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DR. Moataz Mahran B.D.S , M.S.C Endodontics Ain Shams University Member of British Endodontic Society Endodontist
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
Magnification in
Endodontics And How it
.Affects Treatment Outcome
 FIRST MIRCOSCOPE WAS INVENTED IN 1978 BY DR. JAKO & DR APOTHEKER .[DENTISCOPE].
 FIRST MIRCOSCOPE WAS INVENTED IN 1978 BY
DR. JAKO & DR APOTHEKER .[DENTISCOPE].
 I’VE DONE FINE WITHOUT MAGNIFICATION ALL THESE YEARS. WHY START NOW?
 I’VE DONE FINE WITHOUT MAGNIFICATION
ALL THESE YEARS. WHY START NOW?
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.Advantages of Magnification  Improves your diagnostic capability making your treatment much more easier.  Better
.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.
.Types of magnification
:There are 2 types of magnification equipments
A.
Binocular loupes.(2.5x,3.5x,5x,6x)
B.
Dental microscopes.
.
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.
.
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 you’re a general dentist, you’ll want to consider loupes as your entry magnification technology.
 If you’re a general dentist, you’ll 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
.TYPES Of DENTAL MICROSCOPES
Magnification how it affects endodontic !work   Identification of missed canals.  Repair of perforations.
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
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
 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
Magnification showing broken instrument
.TIPS USED FOR BI RETRIVEL
.TIPS USED FOR BI RETRIVEL
IRS
IRS
 Troughing searching for calcified canal.
 Troughing searching for calcified canal.
 Perforation can be easily repaired.
 Perforation can be easily repaired.
 Locating of extra canals. Magnification has been found to increase the detection rate of MB2
 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 Obturation.
•Easier Retreatments.
•Easier Retreatments.
Conclusion  Magnification played a significant role in increasing the success rate of root canal treatment
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
THANK YOU