Use of magnification devices like a
magnifying loupe has increased the proficiency and
standard of dental care provided to a patient. There is
not enough literature on use of magnifying loupes in
pediatric dentistry despite of the number of advantages
of using it. Its use in pedodontic treatment is often
considered to evoke anxiety and non- corporation among
the children which often limits its use in this field , which
is not convincing . Thus this study aims to put forward
the proper utilization of the benefits of magnification in
endodontic procedures in children, with the help of
suitable behavior management techniques.
AIM :. To clinically evaluate and compare the treatment
time and the quality of obturation for pulpectomy in
primary molars with or without a magnifying loupe.
MATERIALS AND METHODS : Children who require
endodontic treatment in mandibular primary molars,
with Frankel’s Behavioral Rating Scale of Positive
[Rating 3] or Definitely Positive [Rating 4] were selected
for the study after obtaining informed consent from their
parents. 20 participants from the age group of 4-10
years were selected based on the selection criteria and
were divided into 2 groups randomly; Group 1 :
Pulpectomy with loupes and Group 2 : Pulpectomy
without loupes. The pulpectomy procedure was
performed in both the groups by a single operator. In
Group 1 there was no magnifying devices used whereas
in Group 2 the procedure was done using a Galilean
magnifying loupe of 2.5 x . Pulpectomy was done using
manual instrumentation techniques in two visits. In the
second visit obturation was done with Metapex as
obturating material. The total treatment time taken for
the instrumentation of the canals was be recorded using
a stop watch by an assistant. A post obturation
radiograph was then taken to determine the quality of
obturation.
RESULTS: The data was analysed and inferential
statistics like Chi square test and independent t test were
used to compute the significant difference between the
groups. A total of 20 children who met the inclusion
criteria (11 girls and 9 boys ) were included in the study.
The mean age was 7.10 + 1.8 years. The mean treatment
time using a magnifying loupe was lesser compared to
that done without loupes and was statistically significant.
Whereas , the quality of obturation was better when the
procedure was done with the loupes, but not statistically
significant ( P value - 0.30 )
CONCLUSION : Taking into consideration the
advantages of using loupes in endodontic treatment,
pediatric dentists are recommended to utilize its benefits
in daily clinical practice so as to render an effective and
satisfactory treatment in shorter span of time, thereby
gaining the confidence and cooperation of both the child
and the parents.
Keywords : Component; Formatting; Style; Styling; Insert