Loupe guide · Oral surgery

Finding retained root fragments with REVEAL®

Treat what others overlook.

Identifying a small root fragment in an extraction socket can be challenging. REVEAL® complements the familiar white-light view with fluorescence information. How does it work – and what is a clinician’s experience with this additional view?

REVEAL loupes from Designs for Vision with a black Ziena frame, 2.5× magnification and headlight
REVEAL loupes from Designs for Vision.
Example configuration: Ziena · 2.5× · REVEAL headlight.

When white light alone offers little contrast

After an extraction, attention turns to the socket: which structures are directly visible, and can a retained tooth or root fragment be identified? Magnification helps you see small details. Another optical view can add to your assessment.

This is where REVEAL® comes in. Excitation light and matched viewing filters allow you to visualize fluorescence signals. You see these signals directly in the treatment area while both hands remain free for treatment.[1]

Why tooth and root tissue are of interest

Tooth root tissue has natural autofluorescence. The fluorescence of tooth and bone tissue can differ in intensity. This provides another view of the treatment area, where structures stand out differently than they do under white light.[2]

You assess these additional contrasts together with the shape and position of the visible structures. REVEAL® thus expands your view of the directly visible working area.

A look into clinical practice

Tooth fragments and the extraction socket under REVEAL®

The following original images show two views of the same case after an extraction: the extracted tooth fragments and the socket. The bright tooth surfaces illustrate the additional fluorescence view.

Extracted tooth fragmentsTwo extracted tooth fragments under REVEAL illumination on a blue drape. The dental hard tissue appears light green to turquoise; individual areas appear red-orange. An instrument touches one tooth fragment.
Sockets after extractionIntraoral REVEAL image after an extraction: two visible sockets with adjacent teeth and soft tissue. The illuminated tooth surfaces appear turquoise; a small bright area is visible in one socket region.
Extracted tooth fragments and extraction sockets from the same case under REVEAL. Photographs: Dr. Inga Boehnke · @docbremen.

Searching for retained root fragments in a mirror view of the socket

A further clinical image shows a retained root fragment in a mirror view of the socket under REVEAL®. The additional fluorescence view is assessed together with shape, position and clinical findings.

Intraoral REVEAL image with a dental mirror over the extraction site. The mirror shows a tooth that appears turquoise and the socket with a small retained root fragment that appears bright.
Searching for retained root fragments in a mirror view of the socket under REVEAL®. Photograph: Dr. Dr. Markus Tröltzsch.

17 seconds from clinical practice

Finding retained root fragments: Dr. Albrecht's experience

Dr. Florian Albrecht works with REVEAL® loupes from Designs for Vision with 3.0× magnification. In the video, he describes his personal experience of searching for retained root fragments.

He was skeptical at first. He now describes finding the small root fragment “relatively quickly” when he is able to dry the socket.

In further feedback, he sums up his experience as follows: “The endless searching is now a thing of the past.”

Dr. Florian Albrecht on REVEAL® for retained root fragments. His loupe magnification: 3.0×.

Why loupe optics from Designs for Vision matter

When searching an extraction socket, seeing fine detail and maintaining your working position go hand in hand. REVEAL® loupes combine magnification with matched fluorescence optics. Three points are particularly relevant to your choice:

  1. View the detail under magnification

    The loupe optics magnify details in the directly visible working area. Magnification and field of view are selected with you to suit your surgical tasks. Albrecht's 3.0× configuration is one specific clinician's example.

  2. Match the focus to your working position

    When custom-building your loupes, Designs for Vision takes into account working distance, declination angle and, where applicable, your prescription correction. This aligns the optics with the position in which you view the working area.[3]

  3. Use magnification and fluorescence together

    The excitation light and viewing filters work together. You see the additional information directly through the optics you are wearing. Both hands remain free for instruments and treatment.[1]

Your procedures. Your loupes.

What view do you need for your surgical tasks?

At Visiomedical, we discuss magnification, field of view and working distance with you, along with the additional view REVEAL® can provide. Tell us about your typical procedures and your previous experience with loupes.

Request a personal REVEAL consultation

info@visiomedical.de

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