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Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2020, vol. 26, issue1
Subject Area: Dental Medicine
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DOI: 10.5272/jimab.2020261.2975
Published online: 13 March 2020
Original article
J of IMAB. 2020 Jan-Mar;26(1):2975-2980
USING A DENTAL OPERATING MICROSCOPE IN THE DIAGNOSTICS OF ASYMPTOMATIC PULPITIS IN PRIMARY TEETH
Maya Rashkova
, Natalia Gateva, Nadezhda Mitova 
, Zornitsa Lazarova, Hristina Tankova,
Department of Pediatric Dentistry, Faculty of dental medicine, Medical University - Sofia, Bulgaria.
ABSTRACT:
Introduction: The expanded indications for the using a dental operating microscope (DOM) in pediatric dentistry with minimal intervention include an application for the microscope in discovering specific, clinical criteria for the differential diagnosing of pulpitis, requiring different medical approaches.
Aim: To study the application of magnifying technology with a DOM in the diagnosis of asymptomaticosed pulpitis in primary molars
Material and methods: Subject of the study were 40 primary molars (19 first and 21-second molars) of children (20 girls and 20 boys) at the ages of 4-7, with cavitated carious lesions in the dentine. The visual clinical diagnosis was carried out by simple visual inspection and also with the use of magnifying technology DOM (Semorr DOM3000E) at a magnification factor of 8, 16 and 23.3 in accordance with a standardized methodology. An assessment of the carious dentine, with and without DOM, was made. The visual-tactile method of Bjorndal was used.
Results: The use of DOM in the course of diagnosis contributes to a more detailed and precise assessment of the size of the carious lesions, which is an important diagnostic criterion. The use of magnifying technology is an excellent tool for making a precise differential diagnosis between deep dentine caries and asymptomatic pulpitis. When using a DOM, there is a greater diversity of the colours and nuances of the carious dentine, with lighter shades being predominant, which is an indicator of predominantly faster development of the carious lesion.
Keywords: dental operating microscope, reversible pulpitis, minimally invasive dentistry,
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Please cite this article as: Rashkova M, Gateva N, Mitova N, Lazarova Z, Tankova H. Using a dental operating microscope in the diagnostics of asymptomatic pulpitis in primary teeth. J of IMAB. 2020 Jan-Mar;26(1):2975-2980. DOI: 10.5272/jimab.2020261.2975
Correspondence to: Nadezhda Georgieva Mitova, Department of Pediatric Dentistry, Faculty of dental medicine, Medical University – Sofia; 1, Georgi Sofiisky str., Sofia, Bulgaria; E-mail: nadia_bm@abv.bg
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Received: 28 October 2019
Published online: 13 March 2020