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
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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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At Tulip Tree Dental Care, we employ modern dental technology to help you achieve the best results possible. We are a fully digital facility — we use digital X-rays and plan to incorporate digital panoramic and cephalometric imaging systems in the near future. We work hard to make sure our staff is up to date with the latest knowledge. We
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Endodontists are dentists specialized in the treatment of the internal part of the teeth and gums. As part of their work, endodontists examine, diagnose, treat and maintain healthy the patient's teeth, so that the removal of the damaged tooth or teeth is not necessary. Occasionally, endodontists are responsible for placing artificial teeth in the case that the patient's natural teeth
The success of endodontic therapy depends on complete cleaning and shaping of the root canal, disinfection of the canal and obturation of the canal space. However, despite the use of aseptic techniques during these procedures, reinfection may occur.[1] One of the possible explanations may be the use of contaminated gutta-percha.1
In 1988, salivary duct endoscopes were introduced. Since their introduction, sialendoscopes have undergone technical refinements that have been instrumental in permitting clear and high definition visualization and manipulation of the salivary ductal system.
The main aims of endodontic therapy are cleaning, shaping, disinfection and three dimensional filling of the root canal system that does not allow leakage and enhances periapical healing.
Anatomic variation in root and root canals may pose a diagnostic and therapeutic challenge to the endodontist. Incomplete removal of pathogens from incompletely treated or untreated root canals is the principle cause of periradicular pathosis13. For complete shaping and cleaning of all the canals, clinicians should be familiar with the anatomy of the teeth and their associated variations.