EVALUATION OF THE IMPACT OF THREE-DIMENSIONAL DIGITAL OPERATING MICROSCOPE ON PROCEDURAL PERFORMANCE IN ENDODONTIC PRACTICE

Thị Bích Vân Trần

Main Article Content

Abstract

Objective: To evaluate the impact of a 3D-DOM on accuracy and working time in simulated endodontic procedures, and to compare postgraduate dentists and dental students regarding perceived visual clarity, spatial orientation, and ergonomic comfort. Materials and Methods: Cross-sectional study on doctors and students performing a needle insertion task on targets placed on a dental phantom. Each participant performed the task under two conditions: naked eye and with a 3D microscope. Outcomes were assessed based on accuracy (Bowers scale), operation time, and subjective feedback on visual ability, spatial orientation, and working posture. Results: Operative accuracy significantly improved when using the 3D microscope compared to the naked eye among both dentists and students (p < 0.001). However, the procedure time was also significantly prolonged in both groups. No statistically significant performance difference was observed between dentists and students. The majority of users rated the 3D microscope as superior in terms of visual ability, spatial orientation, and postural support. Conclusion: The 3D microscope provides superior operative accuracy and visual experience, albeit at the cost of increased procedure time. Integrating this device into training and clinical practice holds the potential to enhance treatment quality and ergonomics for practitioners.

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References

1. Tomer AK, Guin A, Sabharwal G, Saini N. Dental Operating Microscope in Endodontics: Enlarged Vision & Success. International Journal of Dental and Clinical Study. 2022;3(2):29-39.
2. Argueta J, Gonzales D. 3D Dental Microscopy - The Next Level in Ergonomics and Biosafety. Dental Tribune International. 2022.
3. Argueta J. Endodontics fine motor skills with the use of conventional and 3D microscopy – a comparative study. Dental Tribune International. 2022;2:6-9.
4. Srinivasan S, Tripathi AB, Suryakumar R. Evolution of operating microscopes and development of 3D visualization systems for intraocular surgery. Journal of Cataract & Refractive Surgery. 2023;49(9):988-95. doi: 10.1097/j.jcrs.0000000000001216
5. Nguyễn Thu Trà, Huỳnh Thị Thùy Trang, Lâm Quốc Việt, Bùi Huỳnh Anh, Trần Thị Bích Vân. Ảnh hưởng của việc sử dụng kính hiển vi đến độ chính xác và thời gian thao tác trong thực hành nội nha. Tạp Chí Y học Việt Nam. 2025; 555(1). https://doi.org/10.51298/vmj. v555i1.15960
6. Bowers DJ, Glickman GN, Solomon ES, et al. Magnification's effect on endodontic fine motor skills. Journal of Endodontics. 2010;36(7):1135-1138.
7. Tran MHN, Bui AH, Pham VK, et al. Utilization of magnification devices in Vietnam’s dental practice and education: an online survey. BMC Oral Health. 2025;25(1):929.
8. Katayama T, Uraba S, Suzuki N, et al. Assessment of dental operating microscope with three-dimensional imaging for endodontic procedures. The Showa University Journal of Medical Sciences, 2024;36(2):69-76.