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Fundamentals of the Operating Microscope

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Microsurgery in Periodontal and Implant Dentistry

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Abstract

The surgical microscope offers the periodontist increased illumination and enhanced visualization of small anatomical structures. It allows the surgeon to perform procedures with greater precision than with other methods of magnification.

This chapter provides an overview of magnification in dentistry, reviews the basics of the different instruments of optical magnification currently available. It compares the use of loupes with the operating microscope, describing the history, types of loupes, visual acuity, advantages, and disadvantages of each magnification system. The section describes in detail the parts and components of a surgical microscope: including the body of the microscope, light source, and supporting structures.

The improved visual acuity of microsurgery provides significant advantages for surgeons. These advantages include tremendously increased visibility and lighting, enhanced ergonomics and posture, ease of documentation, and improved precision in the delivery of surgical skills. The use of an operating microscope grants the periodontist the ability to perform minimally invasive procedures more accurately in less time.

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References

  1. Grand View Research Smms, share and trends analysis report by type (on caster, wall-mounted), by application (oncology, ophthalmology, neurosurgery and spine), by end-use, and segment forecasts, 2018—2025,” https://www.grandviewresearch.com/industry-analysis/surgical-microscopes-market. Accessed, 2020.

  2. Belcher JM. A perspective on periodontal microsurgery. Int J Periodontics Restorative Dent. 2001;21:191–6.

    PubMed  Google Scholar 

  3. Uluç K, Kujoth GC, Başkaya MK. Operating microscopes: past, present, and future. Neurosurg Focus. 2009;27:E4.

    Article  Google Scholar 

  4. Del Fabbro M, Taschieri S, Lodi G, Banfi G, Weinstein RL. Magnification devices for endodontic therapy. Cochrane Database Syst Rev. 2015;2015:Cd005969.

    PubMed Central  Google Scholar 

  5. Zeiss. Microscopic dentistry: a practical guide: Carl Zeiss; 2014. Available from: https://www.zeiss.com/meditec/us/c/dental-book-form.html.

  6. Eichenberger M, Biner N, Amato M, Lussi A, Perrin P. Effect of magnification on the precision of tooth preparation in dentistry. Oper Dent. 2018;43:501–7.

    Article  Google Scholar 

  7. Eichenberger M, Perrin P, Neuhaus KW, Bringolf U, Lussi A. Influence of loupes and age on the near visual acuity of practicing dentists. J Biomed Opt. 2011;16:035003–1–5.

    Google Scholar 

  8. Graetz C, Schorr S, Christofzik D, Dörfer CE, Sälzer S. How to train periodontal endoscopy? Results of a pilot study removing simulated hard deposits in vitro. Clin Oral Investig. 2020;24:607–17.

    Article  Google Scholar 

  9. Kwan JY, Newkirk SM. Ultrasonic Endoscopic Periodontal Debridement. In: Harrel SK, Wilson Jr TG, editors. Minimally invasive periodontal therapy: clinical techniques and visualization technology. Hoboken, NJ: Wiley-Blackwell; 2015. p. 13–53.

    Google Scholar 

  10. Wilson TG Jr. The use of the dental endoscope and Videoscope for diagnosis and treatment of Peri-implant diseases. In: Harrel SK, Wilson Jr TG, editors. Minimally invasive periodontal therapy: clinical techniques and visualization technology. Hoboken, NJ: Wiley-Blackwell; 2015. p. 65–75.

    Google Scholar 

  11. Carr GB, Murgel CA. The use of the operating microscope in endodontics. Dent Clin N Am. 2010;54:191–214.

    Article  Google Scholar 

  12. Shanelec DA. Optical principles of loupes. J Calif Dent Assoc. 1992;20:25–32.

    PubMed  Google Scholar 

  13. Schultheiss D, Denil J. History of the microscope and development of microsurgery: a revolution for reproductive tract surgery. Andrologia. 2002;34:234–41.

    Article  Google Scholar 

  14. Perrin P, Jacky D, Hotz P. The operating microscope in dental practice: minimally invasive restorations. Schweiz Monatsschr Zahnmed. 2002;112:722–32.

    PubMed  Google Scholar 

  15. Behle C. Photography and the operating microscope in dentistry. J Calif Dent Assoc. 2001;29:765–71.

    PubMed  Google Scholar 

  16. Tibbetts LS, Shanelec D. Principles and practice of periodontal microsurgery. MICRO: The International Journal of MicroDentistry. 2009;1:13–24.

    Google Scholar 

  17. Chang BJ. Ergonomic benefits of surgical telescope systems: selection guidelines. J Calif Dent Assoc. 2002;30:161–9.

    PubMed  Google Scholar 

  18. Eichenberger M, Perrin P, Sieber KR, Lussi A. Near visual acuity of dental hygienists with and without magnification. Int J Dent Hyg. 2018;16:357–61.

    Article  Google Scholar 

  19. Eichenberger M, Perrin P, Ramseyer ST, Lussi A. Visual acuity and experience with magnification devices in Swiss dental practices. Oper Dent. 2015;40:142–9.

    Article  Google Scholar 

  20. Eichenberger M, Perrin P, Neuhaus KW, Bringolf U, Lussi A. Visual acuity of dentists under simulated clinical conditions. Clin Oral Investig. 2013;17:725–9.

    Article  Google Scholar 

  21. Perrin P, Eichenberger M, Neuhaus KW, Lussi A. A near visual acuity test for dentists. Oper Dent. 2017;42:581–6.

    Article  Google Scholar 

  22. Perrin P, Bregger R, Lussi A, Vögelin E. A near visual acuity test for hand surgeons. J Hand Surg Eur. 2019;44:326–7.

    Article  Google Scholar 

  23. Perrin P, Neuhaus KW, Eichenberger M, Lussi A. Influence of different loupe systems and their light source on the vision in endodontics. Swiss Dent J. 2019;129:922–8.

    PubMed  Google Scholar 

  24. Mamoun J. Use of high-magnification loupes or surgical operating microscope when performing prophylaxes, scaling or root planing procedures. N Y State Dent J. 2013;79:48–52.

    PubMed  Google Scholar 

  25. Ma L, Fei B. Comprehensive review of surgical microscopes: technology development and medical applications. J Biomed Opt. 2021;26:010901.

    Article  Google Scholar 

  26. Crain CL, Basic principles of the surgical microscope, https://www.scribd.com/document/358089541/Microscope-Basics/ (2006).

    Google Scholar 

  27. KEYENCE. Coaxial illumination. https://www.keyence.com/ss/products/microscope/glossary/cat5/coaxial_illumination/. Accessed 2021.

  28. Mendez BM, Chiodo MV, Vandevender D, Patel PA. Heads-up 3D microscopy: an ergonomic and educational approach to microsurgery. Plast Reconstr Surg Glob Open. 2016;4:e717.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Private Practice, Miami, Florida, USA

    Irene Marron-Tarrazzi

  2. Adjunct Clinical Professor, Department of Periodontics, Nova Southeastern University, Fort Lauderdale, FL, USA

    Irene Marron-Tarrazzi

Authors
  1. Irene Marron-Tarrazzi
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Correspondence to Irene Marron-Tarrazzi .

Editor information

Editors and Affiliations

  1. School of Dentistry, University of Michigan, Ann Arbor, MI, USA

    Hsun-Liang (Albert) Chan

  2. School of Dentistry, University of Michigan, Ann Abor, MI, USA

    Diego Velasquez-Plata

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Marron-Tarrazzi, I. (2022). Fundamentals of the Operating Microscope. In: Chan, HL.(., Velasquez-Plata, D. (eds) Microsurgery in Periodontal and Implant Dentistry. Springer, Cham. https://doi.org/10.1007/978-3-030-96874-8_3

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  • DOI: https://doi.org/10.1007/978-3-030-96874-8_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-96873-1

  • Online ISBN: 978-3-030-96874-8

  • eBook Packages: MedicineMedicine (R0)

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