Clinical microscopy a new frontier in dentistry

Widely used in the United States and Europe, the introduction of Dental Microscope (MO) in Brazil still restricted to a few clinics and hospitals in the major urban centres.

“Quoting Prof. Syngcuk Kim, one of the forerunners of operatory microscopy in dentistry: ’ what cannot be seen, cannot be treated ’. The use of operatory microscopy is a watershed for several areas of dentistry and not just for the specialty endodôntica. The coaxial illumination and magnification of the operatory field is reflected directly in the excellence of the quality of dental treatment “says Marcos Jacobovitz, Coordinator of the specialization courses and updating of the Paulista Association of dental surgeons, APCD, Regional

São Carlos.

Innumerous dentistry professionals, to use the MO, are unanimous in stating that before, not saw the procedures that were running with the level of detail necessary to

intervention.

“it is also necessary to highlight the best ergonomics for the professional, related to postural comfort, besides the extreme convenience in preparing photographic documentation and video provided by this technology,” says professional. Jacobovitz is a graduate of the Faculty of Dentistry of Araraquara (UNESP), master and doctor in Endodontics by the same institution and pós-doutor in Endodontics by Hadassa Dental Medicine School (Hebrew University of Jerusalem-Israel)

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Learning

Since 1998, the teaching of operatory microscopy is part of the compulsory curriculum in all graduate courses in Endodontics in the USA. “This trend has been adopted by several other countries, as well as in Israel, where I was in postdoctoral program in Endodontics between 2007 and 2009. The operatory microscopy in that country is not just the academic environment, but is present in most clinics, specialist clinics, public hospitals and military service. The use of the microscope is not considered a luxury, but necessary tool to day-to-day surgeon dentist. “

in February, the regional APCD in São Carlos (SP) promoted the Clinical Microscopy course in Endodontics, with great success. “The course aims to familiarize the surgeon dentist to MO, in addition to highlighting its advantages in the diagnosis of cracked teeth, root canals location and difficult access of foreign bodies in endodonto, iatrogenias management and use in parendodônticas surgery,” says Jacobovitz. On occasion, the company’s national microscopes were used, Opto Plus DM series. “These microscopes to meet all expectations of operation, leaving absolutely nothing to be desired compared to any other good brand found on the external market.”

one of the first reactions of professionals to learn about the advantages of microscopy in dentistry is surprise. “Perhaps one of the most rewarding for teachers during the course is when the student crosses the frontier of ’ see the field ’, an expression which is a mixture of AWE and euphoria. Images that were previously formed mentally, can now be viewed ’ in situ ’ with magnification, lighting and depth provided by stereoscopic effect apparatus. “

according to Jacobovitz, adaptation to the new working method should not be seen as difficult, because there are many benefits of technology. “Are recommended training courses allow the student to maximum extraction of knowledge from all features offered by the apparatus. The continued use of these tools work, and preferably in all cases, quickly bring your dexterity use. Added to status provided by the acquisition of equipment and the possibility of use in marketing by the professional that takes, we should not use it in Office as an adorner to more, and Yes as our supporting therapy. As for the employment of new instruments besides the microscope itself, the use of mouth mirrors of excellent quality, such as foreground, are indicated as, basically, under a microscope is working with indirect vision “

Broadcast the mistaken fear because of the initial cost of investment, coupled with ignorance of the benefits of this technology, are singled out as the main impediments to the expansion of the operatory microscopy in dentistry in Brazil. “Professor Italian Arnaldo Castelucci, one of today’s world, icons Endodontics said in 2003: ’ we are not far from the day that this equipment will be common in dental offices ’. Today, in many countries, his prediction has already been achieved. I believe that the educational role of undergraduate and postgraduate courses, as well as schools of professional training of class entities, is fundamental in the dissemination of this technology and its benefits. After this, the wide dissemination of its use will be mere consequence. “

With the profusion of this knowledge, what was seen as a luxury article becomes an exceptional tool in all procedures. “Certainly a dental professional or student who achieves the domain using the operatory microscopy, mainly through training courses, understands that the investment in this technology should be part of your project to execute a maximum of dentistry quality.”

In Are Carlos, due to the great demand for professionals interested in the course, are being planned, through pre-registration, new classes of basic, intermediate and advanced levels in operatory microscopy in EAP of APCD.

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