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Microscopy : An Ethical Point Of View

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Magnification in endodontic; an ethical point of view

Introduction
Endodontic refers to that field of dentistry that deals with diagnosing and treating pulpal and periapical diseases as to preserve the surrounding tissue. (1) Until recently, root canal treatment therapy was traditionally performed using tactile sensation of the clinician and the root canal system could only be seen on a two-dimensional radiograph. To perform an endodontic treatment regularly means to work in a dark and narrowed place, and little bit of millimeters may decide the outcome of therapy, as it relays on the dentist knowledge and expertise many results were achieved by chance. (2)
As with any field, in the last two decades’ endodontic witnessed an outburst in …show more content…

In 1981, in an attempt to improve visualization, Harvey Apotheker introduced the dental operating microscope which was poorly designed and practically difficult to use. (7) After which, Dr. Gary Carr in 1992 added a better version operating microscope for dentistry in general and endodontics, in particular, this provided better magnification, illumination and was easier to use. (8)
Clinical significant
Owing to its excellent magnification and fixed illumination, the operating microscope when compared to loupes, have been the most popular choice of many clinicians (9)(10). Even more, determined to take advantage of these advances some clinicians whether they are qualified or not, have chosen to call themselves “Micro-Endodontists.” With the intention to promote their professional skills, they are misleading patients to think they are superior to their colleagues. What 's more, they argue that working with the microscope they can achieve a level of precision past any other clinician can do and went beyond to call any endodontist operating without the microscope below the standard of care. (12)
Mines et al. 1999 (13) reported that only 52% of endodontist use lens before 1999, Is it visible to call the work of the rest as a misconduct? Or even before the introduction of a microscope, is it permissible to state that

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