Application of medical magnifying loupes in diagnosis of oral mucosal diseases / 浙江大学学报·医学版

: To evaluate the application of medical magnifying loupes in diagnosis of oral mucosal diseases. Twenty-four patients with plaque-type oral lichen planus or homogeneous oral leukoplakia were inspected by naked eyes or assistance with magnifying loupes. Histopathological results were used as the gold standard to evaluate the sensitivity, specificity and accuracy of the two methods in clinical diagnosis. Questionnaires were used to evaluate the subjective effect of magnifying loupes on the diagnosis efficiency of oral mucosal diseases and to explore the most suitable parameters for application. The sensitivity, specificity and accuracy of medical magnifying loupes for the identification of plaque-type oral lichen planus and homogeneous oral leukoplakia were 94.74%, 100.00% and 95.83%, respectively, which were significantly higher than those of naked eye inspection (89.47%, 80.00% and 87.50%). The effective rate of magnifying loupes assisted diagnosis was 91.76% according to physicians' subjective evaluation. The most suitable parameters were 3.5 times magnification and working distance. The medical magnifying loupes can effectively improve the efficiency of the inspection and diagnosis of oral mucosal diseases, and have the characteristics of convenience and real-time. The recommended clinical parameters are 3.5 times magnification and working distance.

A Mountain Head Lamp Applied for Loupes-assisted Microsurgery

Loupes-assisted microsurgery often needs an operational head lamp for a better condition of light. This may cause serious neck fatigue due to the weight the operational head lamp, the limitation of the operator's head movement from the hind cable, and some cost for purchasing and management of it. On the contrary, a mountain head lamp is very light, full of freedom in movement, applicable to all types of loupes, and relatively very cheap. In conclusion, a mountain head lame can be a cost-effective light source for Loupes-assisted microsurgery.

MB2 canal detection using dental loupe and ultrasonic tip

Background: In Vietnam, using dental loupe and ultrasonic tip to detect MB2 canal in mesiobuccal roots of maxillary molars is appropriate and necessary. Objective: The purpose of this study is to assess the effectiveness of magnification and dentine removal when locating the second mesiobuccal canal (MB2) in mesiobuccal roots of maxillary molars. Subject and methods: 49 mesiobuccal roots of maxillary molars were collected and studied. Conventional access of the cavity was prepared. After that, the MB1 and 2 canals in mesiobuccal roots were located in three stages. Stage 1: canals were located with no magnification. Stage 2: additional canals in the same teeth were located under magnification with a dental loupe. Stage 3: additional canals in the same teeth were located by removing dentine from the pulp chamber floor within 3mm from the MB1 canal towards the palatal canal in a groove 2 mm deep using ultrasonic tip (P5, Salatec). Result: The frequency of MB2 canal detection for an ultrasonic tip, dental loupes, and no magnification groups was 77.6%, 59.2% and 24.5%, respectively. Conclusion: Based on these results, more emphasis should be placed on the importance of using magnification dental ultrasonic tip to locate the MB2 canal.