Re: Loupes or no loupes?
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Re: Loupes or no loupes?
| letsconnect | 26 Jul 2005 14:23 |
> I meant denture procedures. Thanks for clarifying - I wasn't quite sure (you must forgive me - but after reading all about "loops" ;-) - see my first post - I thought it might have been a typo). Obviously, I should have known better (with the answer coming from a "Steve" :-)). And thanks for the explanation below!
> IMO while I suppose magnification could > possibly see minute voids in impressions, defects in partial frames etc. [quoted text clipped - 40 lines] > Brooklyn, NY > 718-258-5001 |
| Mark & Steven Bornfeld | 26 Jul 2005 14:09 |
>> This is definitely procedure-specific. A dentist with normal corrected >>vision hardly needs magnification for denture procedures. However, for [quoted text clipped - 6 lines] > procedures? and how are "operative" as opposed to non-operative > procedures defined in dentistry?). I meant denture procedures. IMO while I suppose magnification could possibly see minute voids in impressions, defects in partial frames etc. generally I don't see much utility. It is also useful to do try-ins and other procedures involving esthetics using wide unobstructed vision--seeing things as others would. OTOH, most operative (drilling, restoring), endodontic, and periodontal procedures benefit from magnification. I'm a relatively recent convert to using loupes. First I tried the Oroscoptic 2.5X, but found them very difficult to use mounted on a bifocal lens (in my civilian life I use progressive bifocals). They were also rather uncomfortable on my nose due to their weight. I now use Designs for Vision 2X, which are less uncomfortable. They are mounted on a monovision lens halfway between the upper and lower of my bifocal prescription. My brother who started with the Designs for Vision 2X has moved onto these ridiculous-looking 4.5X, which in order to have a usable depth of field are very, very long. It took him a while, but he has gotten used to them. Most endodontists around here are now using operating microscopes, which have adjustable magnifications usually in the 6-30X range. These have helped detect small canals which previously might have been missed. A few years ago there was a dentist whose name (IIRC) was Glen Van As, from Vancouver. He was advocating operating microscopes for all operative dental procedures. Personally I think this is overkill, but I'm sure there are times when it would be very nice to have.
Steve
> I actually found the extract from the book I mentioned above: > [quoted text clipped - 7 lines] > dental work done by a dentist who is not using high-tech, high-powered > lenses."
 Signature Mark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001
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| letsconnect | 26 Jul 2005 11:52 |
> This is definitely procedure-specific. A dentist with normal corrected > vision hardly needs magnification for denture procedures. However, for > most operative procedures they are a definite advantage. For some > procedures operating microscopes are becoming the standard of care. > > Steve Thanks for this :-) (did you mean "dental" rather than "denture" procedures? and how are "operative" as opposed to non-operative procedures defined in dentistry?).
I actually found the extract from the book I mentioned above:
"Here are a few guidelines to follow and questions to ask when you are looking for the right dental professional for you and/or your family:
Does the dentist wear special magnification lenses? This is essential for doing quality work because dental procedures are precise and the dentist is working in a small, dark area on a small object. Most up-to-date dentists will tell you that they would not want to get their dental work done by a dentist who is not using high-tech, high-powered lenses."
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| Steven Bornfeld | 26 Jul 2005 02:35 |
> In a book by Mac Lee, I read a while back that one of the defining > characteristics (for consumers) of a good dentist is the use of loupes. [quoted text clipped - 28 lines] > dentist? How necessary are loupes? And for what procedures? Any > comments would be appreciated - cheers :-) ! This is definitely procedure-specific. A dentist with normal corrected vision hardly needs magnification for denture procedures. However, for most operative procedures they are a definite advantage. For some procedures operating microscopes are becoming the standard of care.
Steve
 Signature Cut the nonsense to reply
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| letsconnect | 25 Jul 2005 23:40 |
In a book by Mac Lee, I read a while back that one of the defining characteristics (for consumers) of a good dentist is the use of loupes. I'd forgotten all about it, until I came across the following thread on www.dentistry.com today:
-------------------- Darius posted 07-25-2005 01:04 AM
Hello,
I need a few cavities filled. I have seen some doctors who use magnifiers/microscopes for all dental procedures. I am embarrassed to insist that my doctor should use them if he is going to fill my cavities--I would feel much better if he did. Is this reasonable?
Thanks ----------
Jeffrey L. Wissot, DDS posted 07-25-2005 07:21 PM
Interesting question. I practiced 30 years without using loops. Some dentists prefer them. I think it's really a matter of personal preference.
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What is your take on this topic? What percentage of dentists use loupes for all procedures? Is it one of the surefire characteristics of a good dentist? How necessary are loupes? And for what procedures? Any comments would be appreciated - cheers :-) !
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