Magnification devices for endodontic therapy
- PMID: 26650099
- PMCID: PMC7389255
- DOI: 10.1002/14651858.CD005969.pub3
Magnification devices for endodontic therapy
Abstract
Background: After the introduction of microsurgical principles in endodontics involving new techniques for root canal treatment, there has been a drive to enhance the visualisation of the surgical field. It is important to know if the technical advantages for the operator brought in by magnification devices such as surgical microscopes, endoscopes and magnifying loupes, are also associated with advantages for the patient in terms of improvement of clinical and radiographic outcomes. This version updates the review published in 2009.
Objectives: To evaluate and compare the effects of endodontic treatment performed with the aid of magnification devices versus endodontic treatment without magnification devices. We also aimed to compare the different magnification devices used in endodontics with one another.
Search methods: The following electronic databases were searched: the Cochrane Oral Health Group Trials Register (to 13 October 2015), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library, 2015, Issue 9), MEDLINE via OVID (1946 to 13 October 2015) and EMBASE via OVID (1980 to 13 October 2015). We searched the US National Institutes of Health Trials Register (http://clinicaltrials.gov) and the WHO Clinical Trials Registry Platform for ongoing trials. No restrictions were placed on the language or date of publication when searching the electronic databases.
Selection criteria: We considered all randomised controlled trials (RCTs) and quasi-randomised controlled trials comparing endodontic therapy performed with versus without one or more magnification devices, as well as randomised and quasi-randomised trials comparing two or more magnification devices used as an adjunct to endodontic therapy.
Data collection and analysis: We conducted screening of search results independently and in duplicate. We obtained full papers for potentially relevant trials. The Cochrane Collaboration statistical guidelines were to be followed for data synthesis.
Main results: No trials met the inclusion criteria for this review.
Authors' conclusions: No article was identified in the current literature that satisfied the criteria for inclusion. It is unknown if and how the type of magnification device affects the treatment outcome, considering the high number of factors that may have a significant impact on the success of endodontic surgical procedure. This should be investigated by further long-term, well-designed RCTs that conform to the CONSORT statement (www.consort-statement.org/).
Conflict of interest statement
Massimo Del Fabbro, Silvio Taschieri and Roberto Weinstein are among the authors of some potentially eligible studies. However, none of them were involved in the assessment of eligibility of these trials.
Update of
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Magnification devices for endodontic therapy.Cochrane Database Syst Rev. 2009 Jul 8;(3):CD005969. doi: 10.1002/14651858.CD005969.pub2. Cochrane Database Syst Rev. 2009. Update in: Cochrane Database Syst Rev. 2015 Dec 09;(12):CD005969. doi: 10.1002/14651858.CD005969.pub3. PMID: 19588377 Updated.
Comment in
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No evidence that magnification devices improve the success of endodontic therapy.Evid Based Dent. 2016 Sep;17(3):84-85. doi: 10.1038/sj.ebd.6401189. Evid Based Dent. 2016. PMID: 27767122
References
References to studies excluded from this review
Taschieri 2008 {published data only}
-
- Taschieri S, Fabbro M, Testori T, Francetti L, Weinstein R. Endodontic surgery using 2 different magnification devices: preliminary results of a randomized controlled study. Journal of Oral & Maxillofacial Surgery 2006;64(2):235‐42. - PubMed
-
- Taschieri S, Fabbro M, Testori T, Weinstein R. Microscope versus endoscope in root‐end management: a randomized controlled study. The International Journal of Oral and Maxillofacial Surgery 2008;37(11):1022‐6. - PubMed
Tsesis 2005 {published data only}
-
- Tsesis I, Shoshani Y, Givol N, Yahalom R, Fuss Z, Taicher S. Comparison of quality of life after surgical endodontic treatment using two techniques: a prospective study. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology 2005;99(3):367‐71. - PubMed
Von Arx 2003 {published data only}
-
- Arx T, Frei C, Bornstein MM. Periradicular surgery with and without endoscopy: a prospective clinical study [Periradikuläre Chirurgie mit und ohne Endoskopie: eine klinisch‐prospektive Vergleichsstudie]. Schweizer Monatsschrift für Zahnmedizin 2003;113(8):860‐5. - PubMed
Additional references
Bahcall 1999
-
- Bahcall JK, Fiore PM, Poulakidas TK. An endoscopic technique for endodontic surgery. Journal of Endodontics 1999;25(2):132‐5. [MEDLINE: ] - PubMed
Bahcall 2000
-
- Bahcall JK, Barss JT. Orascopic endodontics: changing the way we "think" about endodontics in the 21st century. Dentistry Today 2000;19(5):50‐5. [MEDLINE: ] - PubMed
Bahcall 2003
-
- Bahcall JK, Barss J. Orascopic visualization technique for conventional and surgical endodontics. International Endodontic Journal 2003;36(6):441‐7. [MEDLINE: ] - PubMed
Baldassari‐Cruz 2002
-
- Baldassari‐Cruz LA, Lilly JP, Rivera EM. The influence of dental operating microscope in locating the mesiolingual canal orifice. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology 2002;93(2):190‐4. - PubMed
Behle 2001
-
- Behle C. Photography and the operating microscope in dentistry. Journal of the Californian Dental Association 2001;29(10):765‐71. [MEDLINE: ] - PubMed
Castellucci 2003
-
- Castellucci A. Magnification in endodontics: the use of the operating microscope. Practice Periodontics & Aesthetic Dentistry 2003;15(5):377‐84. [MEDLINE: ] - PubMed
Coelho de Carvalho 2000
-
- Coelho de Carvalho MC, Zuolo ML. Orifice locating with a microscope. Journal of Endodontics 2000;26(9):532‐4. [MEDLINE: ] - PubMed
Cohen 2006
-
- Cohen S, Hargreaves KM. Pathways of the Pulp. 9th Edition. St Louis, MO: Mosby, 2006.
Del Fabbro 2007
Dugas 2003
-
- Dugas NN, Lawrence HP, Teplitsky PE, Pharoah MJ, Friedman S. Periapical health and treatment quality assessment of root‐filled teeth in two Canadian populations. International Endodontic Journal 2003;36(3):181‐92. [MEDLINE: ] - PubMed
Friedman 2004
-
- Friedman S, Mor C. The success of endodontic therapy ‐ healing and functionality. Journal of the Californian Dental Association 2004;32(6):493‐503. - PubMed
Gorduysus 2001
-
- Görduysus MO, Görduysus M, Friedman S. Operating microscope improves negotiation of second mesiobuccal canals in maxillary molars. Journal of Endodontics 2001;27(11):683‐6. - PubMed
Gutmann 1991
-
- Gutmann JL, Harrison JW. Surgical Endodontics. Boston, MA, USA: Blackwell Scientific Publications, 1991.
Higgins 2011
-
- Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from: www.cochrane‐handbook.org.
Jesslen 1995
-
- Jesslen P, Zetterqvist L, Heimdahl A. Long‐term results of amalgam versus glass ionomer cement as apical sealant after apicectomy. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 1995;79(1):101‐3. [MEDLINE: ] - PubMed
Khayat 1998
-
- Khayat BG. The use of magnification in endodontic therapy: the operating microscope. Practice Periodontics & Aesthetic Dentistry 1998;10(1):137‐44. [MEDLINE: ] - PubMed
Kim 1997
-
- Kim S. Principles of endodontic microsurgery. Dental Clinics of North America 1997;41(3):481‐97. [MEDLINE: ] - PubMed
Kim 2004
-
- Kim S. Modern endodontic practice: instruments and techniques. Dental Clinics of North America 2004;48(1):1‐9. - PubMed
Mead 2005
-
- Mead C, Javidan‐Nejad S, Mego ME, Nash B, Torabinejad M. Levels of evidence for the outcome of endodontic surgery. Journal of Endodontics 2005;31(1):19‐24. - PubMed
Molven 1987
-
- Molven O, Halse A, Grung B. Observer strategy and the radiographic classification of healing after endodontic surgery. The International Journal of Oral and Maxillofacial Surgery 1987;16(4):432‐9. [MEDLINE: ] - PubMed
Molven 1996
-
- Molven O, Halse A, Grung B. Incomplete healing (scar tissue) after periapical surgery. Radiographic findings 8‐12 years after treatment. Journal of Endodontics 1996;22(5):264‐8. [MEDLINE: ] - PubMed
Paik 2004
-
- Paik S, Sechrist C, Torabinejad M. Levels of evidence for the outcome of endodontic retreatment. Journal of Endodontics 2004;30(11):745‐50. - PubMed
Pecora 1993
-
- Pecora G, Andreana S. Use of dental operating microscope in endodontic surgery. Oral Surgery, Oral Medicine, Oral Pathology 1993;75(6):751‐8. [MEDLINE: ] - PubMed
Perrin 2002
-
- Perrin P, Jacky D, Hotz P. The operating microscope in dental practice:minimally invasive restorations. Schweizer Monatsschrift für Zahnmedizin 2002;112(7):722‐32. [MEDLINE: ] - PubMed
Rampado 2004
-
- Rampado ME, Tjaderhane L, Friedman S, Hamstra SJ. The benefit of operating microscope for access cavity preparation by undergraduate students. Journal of Endodontics 2004;30(12):863‐7. [MEDLINE: ] - PubMed
Rubinstein 1999
-
- Rubinstein RA, Kim S. Short‐term observation of the results of endodontic surgery with the use of a surgical operation microscope and Super‐EBA as root‐end filling material. Journal of Endodontics 1999;25:43‐8.
Rud 1972
-
- Rud J, Andreasen JO, Möller Jensen JE. Radiographic criteria for the assessment of healing after endodontic surgery. International Journal of Oral Surgery 1972;1(4):195‐214. [MEDLINE: ] - PubMed
Schwartze 2002
-
- Schwartze T, Baethge C, Stecher T, Geurtsen W. Identification of second canals in the mesiobuccal root of maxillary first and second molars using magnifying loupes or an operating microscope. Australian Endodontic Journal 2002;28(2):57‐60. [MEDLINE: ] - PubMed
Sjogren 1990
-
- Sjogren U, Hagglund B, Sundqvist G, Wing K. Factors affecting the long‐term results of endodontic treatment. Journal of Endodontics 1990;16(10):498‐504. [MEDLINE: ] - PubMed
Slaton 2003
-
- Slaton CC, Loushine RJ, Weller RN, Parker MH, Kimbrough WF, Pashley DH. Identification of resected root‐end dentinal cracks: a comparative study of visual magnification. Journal of Endodontics 2003;29(8):519‐22. [MEDLINE: ] - PubMed
Torabinejad 2005
-
- Torabinejad M, Kutsenko D, Machnick TK, Ismail A, Newton CW. Levels of evidence for the outcome of nonsurgical endodontic treatment. Journal of Endodontics 2005;31(9):637‐46. - PubMed
Vertucci 1984
-
- Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surgery, Oral Medicine, Oral Pathology 1984;58(5):589‐99. [MEDLINE: ] - PubMed
Von Arx 2002
-
- Arx T, Hunenbart S, Buser D. Endoscope‐ and video‐assisted endodontic surgery. Quintessence International 2002;33(4):255‐9. [MEDLINE: ] - PubMed
Von Arx 2003a
-
- Arx T, Montagne D, Zwinggi C, Lussi A. Diagnostic accuracy of endoscopy in periradicular surgery‐a comparison with scanning electron microscopy. International Endodontic Journal 2003;36(10):691‐9. [MEDLINE: ] - PubMed
Von Arx 2005
-
- Arx T. Frequency and type of canal isthmuses in first molars detected by endoscopic inspection during periradicular surgery. International Endodontic Journal 2005;38(3):160‐8. [MEDLINE: ] - PubMed
Weine 1969
-
- Weine FS, Healey HJ, Gerstein H, Evanson L. Canal configuration in the mesiobuccal root of the maxillary first molar and its endodontic significance. Oral Surgery, Oral Medicine, Oral Pathology 1969;28(3):419‐25. [MEDLINE: ] - PubMed
Wolcott 2002
-
- Wolcott J, Ishley D, Kennedy W, Johnson S, Minnich S. Clinical investigation of second mesiobuccal canals in endodontically treated and retreated maxillary molars. Journal of Endodontics 2002;28(6):477‐9. [MEDLINE: ] - PubMed
Zaugg 2004
-
- Zaugg B, Stassinakis A, Hotz P. Influence of magnification tools on the recognition of simulated preparation and filling errors. Schweizer Monatsschrift fur Zahnmedizin 2004;114(9):890‐6. - PubMed
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