. Effect of magnification on locating the MB2 canal in maxillary molars. J Endod [Internet]. 2002;28(4):324–7. Disponible en: https://www.sciencedirect.com/science/article/pii/S0099239905606358
23. Khademi A, Zamani Naser A, Bahreinian Z, Mehdizadeh M, Najarian M, Khazaei S. Root morphology and canal configuration of first and second maxillary molars in a selected Iranian population: A cone-beam computed tomography evaluation. Iran Endod J [Internet]. 2017 Summer [cited 2023 Mar 2];12(3):288–92. Disponible en: http://dx.doi.org/10.22037/iej.v12i3.13708
24. Perrin P, Jacky D, Hotz P. The operating microscope in dental practice: minimally invasive restorations. Schweiz Monatsschr Zahnmed [Internet]. 2002;112(7):722–32. Disponible en: https://europepmc.org/article/med/12185726
25. Liao H, Zhang H, Xiang J, Chen G, Cao Z. The effect of the surgical microscope on the outcome of root scaling. Am J Transl Res. 2020;12(11):7199–210.
26. Franken RJ, Gupta SC, Banis JC Jr, Thomas SV, Derr JW, Klein SA, et al. Microsurgery without a microscope: laboratory evaluation of a three-dimensional on-screen microsurgery system. Microsurgery [Internet]. 1995;16(11):746–51. Disponible en: http://dx.doi.org/10.1002/micr.1920161109
27. Stropko JJ. Canal morphology of maxillary molars: Clinical observations of canal configurations. J Endod [Internet]. 1999 [cited 2023 Mar 2];25(6):446–50. Disponible en: https://reader.elsevier.com/reader/sd/pii/S0099239999802763
28. Omergorduysus M, Gorduysus M, Friedman S. Operating microscope improves negotiation of second mesiobuccal canals in maxillary molars. J Endod [Internet]. 2001;27(11):683–6. Disponible en: https://www.sciencedirect.com/science/article/pii/S0099239905604840
29. Sempira HN, Hartwell GR. Frequency of second mesiobuccal canals in maxillary molars as determined by use of an operating microscope: a clinical study. J Endod [Internet]. 2000;26(11):673–4. Disponible en: https://www.sciencedirect.com/science/article/pii/S009923990560814X
30. Ahmed HA, Abu-bakr NH, Yahia NA, Ibrahim YE. Root and canal morphology of permanent mandibular molars in a Sudanese population. Int Endod J [Internet]. 2007;40(10):766–71. Disponible en: http://dx.doi.org/10.1111/j.1365-2591.2007.1283.x
31. Gu L, Wei X, Ling J, Huang X. A microcomputed tomographic study of canal isthmuses in the mesial root of mandibular first molars in a Chinese population. J Endod [Internet]. 2009;35(3):353–6. Disponible en: https://www.sciencedirect.com/science/article/pii/S0099239908011060
32. Coelhodecarvalho M, Zuolo M. Orifice locating with a microscope. J Endod [Internet]. 2000;26(9):532–4. Disponible en: https://www.sciencedirect.com/science/article/pii/S0099239905608862
Downloads
Published
2023-04-20
How to Cite
1.
Freire Neto GM, Araujo Moreta DJ, Arroyo Lalama EM. Benefits of using the microscope in endodontics. Univ. Méd. Pinareña [Internet]. 2023 Apr. 20 [cited 2025 May 11];19:e956. Available from: https://revgaleno.sld.cu/index.php/ump/article/view/956
Issue
Section
Review article
