By offering such a large depth of field, a surgical scope becomes exponentially more useful to the dental professional. It leads to more diagnostic images, faster procedures, and more compelling imagery.
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How the Mielscope enables precision visibility for implant procedures.
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Dr. Yamashita shares how he used the Mielscope to save a tooth for one of his patients.
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Look over the shoulder of a dentist during a full arch crown procedure to see how the Mielscope helped him be more productive.
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Dr. Jang Chou has a background in prosthodontics, and has a successful practice in San Antonio. He has extensive experience with traditional microscopes, and was finding that he was only really able to use them in very specific situations – which was limiting his return on investment. He liked to have the high magnification. However, he often found that during the procedure, he wanted to see different angles or different magnification levels, or even to just see a “birds-eye” view using his loupes. The traditional microscope really didn’t allow him to do this, and it wasn’t practical to stop what he was doing in mid-procedure, move it to the side, and put on loupes.
He also knew that image and video are so valuable for record keeping and patient communication. However, all the different options (intraoral cameras, loupe-cams, dental light cameras) were either disruptive to use, lacked stability or had limited resolution to capture great imagery.
As he researched options, he started investigating the Mielscope. However, he had many questions. Would it fit in his operatory? Where would the screen be located, and where would his assistant stand so that both had visibility? Would it be difficult to work from a screen? Would the images and video really be as good as he hoped?
Fast forward a few months, and Dr. Chou says “The Mielscope has been working great! I think I’ve figured out some of the optimal positioning to make it work, and I’ve been doing a lot of cases with it. It takes fantastic videos to document cases, and I love how few ‘clicks’ it takes to get to video-taking mode.”
“It is also very unobtrusive” he continued, “so we don’t have any objections from patients when documenting cases. Furthermore, “what is nice is that I don’t have to take loupes off every time I need to look at a different view or to zoom in. Once positioning of the head and the monitor has been figured out, it works fantastically!”
Finally, he mentioned that “I’ve also been having great success with my endo cases. It’s been excellent for finding the MB2.”
We had a chance to sit down with Dr. Chou to chat with him about his journey with the Mielscope. Here are some clips of the discussion.
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| How do you feel since your implemented the Mielscope? | ||
| Why do the depth of field and arm design matter? | ||
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| Do you use loupes with the Mielscope? |
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A research paper on dental imagery discusses the importance of color when it comes to using digital imaging to maximize diagnostic value.
“Concerning soft tissues, a correct color rendition is an excellent method for distinguishing between healthy and diseased tissues and for recording pathological changes such as white patches, inflammation, ulceration, burns, lacerations, carcinoma, etc.” (1)
“Similarly, a correct color rendition of hard tissues reveals enamel translucency, decay, erosion and abrasion, as well as cervical dentine exposure and sclerosis.”
In representing color, it’s sometimes overlooked that 4K resolution not only has 4 times the resolution of HD imagery, as importantly for dental care, 4K also has much richer color representation than HD. This depth of color representation can make an enormous difference when the dental professional needs to differentiate subtle shading differences in tissue, see mild inflammation, or locate decay.
It’s also worth noting that to fully take advantage of the clinical information that 4K video offers, both the image source and the monitor must both be 4K capable.
A critical component of the Mielscope’s power is that it offers 4K imaging across the wide array of magnification levels, positions and angles. This value comes not only from the spatial resolution of 8.3 million pixels, but also a dramatically deeper color pallette.
(1) Casaglia A, DE Dominicis P, Arcuri L, Gargari M, Ottria L. Dental photography today. Part 1: basic concepts. Oral Implantol (Rome). 2016 Jul 23;8(4):122-129. doi: 10.11138/orl/2015.8.4.122. PMID: 28042424; PMCID: PMC5159893.
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Every single day, the Mielscope helps dental professionals improve:
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With traditional dental microscopes, sometimes Doctors find that only a part of the field of view is in focus. Furthermore, they may also find that very small movements by the patient may cause everything to drop out of focus, requiring readjustment of the lenses.
Dr. David Cochran, Dr. Angela Palaiologou-Gallis and Dr. Motofumi Yamashita
University of Texas School of Dentistry to Implement Next Generation Dental Microscope
The Department of Periodontics at UT Health San Antonio School of Dentistry has implemented the next generation Mielscope dental microscope as part of its continuing drive to train the next generation of dental professionals on the latest in cutting edge tools.
The Mielscope Microscope, implemented by Imageworks based on technology developed by Yoshida, enables the doctor to get the magnification, clarity and ergonomics of a traditional dental microscope without the steep learning curve and limited application of a traditional microscope.
During the event, Dr. David Cochran, the chairman of the Department of Periodontics shared his view of how the Mielscope will help empower new dentists to care for their patients.
Dr. Motofumi Yamashita, who has been using the Mielscope in his practice, then presented a series of powerful cases showing how the Mielscope helps his practice run more quickly and precisely. He presented stunning videos of a myriad examples including a crack identification, tooth preparation, endodontics, periodontal surgery, PDL visibility, bone grafts, papilla preservation, ridge preservation, sinus lifts and much more.
He showed that many traditional microscopes have a shallow depth of focus, which can result in only a small portion of the field of view being in focus. Conversely, the Mielscope’s large depth of focus means the anatomy across the entire screen presents in sharp focus.
Dr. Yamashita then discussed the eye fatigue that can arise from extended periods of looking through binocular eyepieces or loupes, and explained how the Mielscope’s screen allows the operator to avoid this fatigue. He further emphasized that avoiding this fatigue means the doctor can better focus on the patient. Eliminating the eyepieces also means there is almost no learning curve as the Mielscope is intuitive and simple to use.
He explained how the high-precision articulating arm of the Mielscope allows the doctor to visualize anatomy that would be very difficult to see with a traditional microscope. In addition, he showed how the high magnification and 4K imagery across large fields of view assists him with laser procedures and implant procedures.
He also showed how the fantastic imagery can be used to assist in patient communication and can make assisted procedures run faster and more efficiently because the entire team can see exactly what the doctors sees.
Finally, Dr. Yamashita showed how the Mielscope has even enhanced the profitability of his hygiene program, as it allows the hygienist to perform more effectively and more quickly. In addition, the fantastic imagery allows high resolution “before” and “after” images which presents compelling evidence to the patient that they should keep their cleaning appointments.
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