Rubber dam isolation must be used unless the supervising instructor determines that it is not indicated. Gilbert gh, litaker ms, pihlstrom dj, amundson cw, gordan vv, dpbrn collaborative group. A case for rubber dam applicationsubcutaneous emphysema. He is a member of the american academy of operative dentistry as well as the. If treatment caused any bleeding call pt that night bleeding will stop initially because of platelet function, then they may bleed profusely. The rubber dam is a flat, thin sheet of latex or non latex that is held by a clamp retainer and a frame that is perforated to allow the teeth that will be worked on to protrude through the perforations in the sheet while all the other teeth are covered and protected by the rubber dam. Glossary of dental clinical and administrative terms.
The rubber dam is not something i was a huge fan of. Operative dentistry semester 2 3dd mcq 1 flashcards. Rubber dam isolation chapter 2 sturdevants art and. Since its introduction by barnum in 1864, the use of the rubber dam.
Rubberdamuseduringroutine operativedentistryprocedures. Definition rubber dam a small latex or nonlatex sheet used to isolate a tooth or teeth from the oral environment and to prevent migration of fluids or foreign objects into or out of the operative field providing a dry, visible and clean operative field. Evidence in the literature supports that when using a rubber dam higher quality restorations are produced, more efficient dentistry is accomplished and patients prefer the rubber dam. Findings from the dental pbrn article pdf available in operative dentistry 355. This is because of the numerous hazards and inconveniences for the patient and dentist, which have been rarely mentioned. Rubber dam provides the best possible isolation by far. The rubber dam is available in an assortment of colors and may even be scented or flavored. Though repeatedly proclaimed as an indispensable element of quality operative dentistry, the rubber dam is seldom used in private practice. Pdf rubber dam use during routine operative dentistry. Virtually all rubber dams are made of latex, although a latexfree rubber dam material is available hygienic corporation, akron, ohio for use in latexsensitive patients. Drawing from both theory and practice and supported by extensive clinical and laboratory research, sturdevants art and science of operative dentistry, 6th edition presents a clearly detailed, heavily illustrated stepbystep approach to conservative restorative and. Its use was described by barnum as early as 1865 in the british journal of dental science rubber dam is a thin, rectangular sheet, usually latex rubber, used in dentistry to isolate the operative site one or more teeth from the rest of the mouth. While operating on any other body part, surgeons use surgical drapes to isolate the area being treated and to prevent bacterial contamination. It is used to define the operating field by isolating one or more teeth from oral environment.
Rubber dam a small latex or nonlatex sheet used to isolate a tooth or teeth from the oral environment to prevent migration of fluids or foreign objects into or out of the operative field providing a dry, visible and clean operative field. The endorsement of rubber dam use in endodontic textbooks and by specialty organizations imply that its use during endodontic procedures is the standard of care. The rubber dam is used in dentistry to create salivafree working environment during operative procedures. Bavarian dental association and a member of the board of the dental. These are the ways that i have learnt i encourage you to research alternative methods. However, based on the knowledge of the authors of the current study, there are no reports based on use during actual clinical procedures other than in dental materials studies and none based on routine care. Why dentists dont use rubber dam during endodontics and. Barnum a new york city dentist introduced the rubber dam into dentistry.
Learn vocabulary, terms, and more with flashcards, games, and other study tools. The proportion of endodontists who used rubber dam 84. The opportunity to operate in a clean surgical field. Baum, phillips, lund 3rd edition rubber dam in clinical practice. Rubber dam isolation for restorative treatment in dental patients. Those with conditions inhibiting nosebreathing, considered mouthbreathers in medical terms, may have considerable discomfort if fitted with a dental dam. Marzouk, simonton, gross 1st edition text book of operative dentistry. Duggal quintessence international, 20310, volume 34, number. Sturdevants art and science of operative dentistry. A rubber dam is a thin sheet of material that is used to isolate the desired tooth or teeth to. Sometimes a rubber dam isnt appropriate to place at all. Rubber dam use during operative dentistry procedures has been quantified based on questionnaires completed by dentists. Damit, its easy handbook of basic dental dam procedures. The potential benefits of using a rubber dam have been detailed elsewhere.
Even more so than in restorative dentistry, the rubber dam is obligatory in endodontics,15 so. Having a sheet of rubber blocking your airway can take some getting used to, but for most people who can breathe through their noses, it isnt too uncomfortable. As with all guidelines, it is expected that there will be exceptions to the recommendations based upon individual clinical findings. A note on types of ceramic crowns used for anterior crown restorations. Dammed if you do, dammed if you dont registered dental. Rubber dam anterior 14 rubber dam posterior 17 bases and liners 19 matrices and wedges 23 core buildups 29 amalgam restorations 32. Start studying operative dentistry semester 2 3dd mcq 1. Rubber dam hazards september 1, 2011 by ellis neiburger, dds.
So the rubber dam is an awesome tool in dentistry that allows us to protect the back of the throat. A routine aspect of procedures involving the placement of dental restorations is whether or not a rubber dam is used. Please complete the following form to register required field. I remember learning that rubber dam is useful in paediatric dentistry for many reasons and so think its. One hazard that has not been stressed sufficiently in connection with the use of the rubber dam in operative dentistry is the danger of a patients ingesting or inhaling the rubber dam clamp when he is lying in a supine position.
Rubber dam use during routine operative dentistry procedures. It is the standard of care for endo and i dont do any rcts in my practice so have never used the rubber dam a whole lot. Natural rubber latex dental dam is a perishable product. Pickards guide to minimally invasive operative dentistry. Rubber dam isolation chapter 2 you are not signed in.
These recommendations originally were developed by the restorative dentistry subcommittee of the clinical affairs committee and adopted in 1991. Practical tips for the dental assistant to simplify the process for dry field isolation. Pdf rubber dam use during operative dentistry procedures has been quantified based on questionnaires completed by dentists. Endorsement of rubber dam use in endodontic textbooks and by specialty organizations implies that its use during endodontic procedures is the standard of care. Forgive the minor audio miscues and enjoy the learning experience. Rubber dam in dentistry why and how dentalnotebook. Unlike many of the techniques used in modern restorative dentistry, rubber dam is not a recent innovation. Operative dentistry the journal of the american dental association. Rubberdam isolation should be utilized when possible during the preparation and placement of restorative materials. An easy way of placing the rubber dam in a neat and quick manner. A lecture note on lasers used in operative dentistry. It is used mainly in endodontic, fixed prosthodontic crowns, bridges and general. University of sydney, 2 chalmers street, surry hills, n.
Retraction very important for working in the posterior areas and protection of the soft tissues gums, tongue, lips, and cheeks, which are shel. Donald forrester restorative techniques in pediatric dentistry. A dental dam or rubber dam sometimes termed kofferdamfrom german, designed in the united states in 1864 by sanford christie barnum, is a thin, 6inch 150 mm square sheet, usually latex or nitrile, used in dentistry to isolate the operative site one or more teeth from the rest of the mouth. Use rubber dam isolation for operative dentistry procedures. I always found it cumbersome to put on and patients dont like it.
If you are very lucky the dentist that you work with will use rubber dam for root canal treatments and some restorative work, so this article wont. Likewise, dentists use a dental dam for endodontic procedures, or procedures involving the nerves, arterioles, venules, lymphatic tissue, and fibrous tissue in your mouth to isolate. It is well documented that current bonding systems cannot produce clinically acceptable results when isolation is lacking. Rubber dam placement is the gold standard for achieving absolute field control.657 810 296 1280 732 604 82 60 1348 950 416 1479 624 104 166 180 192 576 310 285 898 1413 148 842 354 804 1235 1064 1428 648 1065 889 916 306 508 374