Following completion of a postgraduate MSc in Endodontics, the author was able to provide improved patient care using dental microscopy. Use of microscopy allowed for more precise root canal treatments, detection of anatomical variations, and management of difficult cases. The author also noted microscopy enhanced other areas of dentistry like prosthodontics, oral surgery, and periodontics. Completing a postgraduate degree improved the author's clinical skills, knowledge, and confidence, which benefited patients through higher quality treatment, fewer referrals, and creation of teaching materials. The author proposes researching the impact of microscopy on restoration quality to further advance evidence-based dentistry.

1. Marcin
Paradowski
The impact on patient care of completing a
postgraduate degree course.

2. Initially I would like to present how so far my
post graduate education has improved service
delivery for patients.

3. Following my MSc in Endodontics all of my
root canal treatments are carried out using
microscope magnification.
- great knowledge
- ability to treat
difficult cases
- improved quality of
clinical work
- no referrals and
traveling for patients
- teaching and
training young
dentists

4. Microscope in
Endodontics
• Localization of root
canals
• Improved cleaning
• Improved
obturation
• Higher survival
rate

5. difficult anatomy

6. labial access to lower
incisors
4 years review

7. pulp stones

8. advanced re-rct
post removal

9. Microscope enhanced
dentistry
• endodontics
• prosthodontics
• oral surgery
• periodontics

10. Examinations
- caries detection
- perfect reading
from perio probes
great records for
patients and great
help when
discussing
treatment plan

11. Investigation and
repair of cracked
teeth

12. Oral surgery
-atraumatic
extractions
- minimally
invasive
surgical
extraction
-apical surgery
All with
improved
healing for the
patient.

13. Microscope in Fixed, Removable
Prosthodontics and composites
• perfect crown
preparations
• excellent fit of fixed
prosthesis
• beautifully finished
composite
• The above allow the
patient to maintain
excellent periodontal
health.

14. Before and after

15. Perfectly finished
composite
restorations= long
lasting restorations.

16. These pictures are a sample of my work
and show evidence of improved quality of
care for my patients
I am a great supporter of evidence based
dentistry and I hope to increase my
knowledge during my studying but also to
be involved in the creation of future
evidence to move dentistry forward.

17. MSc In restorative
dentistry in rural area
• There are about 15% more elderly people living in rural areas.
(census2011)
• patients have to travel long distance for specialist treatment
• people are living longer
• older patients retain their own teeth for longer
• older patients are more educated and expecting more of restorative
work , prefer to keep their own teeth over dentures
• there is also quite a high rate of caries with older population,
• patients present with severe tooth abrasion.
• Also older patients are presenting with more complex medical
histories , this can infuence treatment options and more treatment
more complex and difficult. ref . for all above ( Int Dent J. 2007
Dec;57(6):423-8.)

18. Research
proposal
I would like to research how work with magnification
can improve the quality of restorations.
I think it best would be to check micro-leakage of
restorations done with and without magnification on
extracted teeth.

19. The impact on patient care of
completing a postgraduate
course.
• Increased knowledge and better patient
care
• improved confidence, attitudes and
skills
• minimized number of referrals
• Better understanding of research and
evidence based dentistry
• creation of new evidence
• opportunity to teach young dentists
and colleagues .

20. Therefore, I think that there is a
great need for highly educated
clinicians in restorative dentistry to
be able to treat patients with
greater care and a wider
knowledge of evidence based
dentistry. Clinicians that will be
able to train recently qualified
dentists , pass knowledge and
influence others. By doing this the
impact of the MSc course is
greater and goes a lot wider, going
beyond treating my own patients.