Dental microscope therapy

    Last updated date: 03-Mar-2023

    Originally Written in English

    Dental Microscope Therapy

    Dental Microscope Therapy


    Microscope dentistry is a diagnostic technique used to improve treatment quality. It also helps to improve your post-treatment results. Microscope dentistry makes use of advanced microscopes to produce detailed images of dental structures. These powerful microscopes can magnify oral tissue, teeth, and gums. They can magnify images up to 20 times what your natural eyes can see, this type of dentistry is effective at detecting minor issues. It is also useful for detecting hairline fractures early on. Microscope dentistry is a more conservative dental treatment option.


    What is Dental Microscope Therapy?

    Dental Microscope Therapy

    Dental Microscope Therapy are intended to provide optimal magnification of the area of the mouth being worked on while also allowing the clinician to work in an ergonomic position, this allows the dentist to maintain a comfortable position, get a good view of the working area, and concentrate on the patient, for hands-free operation, most dental microscopes are controlled by a foot pedal. While endodontic microscopes are most commonly used for endodontic procedures, the increased magnification they provide can be useful for oral surgery, laser dentistry, restorative procedures, and a variety of other clinical situations. There are additional options available in addition to the basic microscope. Binocular heads allow another dentist, technician, or student to view a surgery at the same time, while a camera attachment allows images to be streamed to a monitor so that an audience can view the surgery, making it a valuable teaching tool. These videos can also be recorded to allow for treatment documentation. Wall mounting or a portable stand are both options for installation.


    What are the Required Requirements for Using Dental Microscope Therapy?

    Dental Microscope

    There are some mandatory requirements for using a dental microscope:

    1. Using a good dental mirror, work in indirect vision. For right-handed operators, the maxillary and mandibular posterior teeth are impossible in direct view when the dentist is located between 11:00 and 12:30.
    2. To prevent mirror fogging, a rubber-dam is used. Aside from providing good isolation, the rubber-dam keeps soft tissues retracted (tongue, lips) to allow for a larger working field.
    3. As the dentist's eyes are fixed in the eyepiece and unable to reach for the instruments while working, the team works with a dental assistant to pass the instruments directly into the dentist's hand.
    4. An up-mounted dental unit with all hand pieces located above the patient's chest during treatment, allowing the assistant to change burs and rotary instruments and pass low and high-speed air spray directly to the dentist.
    5. Utilization of a dental chair with armrests. This provides the operator with an important fixed point in the elbow, allowing for fine and small amplitude movements. Important features of a chair include adjustable height, width, tilt, backrest, seat pan, and armrests.
    6. Keeping frequently used items close to the point of use (50-60 cm for most people) and not higher or lower than waist height


    Six Features to Consider when Choosing a Dental Microscope

    Features of Dental Microscope

    To select the microscope that best meets the needs of the dentist, it is useful to understand some of the key features of a modern dental microscope:

             1. Optical quality

    At its core, a dental microscope is an optical instrument that allows the dentist to see greater detail in order to work as precisely as possible. As a result, no compromises should be made in terms of optical components. High resolution, a large depth of field, and maximum light transmission is only possible with superior optical quality and clarity.

    This is essential for a successful root canal treatment because most root canals are not rectilinear and have cavities and tiny ramifications that are difficult to detect without high magnification and depth of field. Color representation must also be accurate for easy differentiation of anatomical details.

             2. Illumination

    In conjunction with optical quality, illumination influences the brightness and color of the image seen through the eyepiece by the dentist. Light with a daylight temperature of between 5,000 and 6,000 kelvin is ideal for natural color representation.

    Another factor to consider is the light source's life cycle, which affects the cost of ownership, potential downtime, and the environment. LED lighting typically lasts much longer than Xenon or Halogen lighting. 

             3. Documentation

    For a variety of reasons, video and images are increasingly being used in dental practices today. For starters, during a procedure, live on-screen video can assist the assistant in assisting the dental surgeon. Video can also be used as a training tool during or after treatment, and it can be shared with the wider dental community online or at seminars.

    Furthermore, video can help to strengthen patient relationships and trust because the dentist can show the patient what he sees, walk them through the steps of a procedure, and thus include them in consultation and treatment.

             4. Ergonomic design

    Musculoskeletal pain caused by a hunched working position and harsh, repetitive movements can have serious consequences for a dentist's professional and personal life.

    When performing dental procedures, using a microscope allows the dentist to maintain a neutral, upright working position. Modern microscopes should also include a variety of ergonomic accessories that allow the microscope to be adjusted to the user's specific body frame and working preferences.

    movement by allowing the optics carrier to swivel to the required angle while maintaining an ergonomic posture.

             5. Workflow integration

    The design of a microscope considers not only aesthetics but also functionality. A well-thought-out design should make it simple to incorporate the microscope into the practice environment and even improve workflow. 

             6. Hygiene

    A high standard of cleanliness is required in a dental practice, and each piece of equipment should make it as simple as possible to maintain this high standard. A microscope with a streamlined design and cables routed internally from the optics carrier to the stand is easier to clean and prevents accidental cable damage.


    Dental Microscope Therapy Benefits

    Dental Therapy

    The benefits of dental microscope therapy use in dentistry are now unanimously accepted:

    • Increased vision

    Because of the magnification and transmitted light by fiber optics to the operating field, it is possible to treat more precisely than with a direct eye view.

    • Improve in overall quality of the treatment

    It has been demonstrated that dentists perform better restorative treatments under microscopic scrutiny due to the accuracy of the diagnosis and the proper completion of the treatment steps. A magnified image of the operative field may assist the dentist in more thoroughly inspecting cavity preparations, matrix fitting, saliva infiltration, remaining dentine debris, composite layering, occlusal morphology, macro/micro details, surface texture of restoration, air voids, impurities, and over-contours.

    • Minimally invasive treatment with less dental hard tissue removal

    Minimally invasive dentistry principles are now a top priority for almost every dentist. Magnification makes it easier to achieve. Early detection of incipient enamel cavities prior to their expansion is impossible without magnification, as is the removal of old filling materials while preserving the remaining healthy dental tissue.

    • Lesser time for the final occlusion check

     The operator can reduce the over-contoured resin material applied at the level of occlusal surfaces by using magnification during the occlusal layering step. As a result, the occlusal adaptation time is reduced.

    • Ergonomic working position

    Dental practitioners who use a dental operating microscope report a significant reduction in eye fatigue, musculoskeletal pains, and psychological fatigue. This is due to the magnified image of the operating field, the increased lighting intensity, the ergonomic position while working, and the certainty of control over the procedures performed. All of these contribute to the dentist's overall quality of life.

    • Comfort and motivation of the dentist

    The use of a microscope increases the certainty of approaching certain treatments because the ability to control and verify the details that are important in each treatment step, from cleaning and preparing the cavities to the finishing and polishing protocols, increases the certainty of success.

    • Better communication with patient and dental assistant

    The use of a dental operating microscope allows for the capture of images and video data, which can be useful for patient motivation and information about his or her treatment plan. The data are intended to help the patient better understand the explanations and may also be required for legal purposes. Furthermore, in 4-hands work, the nurse is more efficient if she/he can see the operating field as the dentist sees it directly (either on the screen or through a dedicated eyepiece). This enables the assistant to intervene quickly at certain stages where assistance is directly required (for adapting a matrix, fixing a dam clamp, etc.)

    • Avoid of iatrogenic damages

    Working in a well-lit and around 20 times magnified operating field, gives the dentist the opportunity to be extremely precise in movements while using aggressive rotary instrumentation, especially burrs at high speeds. Thus, it is possible to avoid damaging the adjacent teeth during proximal cavity preparations, prosthetic crown preparations or to avoid deep dentin layer exposures leading to the opening of the pulp chamber, etc. These situations are, in many cases, difficult or impossible to control without a good magnification and effective lighting, especially when the operating field is visually obstructed by presence of 

    cooling water mixed with enamel and dentin debris.


    What kind of Dental Procedures employ Microscope Dentistry?

    Microscope Dentistry

    • Dental Checkups: The use of a dental microscope during routine check-ups aids in the early detection and prevention of dental health issues. Your Penrith dentist employs this technology to make a more precise diagnosis and, as a result, develops a customized treatment plan that addresses both your emergency and long-term dental needs.
    • Gum Disease Management: Microscope Dentistry provides a higher level of magnification and focus in examining and evaluating your teeth, gums, and other areas of your mouth. If surgery is required, the dental microscope ensures the overall safety and accuracy of the procedure
    • Root Canal Therapy: Microscope dentistry provides a new benefit to root canal treatments by allowing a more magnified view of very small root openings inside the tooth, known as 'canal orifices.' These root openings are small enough to be missed during root canal treatment with the naked eye, increasing the likelihood of treatment failure.
    • Restorative Dentistry: Microscope dentistry is available to ensure high-quality tooth restorations and replacements for missing teeth. It effectively aids in the preparation of your teeth as well as the careful polishing of the tooth margins to ensure the quality and longevity of new replacements. Microscope dentistry also aids in the early identification and treatment of other dental issues.


    How Dental Microscope Therapy Enhances Preventive Care?

    Therapy Enhances

    Because of increased accuracy, better vision is clearly advantageous. A clearer view inside the mouth allows for the following:

    1. Periodontal disease treatment
    2. Executing root canal therapy
    3. removing canal clogs
    4. Detecting minor fractures, injuries, and decay

    Microscope dentistry is quick, efficient, and accurate. Furthermore, patients are less likely to develop complications in the future. It also reveals crucial information during your initial dental exam. This increases the efficacy of preventative care.


    How Dental Microscope Therapy Enhances restorative dentistry?

    Restorative dentistry

    The advantages of magnification in restorative dentistry treatments are significant in the following circumstances:

    • Identification of areas with demineralized enamel tissue
    • Identification and removal of old restorations with minimal invasiveness
    • Impurities or gaps in restorative materials
    • Caries borders and remaining caries tissues are examined.
    • Management of minor, unintentional pulp chamber openings without mechanical damage to the pulp
    • Identification of enamel cracks or fractures in Class II and MOD cavities, particularly on the gingival margin
    • Adaptation of the sectional matrices and controlled application of liner
    • Evaluation of the restorations' marginal gaps
    • Selective use of the liner for pulp protection
    • Removal of amalgam restorations with minimal invasiveness
    • Evaluation of the restorations' marginal gaps
    • Selective use of the liner for pulp protection
    • Removal of amalgam restorations with minimal invasiveness
    • Preparation of small Class III cavities using minimally invasive techniques
    • Excess composite materials must be removed.
    • Excess adhesive removal
    • Check to see if the composite is flowing into all aspects of the preparation and if there are any irregularities.
    • Detect microscopic air bubbles in flowable composite, either inside or on the flowable composite bolus's external surface or margin.
    • Margin finishing is excellent.
    • Simplifying the working protocol for finishing and polishing
    • Improve proximal composite restorations' marginal integrity


    Limit of use of dental microscope therapy

    Limit of use of dental microscope

    There are also a number of factors that limit the widespread use of microscope The most significant disadvantage is the extremely high cost, however, there may be issues such as limited office space or a lack of motivation to use the microscope due to a lack of knowledge. Whatever the obstacles, microscopy is becoming an increasingly valuable tool for patients and dentists.

    The history of other medical specialties has shown that new equipment can be difficult to integrate into daily practice. There is a delicate balance between three major factors: the treatment's benefits, the cost of acquisition, and the effort made by the dentist to use it. Until now, only the first factor has been proven in the case of microscopes. For the time being, cost and resistance to change will be the major impediments to the widespread use of microscopes in restorative dentistry.



    Dental microscope therapy has become increasingly important in dental medicine for high-quality and successful procedures, particularly in the field of endodontics. A microscope assists the dentist in performing micro-invasive surgeries with the goal of preserving tooth substance, conserving tissue, minimizing risks, and reducing healing time.