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Microsurgical [[Endodontics]] is that aspect of [[endodontics]] which evolved after the introduction of the Surgical Operating Microscope (SOM) to [[endodontics]] in the early 1990's.<ref>Selbst AG, Curd CM. The surgical operating microscope in endodontics. J Gt Houst Dent Soc 1994;66:10-1.</ref> The recent addition of SOM's to [[endodontic]] therapy can allow better visualization and management of the surgical field by [[endodontists]] during [[endodontic]] procedures. Surgical operating microscopes have a steep learning curve and require training, as well as patience and practice to master.
'''Microsurgical endodontics''' is that aspect of [[endodontics]] which evolved after the introduction of the [[Operating microscope|Surgical Operating Microscope]] (SOM) to endodontics in the early 1990s.<ref>Selbst AG, Curd CM. The surgical operating microscope in endodontics. J Gt Houst Dent Soc 1994;66:10-1.</ref> The recent addition of SOM's to endodontic therapy can allow better visualization and management of the surgical field by [[endodontists]] during endodontic procedures (mostly [[root canal treatment]]) through magnification and greatly improved high intensity lighting. SOM's typically magnify in the 4X to 25X range. The other commonly used magnification aide, through lens eyeglass mounted surgical telescopes, provide 2.5X to 4.5X magnification. Surgical operating microscopes have a steep learning curve and require training, as well as patience and practice to master.


Some studies <ref>Rubenstein RA, Kim S. Long-Term Follow-Up of Cases Considered Healed One Year After Apical Microsurgery. J Endod 2002;28:378-383.</ref> have demonstrated higher success rates in surgical procedures using SOM's when compared to older techniques. However, use of the surgical operating microscope routinely for all [[endodontic]] procedures is not considered the standard of care in [[endodontics]].<ref>{{cite web |last=Guttman |first=JL |url=http://medind.nic.in/eaa/t05/i2/eaat05i2p5.pdf | title=Is Endodontics Becoming So Magnified That It Is Too Narrowly Focused? |publisher=Endodontology 2005;17:5-6}}</ref>
Some studies <ref>Rubinstein RA, Kim S. Long-Term Follow-Up of Cases Considered Healed One Year After Apical Microsurgery. J Endod 2002;28:378-383.</ref> have demonstrated higher success rates in surgical procedures using SOM's when compared to direct vision. However, use of the surgical operating microscope routinely for endodontic procedures is not considered the standard of care in endodontics.<ref>{{cite web |last=Guttman |first=JL |url=http://medind.nic.in/eaa/t05/i2/eaat05i2p5.pdf | title=Is Endodontics Becoming So Magnified That It Is Too Narrowly Focused? |publisher=Endodontology 2005;17:5-6}}</ref>


==References==
==References==
<references/>
<references/>


[[Category:Endodontics]]
==External Links==

[http://www.jedmed.com/html/microscopes2.html/ JEDMED Surgical Operating Microscopes]
[http://www.designsforvision.com/ Designs for Vision Surgical Telescopes]


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Latest revision as of 14:00, 15 February 2024

Microsurgical endodontics is that aspect of endodontics which evolved after the introduction of the Surgical Operating Microscope (SOM) to endodontics in the early 1990s.[1] The recent addition of SOM's to endodontic therapy can allow better visualization and management of the surgical field by endodontists during endodontic procedures (mostly root canal treatment) through magnification and greatly improved high intensity lighting. SOM's typically magnify in the 4X to 25X range. The other commonly used magnification aide, through lens eyeglass mounted surgical telescopes, provide 2.5X to 4.5X magnification. Surgical operating microscopes have a steep learning curve and require training, as well as patience and practice to master.

Some studies [2] have demonstrated higher success rates in surgical procedures using SOM's when compared to direct vision. However, use of the surgical operating microscope routinely for endodontic procedures is not considered the standard of care in endodontics.[3]

References

[edit]
  1. ^ Selbst AG, Curd CM. The surgical operating microscope in endodontics. J Gt Houst Dent Soc 1994;66:10-1.
  2. ^ Rubinstein RA, Kim S. Long-Term Follow-Up of Cases Considered Healed One Year After Apical Microsurgery. J Endod 2002;28:378-383.
  3. ^ Guttman, JL. "Is Endodontics Becoming So Magnified That It Is Too Narrowly Focused?" (PDF). Endodontology 2005;17:5-6.