April 20, 2009
Mora Vison 3-D System given test-run at LLUSD
Using a digital stereoscopic microscope with two large flat-screen LCD monitors and special glasses, dentists and their dental assistants can view images in 3-D at various levels of magnification. A convenient foot control allows the dentist to adjust the magnification viewing level from 1X to 30X.
The system is designed to allow dentists to function more ergonomically by sitting upright and viewing their patient straight ahead on a large monitor. Rather than viewing the patient’s mouth directly, dentists and dental assistants rely on images from their respective flat-screen monitors. With MoraVision providers have no need to lean over their patients or look downward for extended periods of time. Such an ergonomic arrangement is novel, as is the idea of operating on a patient using the 3-D video images rather than direct visualization.
Dr. Mora initially set up a complete system in one of the clinic operatories of the Advanced Education Program in Prosthodontics. He then familiarized a number of LLLUSD faculty with his system, providing instruction to School of Dentistry dean Charles Goodacre, DDS, MSD; Douglass Roberts, DDS; Patrick Naylor, DDS; Mathew Kattadiyil, DDS; Jaime Lozada DDS; Jeff Henkin, DDS; and Joe Caruso, DDS.
The equipment was then moved to an operating room in the Implant Dentistry Graduate Clinic. Under Dr. Mora’s tutelage, Dr. Lozada familiarized himself with the operation of the system, underwent very brief training with Dr. Mora, and then used the system for a number of implant surgeries.
After using the MoraVision 3-D System Dr. Lozada remarked "The MoraVision 3-D system has allowed me to see in a surgical site the details that I have never had the opportunity to recognize in the past. As an example, I extracted an endodontically compromised tooth in position #8 using conventional non-traumatic techniques and without raising flaps.”
Dr. Lozada added, “The original plan was to immediately insert an implant. Upon evaluation of the extraction site a small fenestration in the bone was noted that otherwise would have been extremely difficult to detect without the aid of the level of magnification provided by this system.”
Dr. Lozada took advantage of the magnification capabilities and large viewing monitors to provide step-by-step analysis of the surgical cases for the benefit of his graduate students, fellows, and interns. The large flat-screen monitors and 30X magnification allowed Dr. Lozada to present images not readily available to observers during a typical implant surgery. After completing one of his surgical cases, Dr. Lozada remarked, “Raising the flap and exposing the alveolus allowed me then to demonstrate to all of our students in 3-D the challenges of maintaining thin buccal plates intact and the deficiencies in the thorough cleaning of an alveolus.” Dr. Lozada added, ”The experience of visualizing in 3-D a recent extraction site in preparation for implant placement was truly a good learning experience for me and our students."
The School of Dentistry appreciates the unique opportunity Dr. Mora has made available to our graduate students and residents to see firsthand the value of 3-D imaging at various levels of magnification.