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The use of the operating microscope in general dental practice part 2: if you can see it, you can treat it!

From Volume 42, Issue 1, January 2015 | Pages 60-66

Authors

Stephen J Bonsor

BDS(Hons) MSc FHEA FDS RCPS(Glasg) FDFTEd FCGDent GDP

The Dental Practice, 21 Rubislaw Terrace, Aberdeen; Hon Senior Clinical Lecturer, Institute of Dentistry, University of Aberdeen; Online Tutor/Clinical Lecturer, University of Edinburgh, UK.

Articles by Stephen J Bonsor

Abstract

The use of magnification by dental clinicians when carrying out examinations and treatments is becoming more commonplace. The best instrument for this purpose is the operating microscope which has been shown to enhance quality, longevity and outcome of clinical work as well as facilitating better ergonomics for both the dentist and dental nurse. This paper, the second of two, explores the potential uses for the operating microscope in general dental as well as specialist practice (such as endodontics) and discusses how the interested clinician can use such equipment in a practical manner.

Clinical Relevance: The operating microscope enhances the dental surgeon's vision so improving treatment outcomes not only in specialist fields, such as endodontics, but also in many of the disciplines which general dental practice encompasses.

Article

This paper follows on from the first in this two part series which explained how the interested clinician may embark on his/her journey using an operating microscope in dental practice. The use of such an instrument has been shown to enhance quality, longevity and outcome of clinical work in many branches of surgery as well as dentistry. Both the dentist and dental nurse using a microscope have improved posture and work in a more ergonomic manner. At the chairside, close support (four-handed) dentistry is facilitated as the dental nurse is more involved in the procedure owing to improved vision and, as a result, enhanced job satisfaction and interest.

Dental operating microscopes have many different features which may be useful, depending on the scope of the clinician's practice. Photography and video are often used as an adjunct to the use of the microscope and this has many advantages. Clinical records are enhanced, with clinical images being available to monitor hard or soft tissue lesions or as medico-legal evidence. These images are also invaluable in patient education.

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