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 Table of Contents  
SHORT COMMUNICATION
Year : 2021  |  Volume : 9  |  Issue : 2  |  Page : 65-66

The past, present, and future of dentistry through lenses: A short communication


Arogya Bardhini Polyclinic, Puruliya, West Bengal, India

Date of Submission18-Jan-2021
Date of Decision15-May-2021
Date of Acceptance02-Jun-2021
Date of Web Publication26-Dec-2021

Correspondence Address:
Suman Mukherjee
2nd Floor, Shakuntala Garden, Block -D, Ranchi Road, Behind Mayur Hotel, Puruliya - 723 101. West Bengal.
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/dypj.dypj_8_21

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  Abstract 

This article discusses the scope of lenses and microscopes in dentistry. The modern advancements and prospects soon will change the course of dentistry.

Keywords: Cone-beam computed tomography, dentistry, lasers, lenses, micro, microscope


How to cite this article:
Mukherjee S. The past, present, and future of dentistry through lenses: A short communication. D Y Patil J Health Sci 2021;9:65-6

How to cite this URL:
Mukherjee S. The past, present, and future of dentistry through lenses: A short communication. D Y Patil J Health Sci [serial online] 2021 [cited 2022 Jan 24];9:65-6. Available from: http://www.dypatiljhs.com/text.asp?2021/9/2/65/333773




  Short Communication Top


Microscope and microorganisms have a long and deep dive in history.

The evolution of the present understanding of the disease and its intricate pathway of pathogenesis is a glimpse of the importance of a microscope in the investigation at the cellular level. The benefits of microscopes range from being a simple tool to study and identify the complex structures of microorganisms, to being an aid in precision skills and treatment. The story of the evolution of the microscope in dentistry has been fascinating.

Today, a simple combination of lenses forms a magneto-optical microscope. A confocal microscope can be modified for dark-field imaging. Such is the need for technology and robust development with lenses that soon lenses are going to be an indispensable armamentarium the future.

Few of the field in dentistry that has immensely benefited and taken advantage of lenses, it is implant dentistry, periodontics, and endodontics. Implant imaging and planning have been revolutionized by the use of Scanning microscopes, micro computed tomography (CT),[1] and cone-beam-aided microscope.[2] It gives 3-dimensional high-density nondestructive images of the tooth and surrounding structures. Digital radiography has become a precise, convenient source to diagnose the minutest of changes in hard tissue.

Microsurgery, minimally invasive surgery, and operative treatment under loupes and the surgical microscope are reforming dentistry. Perioscopes (also known as a dental endoscope) aid in the detection of unseen bleeding spots during root canal treatment, excision of pulp polyps, and enhanced visibility during root instrumentation. Hence, perioscope offers dentists the cutting edge in early diagnosis of pathogenesis with superior technical support for precision treatment.

Lasers are one of the foremost gifts of lenses to dentistry. Laser treatment is gaining popularity because it is clean, bloodless, and less painful. Furthermore, minor treatments using a laser such as frenectomy, gingivectomy, and pocket debridement give superior patients’ satisfaction. Although the benefits of laser compared to most conventional treatment are questionable, its role as an adjunct is really beneficial in surgeries.

In endodontics, laser devices have diverse applications such as dental pulp testing by laser Doppler flowmetry, direct pulp capping, vital pulpectomy, disinfection of root canals, root canal cleaning, root canal shaping, and removal of foreign bodies from root canals including fractured files or gutta-percha. When lasers are used for granulation tissue curettage, perforation repair, or apicoectomy, it would be desirable to use them under a microscope. Further, laser filters while performing clinical procedures with lasers have unfurled further scopes for safety, accuracy, and clarity in laser dentistry.[3]

The microscope has a key role to play in cancer research, its early detection, and prevention. As the incidence and prevalence of oral cancer and precancerous lesions are escalating, mobile microscopy is capturing more interest. It is a screening tool that can be used by minimally trained technicians in low-resource settings. This development will benefit a developing nation like India, where the cost, feasibility, and accessibility to testing facilities are limited.[4]

In the recent pandemic of COVID-19, a scanning electron microscope became an indispensable tool to isolate, study, and observe the development of coronavirus in human fetal diploid lung cells. Viruses cannot be cultured but can be identified under a high-power microscope. As such, research is being done for easy chairside identification of viruses. Simple microscopes are already used by oral medicine and dermatology to ease oral lesions identification and detection.

Chairside tests are gaining popularity for their ease and convenience, as such we already have a candidiasis chairside test based on direct microscopy.

Whenever we get stuck in diagnosis in dentistry, we can search for clues under the microscope.[5] This is not only a popular opinion but also a new path for further understanding and results. There are so many complex diseases such as systemic disease along with local lesions which can make the treatment planning very complex. The right thing would be a thorough knowledge of what we are dealing with. Blood investigations and microscopic evaluation will add more clarity and better assistance for any simple dental treatment. Lenses in general and microscopes, in particular, have been a forgotten dilemma in dentistry. While lasers have been gaining popularity and acceptance, the millennials will be more benefited by taking advantage of every ply of lenses now than ever.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Çapar İD, Gök T, Uysal B, Keleş A. Comparison of microcomputed tomography, cone beam tomography, stereomicroscopy, and scanning electron microscopy techniques for detection of microcracks on root dentin and effect of different apical sizes on microcrack formation. Microsc Res Tech 2019;82:1748-55.  Back to cited text no. 1
    
2.
Yang YM, Guo B, Guo LY, Yang Y, Hong X, Pan HY, et al. CBCT-aided microscopic and ultrasonic treatment for upper or middle thirds calcified root canals. Biomed Res Int 2016;2016:1-9.  Back to cited text no. 2
    
3.
Saegusa H, Watanabe S, Anjo T, Ebihara A, Suda H. Safety of laser use under the dental microscope. Aust Endod J 2010;36:6-11.  Back to cited text no. 3
    
4.
Skandarajah A, Sunny SP, Gurpur P, Reber CD, D’Ambrosio MV, Raghavan N, et al. Mobile microscopy as a screening tool for oral cancer in India: A pilot study. PLoS One 2017;12:e0188440.  Back to cited text no. 4
    
5.
Mittal S, Kumar T, Sharma J, Mittal S. An innovative approach in microscopic endodontics. Conserv Dent 2014;17:297-8.  Back to cited text no. 5
    




 

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