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Psychology in endodontics. Microscope in endodontic practice, personal observations

Since 1999, I have been working with an endodontic microscope, during this time my attitude to this subject has evolved from irritation due to the need to retrain, to drug addiction: in the absence or breakdown – terrible depression and withdrawal, expressed in the desire to cancel the shift …

Over time, gradually, I realized the benefits of using an operational microscope in practice.The microscope is not only an optical instrument, but also orthopedic, ophthalmic and psychological.

A microscope as a tool combining optics and coaxial illumination certainly improves the quality of endodontic treatment

For example, searching for 4 channels in the upper molars with a microscope definitely gives better results than without. (Baldassari-Cruz LA, Lilly JP, Rivera EM. The influence of dental operating microscopes in locating the mesiolingual canal orifices. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002: 93: 190 19).

Certain procedures are only possible with a microscope. Such as, for example, extracting broken instruments from a canal (Ruddle CJ. Nonsurgical retreatment. In: Cohen S, Burns RC, eds. Pathways of the pulp. 8th ed. St Louis: Mosby, 2002: 875–930.), If necessary (Solomonov M. Broken instrument. Clinical decision and techniques of removal Practical_scientific journal Clinisheskaya Endodotiya (Clinical Endodontics) (Russia) No. 1.2007)

A recognized advantage is Crack Diagnostics (Definitive Diagnosis of Early Enamel and Dentinal Cracks Based on Microscopic Evaluation D. CLARKC .. SHEETS, J. PAQUETTE (J Esthet Restor Dent 15 :, 2003).

For example, searching for 4 channels in the upper molars with a microscope definitely gives better results than without. (Baldassari-Cruz LA, Lilly JP, Rivera EM. The influence of dental operating microscopes in locating the mesiolingual canal orifices. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002: 93: 190 19).

Certain procedures are only possible with a microscope. Such as, for example, extracting broken instruments from a canal (Ruddle CJ. Nonsurgical retreatment. In: Cohen S, Burns RC, eds. Pathways of the pulp. 8th ed. St Louis: Mosby, 2002: 875–930.), If necessary (Solomonov M. Broken instrument. Clinical decision and techniques of removal Practical_scientific journal Clinisheskaya Endodotiya (Clinical Endodontics) (Russia) No. 1.2007)

The retreatment procedure with a microscope goes to a different level

For example, when removing a fiberglass pin and composite cements from a channel, the help of a microscope is invaluable. When working with ultrasonic nozzles inside the channel, the doctor performs the procedure based not on tactile sensations, but on an objective vision of the clinical situation.

Orthopedic component

It is well known that in the process of professional activity, the back of the dentist is often the most vulnerable spot. By working correctly with the microscope, the doctor is at the 12 o’clock position and therefore the back is not bent to the left or right side, and the focal length leads to the straightening of the back during the treatment procedure, which dramatically reduces the load on the back and increases the possibility of lengthy procedures.

If the doctor is trying to evade from the competent use of the microscope, then in the fight the doctor – the microscope, the winner is the microscope, the doctor just does not use it.

Ophthalmic component

Contrary to claims that the microscope spoils vision, in fact this is the only tool that preserves it. When working without a microscope during the convergence of the eyes on the object there is a constant contraction and tension of M. Medial rectus.

This does not pass without a trace, with prolonged exercise stress leads to fatigue and the inability to concentrate. Working with a microscope, our gaze is fixed on infinity; convergence is performed by the optical part of the microscope.

For this reason, working with a microscope can maintain concentration for longer and, accordingly, perform more complex manipulations for a long time.

Psychological component

Over the years of my work with patients from different countries and in different countries, I have contacted representatives of different cultures and different psychological types, reacting differently to treatment by dentists. From the moment the microscope became an integral part of my work, I began to pay attention that patients behave calmer in the treatment process.

In my clinic in Tel Aviv, I see patients as doctors do, and in the vast majority of cases this is the first meeting of patients with a microscope. I compiled a questionnaire to assess their sensations during treatment using a microscope.

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