Tooth restoration

When replacing an old dental restoration, paying attention to small details becomes crucial for achieving optimal results¹. For example, even if one believes they have effectively removed all previous restorative material and caries, a thorough examination with the naked eye (Fig. 1) might not uncover everything². However, a more in-depth assessment using the OPMI reveals the need for further work. Furthermore, when employing the selective etch bonding technique, using self-etching adhesives like FL bond II from Shofu, it is vital to exclusively condition the enamel with phosphoric acid, avoiding the dentin³. This becomes notably challenging without proper magnification, particularly along the gingival wall (Fig. 2). Additionally, determining whether a proximal matrix has been correctly placed often requires high magnification^4,5, Sources: (Fig. 4, Fig.5). These examples highlight the significance of minor details in achieving exceptional dental work with the OPMI.

Achieving optimal results with modern restorative techniques requires precision beyond the naked eye's capabilities⁶ High magnification, particularly through the operative microscope, is essential for enhanced longevity, aesthetics, and functionality in everyday restorative practice. This is especially important during old restoration replacements⁷. Every removal of dental materials from the tooth diminishes dental structure, underscoring the need for precision to avert premature re-replacement². High magnification improves care quality, enabling amplification, versatile image resolution, optimal illumination, and the best ergonomic posture^8,9. Microscopes crucially enhance visibility for accurate diagnosis, material and caries removal, tooth preparation, matrix and composite placement, and finishing of restorative procedures, always preserving most of the sound tooth structure^8,9,10