DR.

Moataz Mahran
B.D.S , M.S.C Endodontics
Ain Shams University
Member of British Endodontic Society
Endodontist at magrabi Dental Center Jeddah
,KSA.

Magnification in
Endodontics And How it
.Affects Treatment Outcome

FIRST MIRCOSCOPE WAS INVENTED IN 1978 BY

DR. JAKO & DR APOTHEKER .[DENTISCOPE].

IVE DONE FINE WITHOUT MAGNIFICATION

ALL THESE YEARS. WHY START NOW?

.Advantages of Magnification
Improves your diagnostic capability making your treatment
much more easier.
Better visualization of the working field that will translate into
more accurate diagnosis.
Reduces eye strain.
Ergonomics.
Documentation and imaging.

.Types of magnification
:There are 2 types of magnification equipments
A. Binocular loupes.(2.5x,3.5x,5x,6x)
B. Dental microscopes.
.
.
.
.

WALL MOUNTED
BENCH OR TABLE MOUNTED
MOBILE.
5x.13x ARE THE BEST FOR ENDODONTIC WORK

.The most known companies are Seiler, Zeiss, Global,

Orascoptic, Designs for Vision and keeler.

 If youre a general dentist, youll want to consider loupes as

your entry magnification technology.

There are dental loupes on the market with a wide variety
of magnification capabilities; I recommend that you look at a
pair of loupes capable of magnifications ranging from 2.5x
to 3.5x .

.TYPES Of DENTAL MICROSCOPES

Magnification how it affects endodontic

!work

Identification of missed canals.

Repair of perforations.
Removal of broken instruments.
Trouhing for calcified canals.
Diagnosis of cracks.
Endodontic surgeries.

N.B: Magnification can solve all these problems but you

need to have good illumination, which is as important as

magnification. Whatever the type of light being used whether
halogen or LED , there should be a source of illumination.

Without the use of magnification, a fourth canal in a molar is often

.missed

This demonstrates how

magnification and proper
illumination facilitate the location
of a fourth canal.

 Even with good magnification, cracks may not show up if the

lighting is poor. This can occur when using loupes and nothing
but the overhead dental light .

With magnification and

improved lighting, the crack in
the tooth becomes obvious.

Magnification showing broken instrument

.TIPS USED FOR BI RETRIVEL

IRS

Troughing searching for calcified canal.

Perforation can be easily repaired.

Locating of extra canals.

Magnification has been found to

increase the detection rate of
MB2 canals in first molars from
17.2% with the naked eye, to
62.5% with loupes and 71.1%
using the surgical operating
microscope and 59% for second
molars.

Mitchell H. Davich.

Easier Obturation.

Easier Retreatments.

Conclusion
Magnification played a significant role in

increasing the success rate of root canal

treatment especially in retreatment cases up to
85% in comparison to cases done without
magnification which had a success rate 60 to
70%.[Brett. E. Gilbert].

THANK YOU