Dental Treatments - Dental Microscopy

Have you ever heard the phrase a picture speaks a thousand words? Well, it’s the same sentiment with a dental microscope.

At Hospital Lane Dental and Implant Clinic, we pride ourselves on delivering an exceptional standard of patient care, tailored specifically to your clinical needs. Everything that we do is geared around providing optimal results for our patients, which is why we use the most advanced equipment, technologies and techniques across all dental procedures, from restorative work and orthodontics to root canal treatment. The dental microscope is just one of the many investments that has advanced our practice, helping not only to enhance treatment outcomes, but to improve our patients’ understanding of their diagnosis and treatment pathway.

With enhanced magnification, the oral cavity is magnified by as much as 21.25x, allowing a range of treatments to be carried out safely and more efficiently with better treatment outcomes. Our ability to diagnose dental diseases and lesions at an earlier stage is easier than ever before with high powered loupes or a dental microscope.

Mojtaba Dehghanpour and the team of Dentists at Hospital Lane all use magnification in the care of their patients.

High powered dental loupes

Replacement of old amalgam restorations in cracked teeth with high aesthetic ceramic onlays

(Clinical work by: Mojtaba Dehghanpour)

Using the microscope we are able to identify imperfect surfaces that act as a breeding ground for residue and plaque deposits that can lead to periodontal disease and the development of decay. By discovering the issue early, we can ensure dental disease is treated before it becomes a problem.

The same goes for fractures, or ‘cracks’. Seemingly invisible clues that are unidentifiable with the naked eye can be identified efficiently and swiftly long before the teeth become symptomatic. Without magnification, small cracks can go unnoticed for a long time until eventually it’s too late to treat, and teeth require extraction.

A severely cracked tooth viewed with the naked eye Crack viewed through the microscope
Crack invisible to naked eye Fracture identified and confirmed diagnosis with diagnostic dye

Fracture of tooth around old amalgam filling, residual fracture stabilised and tooth restored with CEREC onlay in a single visit

(Clinical work by: Tony Auger)

There are other clinical uses too in restorative dentistry, in regards to the preparation and placement of restorations, all of which help Dentists to provide treatment more accurately and efficiently with better results.

Manuel Gonzalez-O’Sullivan, delivering high-precision treatment with patient comfort using Zeiss microscope.

Dental Microscopy: The Bigger Picture

One patient that has benefited from the clinical and educational applications of the dental microscope is Mr Terence Martin, who recently underwent work on his worn lower incisors to restore the dark spaces and cervical wear lesions.  After minimal preparations followed by all ceramic crown restorations with natural aesthetic ceramic reconstruction, Terence has regained his confidence.

“I couldn’t be happier with the results. I have to attend a lot of client meetings, and it was getting to the point where I was starting to feel embarrassed about my teeth. Thanks to Dr Tony Auger this is no longer the case – I can smile again! Of course, my smile isn’t everyone’s cup of tea – especially if you prefer the Hollywood look – but it was a natural appearance I was after, and that’s exactly what I got. To me, they are perfect in their imperfection.

Before treatment After minimal preparation and all ceramic crowns

“What most people probably don’t realise, though, is that the skill it takes to achieve a natural smile through restorative dental work is much harder than giving everyone the same set of generic ‘pearly whites’. Treatment on lower incisors is particularly technique sensitive and requires very careful tooth preparation. Without the dental microscope I am confident that the outcome would not have been as good as I’ve ended up with and that’s no disrespect to Dr Auger, because he is incredibly talented. This is however, an indication of the added precision that he is able to work with when enhanced magnification is involved.

“Until I started attending Hospital Lane, I wasn’t aware of the extensive capabilities of a dental microscope. Having now received treatment with the aid of enhanced magnification, I am certain that I wouldn’t go back. Though of course, loupes (those magnifying glasses that Dentists sometimes sport) can get very close to the level of detail that can be seen with a microscope. Any dental practice willing to invest in innovative solutions, let alone top end products like the Carl Zeiss loupes and microscope (you might have heard of Carl Zeiss camera lenses) is well worth a visit.

“If you’ve never come across a microscope before, the best way to think of microscopy is like a movie. In films, there are the close-ups and the wide shots, both of which are integral to allowing us to watch and understand the storyline. Take away the close-ups and the details become hazy, changing our perspective of the narrative – it’s the same in dentistry. Only with enhanced magnification can dentists ensure that diagnostics and treatment are carried out to the highest possible standard. Why would you not want that?

“More importantly, what did we do before such technology was available? Given the choice we would always opt for a top-of-the-range car with all the latest gadgets over an old banger, so why should our attitude to our dental treatment be any different?”