John Mamoun, DMD
Academy of Microscope-Enhanced Dentistry
Foundations and Expansions Web-based Continuing Education Convention
November 10-12, 2011
Role of Microscope-Level Magnification or High-Magnification Loupes (6-8x or greater)
Combined with Co-axial (Head-mounted) illumination to aid in performing tooth extractions in
dentistry.
Syllabus
Description:
In this course Dr. Mamoun explains how the use of Microscope-level magnification (6-8x or
greater) combined with head-mounted, co-axial illumination provides a tremendous
improvement in a dentist's ability to extract teeth compared to if the dentist used unaided vision
and non-coaxial operatory lighting. Magnification provides an improved ability to know where
to section teeth and remove intra-socket bone, and greatly improves a dentist's ability to
determine if elevators that are positioned around tooth particles are contributing to incremental
improvements in the luxation of tooth particles. Microscopic differences in how elevators are
placed around tooth particle perimeters affect the extent to which a certain way of placing an
elevator around a tooth particle is resulting in microscopic incremental improvements in tooth
particle luxation. A key concept is that the accumulation of MICROscopic incremental
improvements in tooth particle luxation results in MACROscopic movements of tooth particles.
And the key to sensing if microscopic incremental improvements in luxation are occurring is,
simply, for a dentist to be able to view the extraction site using microscope-level magnification
and head-mounted lighting. The unaided vision dentist cannot sense these microscopic
incremental improvements in the magnitude and direction of tooth particle luxation, resulting
less efficient use of elevators.
Course Outline:
I. Identifying Tooth Particles that need Extraction and Exposing Tooth Particle Perimeters
II. Luxation of Tooth Particle Perimeters
III. Sectioning of Teeth or Removal of Obstructive Alveolar Bone as needed
IV. Definitive Extraction of Tooth Particles Using Forceps-type Instruments
Course Objectives:
After completing this course, the clinician will be able to understand the role of Microscopes
in:
1. Facilitation of detection of tooth particles and in uncovering tooth particle perimeters.
2. Visual observation of an extraction site to detect incremental improvements in tooth particle
luxation when under luxation forces.
3. Facilitation of precise sectioning of tooth roots at furcations.
4. Distinguishing between tooth structure and alveolar bone.
5. Being able to look into extraction sockets, as well as crevices formed by surgical carbides
drilling into furcations, and clearly see tooth and bone structures, when microscopes are
supplemented with co-axial (head-mounted) illumination.