The role of augmented reality in the operating microscope: an investigation
DOI:
https://doi.org/10.62741/ahrj.v3iSuppl.%202.202Keywords:
Microscope, Endodontic, augmented realityAbstract
Introduction: Augmented Reality (AR) is increasingly transforming medical and dental practice by enhancing visualization and procedural accuracy. In endodontics, the integration of AR into operating microscopes offers new opportunities to support clinicians, particularly those with limited experience. This study explores how AR-guided systems may improve performance, reduce errors, and facilitate learning in complex dental procedures.
Objectives: This study aims to evaluate whether augmented reality integrated into an operating microscope can enable inexperienced individuals to perform endodontic access cavities with a level of quality comparable to that achieved by a trained dental student.
Methodology: Fifty participants without clinical experience performed access cavities on artificial molars using an AR-supported operating microscope. A fifth-year dental student provided real-time guidance and instructional video support. The student also performed procedures for comparison. Outcomes were evaluated blindly by an expert based on cavity continuity, size, positioning, and canal visualization, followed by statistical analysis using non-parametric tests.
Results: Inexperienced participants achieved performance levels comparable to the experienced student. Statistical analysis revealed no significant differences between groups. Most participants obtained high scores, and canal visualization was consistently achieved. AR guidance significantly improved procedural understanding and execution, demonstrating its effectiveness in enhancing technical skills despite lack of prior experience.
Conclusion: AR integrated into operating microscopes represents a promising approach to enhance dental training, reduce the experience gap, and improve procedural quality, supporting its adoption in education and clinical practice.References
Al Ali, H., Nassief, S., Towers, A., Field, J., & Martin, N. (2024). The value of
stereoscopic three‐dimensional vision on dental students’ performance in a virtual
reality simulator. Journal of Dental Education, 88(11), 1563–1571.
https://doi.org/10.1002/jdd.13630
Bernard, A. C., Rabadan, C., & Simon, M.-A. (2003). L’Opération Lindbergh. Annales
Des Télécommunications, 58(5–6), 698–718. https://doi.org/10.1007/BF03001526
Bud, M., Jitaru, S., Lucaciu, O., Korkut, B., Dumitrascu-Timis, L., Ionescu, C.,
Cimpean, S., & Delean, A. (2021). The advantages of the dental operative
microscope in restorative dentistry. Medicine and Pharmacy Reports.
https://doi.org/10.15386/mpr-1662
Calkovsky, B., Slobodnikova, L., Kalmanova, S., & Janickova, M. (2025). The Benefits
of a Dental Operating Microscope for Tooth Extractions: A Case Report. Dentistry
Journal, 13(6), 243. https://doi.org/10.3390/dj13060243
Chopra, H., Munjal, K., Arora, S., Bibi, S., & Biswas, P. (2024). Role of augmented
reality in surgery: Editorial. International Journal of Surgery.
https://doi.org/10.1097/JS9.0000000000001219
Dal Pont, G. (2022). Augmented reality applied to the surgical microscope. New
approach to assisted maxillo-facial surgery.
Devadharshini, C., Burnice Nalina, K., Jaideep, M., Nikita, R., & Vijayalakshmi, R.
(2024). Navigating the landscape of periodontal and peri-implant microsurgery: A
contemporary review. Open Journal of Pain Medicine, 8(1), 001–005.
https://doi.org/10.17352/ojpm.000037
Dinh, A., Yin, A. L., Estrin, D., Greenwald, P., & Fortenko, A. (2023). Augmented
Reality in Real-time Telemedicine and Telementoring: Scoping Review. JMIR
MHealth and UHealth, 11, e45464. https://doi.org/10.2196/45464
Dzyuba, N., Jandu, J., Yates, J., & Kushnerev, E. (2022). Virtual and augmented reality
in dental education: The good, the bad and the better. European Journal of Dental
Education. https://doi.org/10.1111/eje.12871
Egger, J., Gsaxner, C., Luijten, G., Chen, J., Chen, X., Bian, J., Kleesiek, J., & Puladi,
B. (2024). Is the Apple Vision Pro the Ultimate Display? A First Perspective and
Survey on Entering the Wonderland of Precision Medicine. JMIR Serious Games,
, e52785. https://doi.org/10.2196/52785
Fornara, R., Pisano, M., Salvati, G., Malvicini, G., Iandolo, A., & Gaeta, C. (2024).
Management of Calcified Canals with a New Type of Endodontic Static Guide: A
Case Report. Dentistry Journal, 12(6), 166. https://doi.org/10.3390/dj12060166
Ganesan, S., Basheer, S. N., Kumar, O. N., Chohan, H., Murugesan, S., & Subramani,
S. K. (2024). Enhancing Precision in Endodontic Procedures: An In vitro
Investigation of Magnification and Enhanced Visualization. Journal of Pharmacy
and Bioallied Sciences, 16(Suppl 3), S2697–S2699.
https://doi.org/10.4103/jpbs.jpbs_405_24
Heemeyer, F., Boehler, Q., Kim, M., Bendok, B. R., Turcotte, E. L., Batjer, H. H.,
Madder, R. D., Pereira, V. M., & Nelson, B. J. (2025). Telesurgery and the
importance of context. Science Robotics, 10(99).
https://doi.org/10.1126/scirobotics.adq0192
Jankowska, A., Frąckiewicz, W., Kus-Bartoszek, A., Wdowiak-Szymanik, A., &
Jarząbek, A. (2025). Effectiveness of Treatment of Periapical Lesions in Mature
and Immature Permanent Teeth Depending on the Treatment Method Used: A
The role of Augmented Reality in the operating microscope in Endodontics: an investigation
Critical Narrative Review Guided by Systematic Principles. Journal of Clinical
Medicine, 14(14), 5083. https://doi.org/10.3390/jcm14145083
Lauer, A. K., & Lauer, D. A. (2018). The good doctor: more than medical knowledge &
surgical skill. Annals of Eye Science, 2, 36–36.
https://doi.org/10.21037/aes.2017.05.04
Liu, B., Zhou, X., Yue, L., Hou, B., Yu, Q., Fan, B., Wei, X., Qiu, L., Huang, Z., Xia,
W., Sun, Z., Wang, H., Meng, L., Peng, B., Zhang, C., Deng, S., Lu, Z., Yang, D.,
Hou, T., … Liang, J. (2023a). Experts consensus on the procedure of dental
operative microscope in endodontics and operative dentistry. International Journal
of Oral Science, 15(1), 43. https://doi.org/10.1038/s41368-023-00247-y
Liu, B., Zhou, X., Yue, L., Hou, B., Yu, Q., Fan, B., Wei, X., Qiu, L., Huang, Z., Xia,
W., Sun, Z., Wang, H., Meng, L., Peng, B., Zhang, C., Deng, S., Lu, Z., Yang, D.,
Hou, T., … Liang, J. (2023b). Experts consensus on the procedure of dental
operative microscope in endodontics and operative dentistry. International Journal
of Oral Science, 15(1), 43. https://doi.org/10.1038/s41368-023-00247-y
Liu, H., Hieawy, A., & Shen, Y. (2024). Endodontic Treatment of Two Calcified
Mandibular Central Incisors: A Case Report. Cureus.
https://doi.org/10.7759/cureus.53066
Ma, L., & Fei, B. (2021a). Comprehensive review of surgical microscopes: technology
development and medical applications. Journal of Biomedical Optics, 26(01).
https://doi.org/10.1117/1.JBO.26.1.010901
Ma, L., & Fei, B. (2021b). Comprehensive review of surgical microscopes: technology
development and medical applications. Journal of Biomedical Optics, 26(01).
https://doi.org/10.1117/1.JBO.26.1.010901
Mai, H.-N., Dam, V. V., & Lee, D.-H. (2023). Accuracy of Augmented Reality–
Assisted Navigation in Dental Implant Surgery: Systematic Review and Meta-
analysis. Journal of Medical Internet Research, 25, e42040.
Mohan, A., Wara, U. U., Arshad Shaikh, M. T., Rahman, R. M., & Zaidi, Z. A. (2021).
Telesurgery and Robotics: An Improved and Efficient Era. Cureus.
https://doi.org/10.7759/cureus.14124
Pantalone, D. (2023). Surgery in the Next Space Missions. Life, 13(7), 1477.
https://doi.org/10.3390/life13071477
Rasmus Å. Lindell, T. M. W. (2025). The Impact of Screen Contrast on Cognitive Load
and Mental Effort - A Health Psychology Perspective.
Saygili, G., Uysal, B., Omar, B., Ertas, E. T., & Ertas, H. (2018). Evaluation of
relationship between endodontic access cavity types and secondary mesiobuccal
canal detection. BMC Oral Health, 18(1), 121. https://doi.org/10.1186/s12903-018-
-y
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Athena Health & Research Journal

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright of published papers is assigned to the Journal, but all content is licensed under the terms of Creative Commons Non-comercial 4.0 International License. Thus users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.








