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SEILER MICROSCOPE

MICROSCOPE BENEFITS

BENEFITS-GEN.PRACTICE

BENEFITS-ENDODONTICS

BENEFITS- RESTORATIVE

BENEFITS-PERIODONTIST

BENEFITS- DENTAL LAB

TRAINING ON MICROSCOPE

Benefits of a Seiler Microscope in Restorative Dentistry:

1.	Allows surgeon to minimize the size of the surgical site, reducing patient discomfort and healing time.
2.	Improves accuracy of microsurgical incisions and suturing with 6-0 through 8-0 sutures, permitting precise tissue/tissue and tissue/tooth approximation for primary would healing.
3.	Allows for better inspection and diagnosis of abnormal soft tissue lesions of the gingiva, palate, and mucosa.
4.	Improves visualization of root surface and adjacent intra-bony defects for definitive removal of calculus.
5.	Aids identification of micro-inflammation during re-evaluation following non-surgical therapy.
6.	Helps inspection of the quality of restorations and marginal tissues.
7.	Permits micro-level osseous surgery facilitating bone removal without nicking the root surface and allows for better periodontal ligament preservation during ostectomy.
8.	Permits accurate subepithelial placement and suturing of membranes and subepithelial connective tissue grafts.
9.	Improves visualization of implant sites with minimal space between teeth and helps in evaluating the exact fit of implant prosthetic components and the health of marginal tissues around implants.
10.	Permits precise control of laser surgery on adjacent teeth without injury to root or implant surfaces.
11.	Permits accurate and easier root amputations and hemisection. Also helps with periapical surgeries when required during periodontal surgery.
12.	Facilitates sinus lift procedures through direct visualization of the sinus membrane during dissection.
13.	Permits fine dissection of the mandibular and mental nerves for lateral displacement during mandibular implant procedure.
14.	Permits location of the periodontal ligament for atraumatic elevation of roots and root tips during extraction with concurrent ridge preservation/augmentation.
15.	Improves detection and evaluation of root fractures and abnormalities.
16.	Provides upright working conditions, alleviating occupational neck, back and shoulder problems.
17.	Provides high-resolution video and 35mm photography for patient education, enhanced training, and insurance/legal documentation.

Periodontal procedures using a microscope

	Clinical Attachment Loss And Bleeding On Probing @ UR6
	It was decided to surgically investigate the palatal pocket on UR6 following the failure to control bleeding on probing subsequent to closed flap root surface debridement. A precise assessment of the pocket depth is made difficult due to obstruction by the crown. The pocket is determined to be in excess of 8mm.

Modified Widman Flap
Access to the defect is gained using a modified Widman Flap. An SM69 blade in microsurgical handle is used to create both the intrasulcular and internally bevelled incisions. Reflection of the periosteum is made with a periosteal elevator.

	Access To The Root Face
	Under the high magnification and illumination afforded by the microscope: Only now can the full extent of the defect be readily observed. To control bleeding and promote good healing, the surgical site should be denuded of granulation tissue with curettes and excavators.

Plaque and calculus aggregations on root face
Under greater magnification, plaque and calculus can be clearly seen on the root face. Root surface debridement [RSD] is carried out with hand and ultrasonic instruments. With the aid of a microscope this is both precise and thorough. Hypochlorous acid [Sterilox] is used to provide both coolant for the ultrasonic tips and help disinfect the operating site.

	Site Assessment
	Following removal of the plaque and calculus: The root surface is easily visible under high magnification. The iatrogenic damage from prior attempts to debride the root face with conventional closed flap RSD is readily apparent. It is probable that these root surface defects have been mistaken by previous operators as calculus deposits.

Six Months Post Operatively
A reassessment of the site shows a reduction in pocket depth to 3mm. There is an absence of bleeding on probing and an improved prognosis. Overall clinical attachment loss is reduced despite recession. The patient experienced some degree of cold thermal sensitivity. This was treated with desensitising agents.

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