Microendodontics at Different Levels From Routine to Complex Cases: A Case Series.

Area of Science:

• Dentistry
• Endodontics
• Microscopic Visualization

Background:

• Technological advancements have significantly improved endodontic precision over the last 30 years.
• The dental operating microscope represents a major revolution in endodontic visualization.
• Despite benefits, behavioral factors hinder the widespread adoption of magnification in general dental practice.

Observation:

• A case series demonstrates the utility of dental operating microscopes in routine and complex endodontic procedures.
• Case 1: Non-surgical endodontic treatment of a mandibular molar with a curved canal.
• Case 2: Non-surgical retrieval of a separated instrument using ultrasonics.
• Case 3: Surgical intervention (autotransplantation) for fractured instrument removal.

Findings:

• Microscopes provide superior illumination, magnification, and visualization of the operating field.
• High magnification facilitates conservative access, identification of isthmuses, and interpretation of root canal complexity.
• Microscopes aid in fractured instrument removal, minimize tissue trauma, and detect fractures and microfractures.

Implications:

• Widespread integration of dental operating microscopes into daily practice can substantially elevate procedural success rates.
• Enhanced visualization and precision offered by microscopes are crucial for managing intricate endodontic cases.
• Encouraging the use of magnification technology is vital for advancing endodontic treatment outcomes.