For trailblazer Dr Robbie Hughes, Principal Director of leading Liverpool practice Dental Excellence, delivering outstanding patient care and promoting perfection within the private dental sector have always been key goals.
While he has a particular interest in cosmetic dentistry, the practice offers a range of treatments, which are delivered by a strong team of experienced dentists and specialists using the latest techniques, top quality materials, and state-of-the-art equipment. Most recently, Dental Excellence purchased the Carl Zeiss EXTARO® 300 microscope from Nuview, a one-of-a-kind microscope suitable for a wide range of applications.
As Restorative Dentist Dr Craig Dewdney explains, the EXTARO® 300 has become an essential tool with many benefits that help to promote excellence and improve clinical outcomes.
“Since the EXTARO® 300 was installed, I’ve seen a huge improvement in the quality and precision of my clinical work,” he says. “I’m also far more efficient at tooth preparations than I was before and my shade taking is noticeably more accurate.” Dr Dewdney uses the microscope for preparation refinement of veneers, crowns and onlays; cracked tooth exploration; quality assurance of intaglio of ceramics to be fitted; and for polychromatic shade matching.
“Before Dr Hughes purchased the microscope, I relied on my loupes and light to assist in my clinical work, and I have to say that the EXTARO® 300 outclasses my previous set-up in every way. From the enhanced magnification and illumination the onboard light provides to the microscope’s unique features such as the integrated HD camera, Fluorescence Mode and NoGlare Mode, using the EXTARO® 300 has been hugely beneficial.
“The ability to take live photographs and video footage has been particularly advantageous, as it means I can communicate far more effectively with patients and help them to see issues such as cracks, which has greatly facilitated the understanding of treatment. It also helps with documenting soft tissue lesions for ongoing longitudinal monitoring, and when communicating with our onsite lab technicians in terms of margins and shade tabs. The other feature that has been good for that is the NoGlare Mode, while the Fluorescence Mode has helped to identify fillings for patients to visualise.
“It has also helped to reduce eye strain and fatigue, improve my posture and communication with my dental nurse, and reduce the risk of human error. All in all, I am very pleased and I would have no hesitation in recommending the EXTARO® 300 and Nuview to other dentists.”
It’s not just Dr Dewdney and restorative patients that have benefited from the EXTARO® 300 though – Specialist Endodontist, Dr Obyda Essam, also has high praise for the state-of-the-art microscope. He says:
“I use the microscope for everything! During the consultation, I use it to check for cracks in the teeth and to inspect the margins of restorations, while also assessing for caries. When performing endodontic treatment, it’s helpful to locate the canals, and identify perforations or fractured instruments. I don’t believe you can do endodontic treatment at specialist level without having access to a microscope. This continues all the way to my restorative treatment when providing coronal restorations, checking the prep margins and the fit of the restorations with the equipment too.
“The brightness and the lens quality of the EXTARO® 300 are exceptional. I have used several microscopes throughout my career and this, to me, is the gold standard. The clarity of the lens and the brightness at higher magnification enables quicker and more efficient identification of the canals, leading to reduced chair time and stress for the patient. The depth of view is also excellent at higher magnifications, which allows enhanced visualisation of more apical perforations or separated instruments in the canals. I am able to use suitable magnifications according to the treatment I am performing, easily changing the settings for access, general endodontic treatment and canal location or strip perforation detection.
“Further still, being able to take videos and stills of the treatment process means better record keeping, better interaction with the referring dentist, better teaching aids and easier communication with patients.
“In addition, the Varioscope feature with easy thumb adjustment is essential and works very well for endodontic treatment, as I do not have to move the patient or the microscope to get into focus. This also means that my back is always straight and I have not had back problems since using the EXTARO® 300.
“I would, without hesitation, recommend the EXTARO® 300 from Nuview to other endodontists.”
As Dr Dewdney and Dr Essam make clear, the use of high quality equipment is key to enhancing treatment outcomes in a variety of clinical situations. To find out more about how the EXTARO® 300 microscope could improve your daily practice, contact the friendly team from Nuview today.
EXTARO 300 – A dentist’s choice
In recent years, dental microscopy has become hugely popular with clinicians looking to take dentistry to the next level. It is now a widely used technique across periodontics, restorative dentistry, and endodontics as well as general dentistry.
For optimal results, Dr John Moore, Practice Lead at John Moore Dental in Plymouth, uses the Carl Zeiss EXTARO® 300 dental microscope, which he purchased from leading UK distributor, Nuview. He first discovered the EXTARO® 300 at an exhibition having spent nearly three years researching microscopes. After that, it didn’t take him long to make his mind up.
“As soon as I saw the clarity of the optics and simplicity of the design I knew that the EXTARO® 300 was ideal for my practice,” he says. “I needed a microscope that would help me to deliver an ever greater standard of patient care and support me ergonomically throughout the working day – and that’s exactly what I have.”
The EXTARO® 300 offers a range of features to enhance performance and facilitate a good working posture, but for Dr Moore there’s one in particular that stands out. “The killer feature for me that puts the EXTARO® 300 head and shoulders above all the other microscopes that I have tried, is the amazing MORA Interface, as it means that I can tilt the microscope left and right without the eyepieces moving an inch. They remain completely horizontal!
“This apparently simple thing is not only quite a technical achievement and not available on other microscopes, but it means that I can make adjustments easily and quickly during treatments using just one hand. It also ensures that my eyes and head remain in a good position, and removes the temptation to tilt my head rather than move the microscope. This helps to minimise the risk of musculoskeletal pain. Together with the easy to use Mode Control and Varioskop 230, I am happy to say that my posture and comfort has significantly improved.”
Dr Moore also has high praise for the usability. “The beauty of the EXTARO® 300 is that it has an extremely wide depth of field, so you don’t have to be constantly adjusting during use. This makes it very easy to use and extremely time efficient. The simplicity and accuracy of the EXTARO® 300 also helps me to diagnose and treat patients more effectively and at a far earlier stage, helping to ensure optimal outcomes. After all, if you can’t see it, you can’t treat it!
“It is because of the combination of all these features that I now use the EXTARO® 300 for every dental exam, all root canal treatments, routine restorations and preparations.” Dr Moore also uses the “amazing HD camera linked to an iPad and screen” so that he can record still pictures of video at a click of a button.
“Using the power of digital interaction I am able to better explain patients’ diagnoses and treatment pathways, thereby increasing their understanding, general dental knowledge and boosting motivation. It is often said that a picture speaks a thousand words, and in dentistry where the dental jargon can be confusing for the patient, this couldn’t be truer.
“Uptake of treatments is also excellent because patients can see the problem, and they are impressed by the detail and the obvious investment in the technology. For all of these reasons and more, the EXTARO® 300 is an essential tool in my practice.”
To find out more about the EXTARO® 300 microscope, get in touch with Nuview today.
Introducing a new addition to the CONTINU range of infection control products.
Cleaning & Disinfecting your loupes
As one of the leading suppliers of loupes to UK dentists, Nuview are often asked what is the best way to clean, disinfect and maintain them in order to comply with the legislation and to retain the appearance and image quality Zeiss lenses are renowned for.
Not only may loupes gather dust and general debris throughout the day, but they’re also very much in the firing line as far as pathogens are concerned due to splatter and splashes during patient treatment. If these contaminants aren’t removed effectively, they represent a cross infection control risk that may undermine all the other good practices within your surgery.
Though surgery decontamination will always be the priority, why spend all that time making sure your instruments, surfaces and equipment are immaculate, and disposing of single-use products such as face masks and gloves, only to fall down at the last hurdle on your loupes?
Section 6.29 of HTM01-05 recognises that eyewear is reusable if cleaned in accordance with manufacturer’s instructions but accepts that this may still be difficult. It recommends that cleaning should take place when loupes become “visibly dirty and/or at the end of each session.” The problem has always been what to clean them with as, like any piece of equipment with high quality components, loupes must be handled with care in order to produce first class magnification for a sustained period of time. This is why Nuview has extended its popular and successful Continu range by launching cleaning and disinfectant wipes specifically intended for dental loupes.
For cleaning and maintenance, here’s what Nuview recommends:
- When not in use, store the loupes in their original case.
- Take care to never submerge your dental loupes in water or any other form of liquid, as loupes are not waterproof.
- Ultrasonic baths and autoclaves should be avoided at all cost.
- Steer clear of cotton gauze as it may scratch the surfaces of the lenses, compromising performance and providing a breeding ground for bacteria.
- Avoid applying a disinfectant in spray form directly onto the loupes as this could damage component parts, so stick to wipes
- When your loupes are visibly dirty or at the end of each session, clean and disinfect them using Continu 2 in1 alcohol free loupes wipes from the personal pack for double the benefit without any of the compromise. As Continu 2 in 1 Anti-Microbial Loupes Wipes are water based they are far less likely to cause damage and, as HTM 01-05 states, ‘If there is obvious blood contamination, the presence of protein will compromise the efficacy of alcohol based wipes.’
- The wipes are great for cleaning the lenses and frames but it is important that the solution is wiped away afterwards to maintain your loupes in excellent condition so simply use a micro-fibre cleaning cloth gently but effectively to remove any surplus liquid.
With the new Continu Cleaning & Disinfectant Wipes, supplied in a handy personal pack of 35 wipes per pouch, keeping your loupes clean, disinfected and in excellent condition is now a straightforward task ensuring that your magnification equipment meets patients expectations of cleanliness and maintains the same high standards as the rest of your surgery.
The Continu Cleaning & Disinfectant Wipes for Loupes can be purchased online Online Shop or over the phone with one of Nuview’s friendly advisers by calling 01453 872266.
Nuview Support's The Marah Trust
We would like to wish all our customers and suppliers a Merry Christmas and a Happy New Year. Thank you for all your support over the past year.
As in previous years, rather than sending Christmas cards and gifts to our customers, we will be making a donation to a local charity. This year we are donating to a Stroud based Charity, The Marah Trust, who offer Support to the homeless and vulnerable throughout the year. Our donation will be to fund a Christmas lunch for those who are excluded from every day positive experiences of life. We expect that over 100 people will catered for with fine Christmas fare.
Who Are Marah?
Marah is a charitable organisation committed to supporting vulnerable and marginalised adults in the Stroud District, helping them to move on from their addictions and circumstances. We work with people on the margins of society; those who are excluded from the everyday, positive experiences of life due to their circumstances, life history and others’ perception of them.
Marah’s purpose is to offer friendship, wholesome food, advice, respect and hope to the people who come to us for assistance. We reach out to those in need, providing fellowship and support in a non-judgemental, welcoming framework.
Their vision is to be a key provider of support to those in need in the Stroud District, helping them to improve their physical and mental health and wellbeing. We aim to achieve this by helping our clients to access existing statutory and charitable services. Where these services are unsuitable or unavailable, Marah will aim to provide this help direct.
We look forward to working with you in the New Year.
Nuview Supports The Dental Mavericks Dental Aid Charity
Since 2010, charity Dental Mavericks has been delivering much-needed oral healthcare to disadvantaged communities across Morocco, and more recently Lesvos in Greece, and Lebanon. The dedicated team of ‘Mavericks’ is supported by a number of volunteers, one of who is Michelle Reid.
Michelle is Clinical Manager and Senior Dental Nurse at Heath Dental in Birmingham, but in her spare time is an active volunteer for Dental Mavericks. In June of this year, Michelle travelled to Gr…eece as part of a team to provide dental care to hundreds of families, and has been involved in a number of other projects since joining the Dental Mavericks family. This, along with her expertise in dental nursing recently earned her a place as a trustee for Dental Mavericks, and there are already plans in motion to travel to either Morocco or Lebanon in 2018.
Of course, as a non-profit organisation, all projects rely on fundraising, donations and the generosity of sponsorship from companies and individuals from the profession. Events such as the Dental Mavericks Ball – which is being held on Friday 26 January 2018 at the Hilton Hotel in Manchester – and the upcoming Atlas Mountain cycling challenge, are a big help in raising funds. However, for volunteers like Michelle, personal sponsorship is essential.
Nuview is therefore delighted to be sponsoring Michelle for her 2018 trip with Dental Mavericks, and looks forward to following her on her journey. To mark the occasion, Nuview’s Managing Director, John Woods, visited Heath Dental to present Michelle with a cheque and wish her well for the task ahead.
To find out more about the work of Dental Mavericks and upcoming events and projects, visit www.dentalmavericks.org/. Together with our help, professionals like Michelle can make a real difference where it matters most.
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Non-Surgical Root Canal Re-Treatment of the Mandibular Left First Premolar – Dental Practice February Edition, Article Pages 17-19.