This document discusses methods for isolating the operating field in dental procedures. It begins with a brief history of rubber dam isolation, introduced in 1864. It then categorizes isolation methods as direct, including rubber dam, cotton rolls and gingival retraction cord, or indirect like local anesthesia. Various rubber dam application steps and armamentarium are outlined. Alternative isolation techniques like cotton rolls, throat shields and suction devices are also examined. The document concludes with recent advances in isolation products.
Success of any dental procedure is determined by a good isolation. Here is a seminar on how to isolate the oral cavity from fluids and maintain a good dry field while working on a patient
Success of any dental procedure is determined by a good isolation. Here is a seminar on how to isolate the oral cavity from fluids and maintain a good dry field while working on a patient
This seminar includes various isolation methods which are direct and indirect with eloboration about rubber dam usage and application along with the advantages along with soft tissue isolation methods
This seminar includes various isolation methods which are direct and indirect with eloboration about rubber dam usage and application along with the advantages along with soft tissue isolation methods
In dentistry, separation of a tooth or group of teeth from oral tissues and saliva by use of a dental dam, cotton rolls, or other means to improve access, visibility, and control moisture contamination while restorative or operative dental procedures are performed.
Isolation of operating field/ orthodontic course by indian dental academyIndian dental academy
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For those who want to seek simple and thorough understanding about the placement and application of the rubber dam and other isolation materials.
TARGET AUDIENCE : DENTAL STUDENTS.
REFRENCES : sturdevant and grossman
Restorative procedures require adequate isolation of the operating field for best results.
A clean and dry field is comfortable both for the patient and the operator.
It provides better access and visibility, improving the efficiency of the operator.
The properties of many dental materials are improved in the absence of moisture.
Isolation collects the materials from operating site and also prevents their aspiration.
Isolation also often permits the dentist to carry out extended operations if desired.
Goals of isolation:
Moisture control
Retraction and access
Harm prevention . Safe and aseptic operating field
Prevent accidental swallowing of restorative materials and instruments
Smoking is a major public health problem. Cigarette smoking acts as a nicotine delivery in humans, has found to produce profound changes in physiological architecture. Smoking’s as well as chronic pain are one of the major challenging health concerns faced in day to day life. During smoking nicotine is quickly absorbed into the blood stream within a time gap of 30 seconds it reaches the brain. It stimulates the brain to release various chemicals namely epinephrine which will give a pleasurable euphoric effect. It is a proven fact that smoking of tobacco will cause the production of Rheumatoid factors or anti-cyclic citrullinated peptide autoantibodies which is a risk factor for the development of Rheumatoid arthritis. There is a positive relation between smoking and depression and it has been seen smokers use more number of cigarettes when depressed and smoking also caused the individual who is depressed more prone to pain than a normal smoker. Quitting of smoking is quite difficult because of unpleasant withdrawal syndrome that consists of frustration, depression, anxiety, reduced heart rate, increased weight, depressed mood, difficulty in concentration. Because of all these withdrawal symptoms individuals who try to quit start up again very soon. Smoking is a health hazard, this is a well-known fact and the noxious effects are multiple so in management of pain in theseindividual’s, necessary steps has to be put forward in order to quit the habit. Cognitive behavioural therapy or antidepressant therapy in the management of pain of depressed patients who are smokers has shown good results in a rehabilitation centre on the course of the management of pain.
Taurodontism, a dental anomaly is defined as a change in tooth shape caused by the failure of
Hertwig’s epithelial root sheath to invaginate at the proper horizontal level. Enlarged and elongated
pulp chamber, apically shifted pulpal floor, and lack of constriction at the level of the cementoenamel
junction are the characteristic features. In performing root canal t
appreciate the complexity of the root canal system, canal obliteration, configuration, and the potential
for additional root canal systems. Careful exploration of the all orifices with the help of magnification,
ultrasonics and a modified filling technique are useful for its better management.
Smear layer is a controversial topic in the field of operative dentistry and endodontics. This presentation includes composition, concepts, structure, advantages, disadvantages, and removal methods of smear layer.
This presentation is all about restoration of endodontically treated teeth, prefabricated post and core, cast post and core, direct and indirect technique.
This presentation describes about evolution of nitinol (NiTi), its properties, manufacturing, metallurgy and various rotary systems in the field of endodontics.
About failures of root canal treatment and retreatment. This presentation describes about various techniques for gutta percha removal, posts removal, pastes removal, and removal of separated instrument
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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2. Isolation
Of
Operating
Field
Presented by : Arpit Viradiya
Guided by : Dr. Sandeep Metgud
Dr. Deepali Agrawal
3. Contents
Introduction
History
Classification – Isolation from moisture – Direct methods
- Indirect methods
- Isolation from soft tissues
Direct methods
• Rubber dam
• Cotton rolls & holder
• Throat shield/Gauze piece
• Absorbent wafers
• Suction devices
• Gingival retraction cord
4. Indirect methods
• Comfortable position of the patient & relaxed surroundings
• Local Anesthesia
• Drugs
Isolation from Soft tissues
• Retraction of cheeks, lips and tongue
• Retraction of gingiva
Advancements
References
Conclusion
5. Introduction
Isolation of operaring field is essential to the correct performances
of most operative procedures.
The term oral environment refers to the following items which
require proper control to prevent them from interfering with the
execution of any restorative procedures
•Saliva
•Moving organs, i.e. tongue
•Lips & Cheek
•The periodontium
•The contacting teeth and restoration
•The sulci, floor of the mouth and palate
•Respiratory moisture
6. History
•The rubber dam was first
described over 120 years ago when
in March 1864 Dr. Sanford
Barnum first explained its use at
meeting of Valley Dental Society in
New York.
•Rubber dam frames were
described in early 20th century as
Metal Fernauld’s design. More
recent designs have taken
advantages of developments in
plastics to produce frames which
are radiolucent.
7. Goals of isolation
Acc.to Sturdevant
1. Moisture control
It refers to excluding sulcular fluid, saliva
& gingival bleeding from the operating field.
2. Retraction & Access
retraction & access provides maximal
exposure of the operating site
8. 3. Harm prevention
• Small instruments and restorative debris can be aspirated or
swallowed.
•Soft tissue can be damaged accidentally.
•With moisture control and retraction, a rubber dam, suction
devices, absorbents, and occasional use of a mouth prop
prevents harm to the patient and improves operator
efficiency.
9. Local anesthesia
Use of these agents reduces salivation
apparently because the patient is
more comfortable, less anxious and
less sensitive to oral stimuli thus
reducing salivary flow.
10. Rubber Dam Isolation
First introduced in 1864 by S.C.Barnum
•Reasons for using a Rubber dam
Safety
Moisture control
Patient management
11. Advantages of using a rubber dam
1. Dry, clean operating field
2. Access & Visibility
3. Improved properties of dental
materials
4. Protection to patient and operator
5. Increased operator efficiency
12. Disadvantages
• Asthmatics and mouth breathers
• Partially erupted and severely malpositioned teeth.
• Some 3rd Molars.
• Patients who are allergic to latex
• Psychological reasons
• Minor damage to marginal gingiva &cervical cementum
during clamp removal.
• Metal crown margins show microscopic defects
following clamp removal.
• Ceramic crowns could fracture if clamps are allowed
to grip the margins.
• Time consumption and patient objection.
13. Armamentarium
1. Rubber dam sheets
2. Rubber dam clamps
3. Rubber dam retainer forceps
4. Rubber dam holder
5. Rubber dam punch
6. Rubber dam template/stamp
7. Dental floss
8. Wedget
9. Lubricant
10. Modeling compound
11. Anchorage other than retainers
14. Rubber dam sheets
• Rubber dam is made from natural latex
rubber
• manufactured as continuous rolls in two
widths (5*5 inch or 6*6inch)
• Traditional rubber dam is black in color but it
is now made in at least four alternative color
green, blue, grey and natural (natural color is
translucent).
Thickness
Manufactured in range of five thicknesses:
Grade Thickness mm (inches)
Thin 0.15 (0.006)
Medium 0.20 (0.008)
Heavy 0.25 (0.010)
Extra heavy 0.30 (0.012)
Specia heavy 0.35 (0.014)
15. Rubber dam frame (Holder)
The rubber dam frame
maintains the borders of the
dam in position.
The young holder is a U shaped
metal frame with small
metal projections for
securing the borders of
rubber dam.
18. Rubber dam clamps (Retainer)
• Consists of 4 prongs and 2
jaws connected by a bow
• Used to anchor the dam to
the most posterior teeth to
be isolated
• Also retract gingival tissues
• Winged & wingless retainers
are available.
19.
20. •When positioned on a tooth, a
properly selected retainer
should contact the tooth in
four areas-two on the facial
surface and two on the lingual
surface.
•Retainer should not move on
the anchor tooth or it will
injure the gingiva and tooth,
resulting in postoperative
soreness or sensitivity.
21. Rubber dam punch
• A precision instrument having a
metal table and a tapered, sharp
pointed plunger which is used to
produce clean-cut holes in the
rubber dam sheet through which
the teeth can be isolated.
• 1. single hole punch
• 2. multi-hole punch
a. Ivory pattern
b. Ash or Ainsworth pattern
25. Clean-cut Hole (right), Incomplete cut with Residual
tag of Dam (centre), and Irregular hole following
removal of the Residual tag (left)
26. Rubber dam forceps
• Forceps are needed to
stretch the jaws of the
clamp open in a controlled
manner during placement
and removal.
Three widely used designs
are
• Ash or stokes pattern
• Ivory pattern
• Washington pattern
LOCK
HANDLE
TIPS
HOLES OF THE CLAMP
30. Accessories
Dental floss
• Required for testing the
Interdental contacts
and for making ligatures
when they are needed.
• Also aid in flossing the
rubber dam through
tight contacts
31. Napkin :
• The rubber dam napkin is a
precut sheet of absorbent
material which can be placed
between the rubber sheet and
the oral soft tissues.
32. Lubricant:
A water-soluble lubricant
applied to both sides of
the dam in the area of
the punched holes
facilitates the passing of
the dam through the
proximal contacts.
33. Modeling compound
• Low fusing modeling compound is used
sometimes used to secure the retainer to the
tooth to prevent retainer movement during
the operator procedure.
• Wedget
This is an elastic cord generally used to secure
the dam around the teeth farthest from the
clamp.
It can also be used to push the dam through
the interproximal contact and also in some
places as a retainer instead of clamp.
58. Errors in application of rubber dam
1. OFF-CENTRE ARCH FORM
2. INAPPROPRIATE DISTANCE BETWEEN THE HOLES
3. INAPPROPRIATE RETAINERS
4. RETAINER PINCHED TISSUE
5. SHREDDED –or- TORN DAM
6. INCORRECT LOCATION OF THE HOLE FOR CLASS-V
LESION
7. SHARP TIPS ON No.212 RETAINER
8. INCORRECT TECHNIQUE FOR CUTTING THE SEPTA
61. Throat shields/gauze pieces
• used when there is a danger of
aspirating or swallowing objects
• especially used when treating
teeth in the maxillary arch
• 2×2 inch (5×5 cm)
62. Absorbent pads and wafers
• made of cellulose, & hence
also called cellulose wafers
• available in different
shapes
• most commonly used inside
the cheeks to cover the
parotid ducts
• more absorbent than cotton
rolls & gauze pieces
63. Evacuation systems
• Are of two types:
1. High volume evacuators
2. Low volume evacuators
64. High volume saliva evacuators
• High volume evacuators are
preferred for suctioning
because saliva ejectors remove
water slowly
• Place tip of evacuator just
distal to the tooth to be
prepared
• Tip should be parallel to the
facial (lingual) surface of the
tooth acing prepared
65. Low volume saliva ejectors
• Meant to remove saliva that
collects at the floor of the
mouth
• When used with rubber dam
passed thro a hole in rubber
dam or beneath it.
66. Gingival retraction cord
Ready made cotton or synthetic
woven.
available as
A. BRAIDED-or-NON-BRAIDED
B. PLAIN-or-IMPREGNATED
may be supplied impregnated with
chemical
68. Local anesthesia
• helps in reducing discomfort
associated with the
treatment.
• Makes the patient less
anxious and less sensitive to
stimuli.
• Vasoconstrictor in LA helps
to reduce salivary secretion
and controls hemorrhage
69. Drugs
• Antisiologogues:
• Atropine, Propantheine
bromide, Methantheline one
to two hour before
appointment
• Contraindicated is
– Patient with ocular pressure
– Cardiovascular problem
• Anti anxiety and
Barbiturates:
• Diazepam 5-10mg or
barbiturates 24 hours
before appointment
• Muscle relaxant can also be
tried
70. Isolation from soft tissues
• Retraction of
cheeks, lips &
tongue
1. Rubber dam
2. Cotton rolls and holder
3. Tongue holder
4. Tongue depressor
5. Cheek and lip retractors
6. Mouth mirrors
71. Mouth props
• For lengthy appointment
• Mouth props of different
designs and different
material are available i.e.
block type or ratchet types
• Benefits to patient as, it
relief them of maintaining
adequate mouth opening.
• For dentist prop ensure
constant and adequate
mouth opening
72. Retraction of gingiva
• Physio-mechanical means
• Chemical means
• Electrosurgical means
• Surgical means
73. Physiomechanical means
• Rubber dam
• Gingival retraction cord
• Wooden wedges
• Cotton twills combined with fast setting ZOE
• Guttapercha or eugenol packs.
74. Chemical means
• Vasoconstrictors
• Epinephrine/Nor epinephrine
• Contraindicated in pts with:
• Hypertension
• Diabetes
• Hyperthyroidism
• Heart pts
75. ASTRINGENTS AND STYPTICS
• Biological fluid coagulants
• coagulate blood & tissue fluids locally,
• creating surface layer that is an efficient
• sealant against blood & crevicular fluid
• seepage.
• they are safe with no systemic effects.
• 10% Alum
• 15-25% Aluminium chloride
• 10% Aluminium potassium sulfate
• 15-25% Tannic acid
76. Surface layer tissue coagulants
• coagulate surface layer of sulcular &
free gingival epithelium as well as the
seeped fluids, thus creating a temporary
impenetrable film for underlying fluids
• 8% ZINC CHLORIDE
• SILVER NITRATE
77. ELECTROSURGICAL MEANS
• 4 functions seen depending on amount of energy
produced
1. Cutting
2. Coagulation
3. Fulgeration
4. Dessication
Surgical means:
sharp knife is used to remove interfering gingiva
78. Advancements
1. Handi dam
2. Opti dam
3. Opal dam
4. Insti dam
5. Optra dam
6. Non-latex Flexi dam
7. Silicone Non-Latex rubber dam
8. Derma dam
9. Svedopter
79. HANDI DAM
• the latest addition to the DENTSPLY Ash®
Instruments
• Smaller than average rubber dam
material/frame: increases patient comfort as the
material and frame are less intrusive.
• Medical grade rubber latex used (vanilla
scented): provides flexibility and the good tensile
strength helps to minimize tearing.
• HandiDamTubes: used to keep the HandiDam
steady and are single use.
81. Assembling Opti dam
1.Stretch the ergonomic
rubber dam over the
3-dimensional frame.
2. Cut off the appropriate
rubber nipples
3. Insert the winged
clamp into the
opening.
82. FOR ANTERIOR TEETH
1. Insert OptiDam 2. Use dental floss to push
the dam through the mesial
contact. Starting with the
central incisors.
3. Slip the rubber dam over
the remaining teeth to be
isolated.
83. FOR POSTERIOR TEETH
1. Position the clamp
with OptiDam
Posterior in one step.
2. Place the rubber dam
behind the wings of the
clamp.
3. Slip the rubber dam
over the remaining teeth
to be isolated.
84. Optra dam
By ivoclar vivadent
Advantages:
Easy application because of integrated frame and prepunched arch template.
High patient comfort because of flexible 3 dimensional design.
Simultaneous isolation of both arches.
85. Opal dam
It is a methacrylate based light cured resin barrier used for isolating tissue
adjacent to teeth.
86. Vital Bleaching with OpalDam
Apply a barrier of OpalDam 4-6mm wide on the
gingiva. Seal interproximal spaces. Overlap resin
approximately 0.5mm onto dry enamel to seal.
Extend resin one tooth beyond the last tooth to be
bleached. Visually check that all gingival tissues at resin
margin are covered and seal is established.
87. Light cure resin 20 seconds per light guide
width.
Note reflective properties of OpalDam!
After applying gel and light activating
according to
instructions, remove gel using suction to
avoid splattering.
88. Rinse and suction to evaluate color
change and
determine if additional whitening is
necessary.
Cured OpalDam resin is quickly and easily removed in
one or a few large pieces. Check interproximally for retained
resin.
OpalDam is designed to easily remove from
embrasures and undercuts.
89. Insti dam
Advantages:
• Compact design fits outside patients
mouth.
• Built-in flexible frame, with pre-punched
hole off-center 1/2”
• Pre-punched hole helps eliminate
tearing (additional holes may be
punched)
• Made with translucent natural latex
that is very stretchable, tear-resistant
and provides easy visibility
• Radiographs may be taken without
removing the Insti-Dam™, by bending
Insti-Dam™ to the side
90. • INSTI-DAM™ Dispenser
Features:
• Can be mounted to wall or cabinet or can sit
on a counter
• Holds 35 Insti-Dams
• Non-slip rubber bottom
• Available in White (A) - for latex or Neon
Blue (N) - for latex-free
• 4-7/8" x 4-7/8" x 6-1/8“
INSTI-CLAMP
Advantages:
• Single use only
• Can be adapted with a carbide bur
• Available in 2 sizes to fit most applications
• When removing, simply cut with a carbide
bur, no need for a Rubber Dam forceps
91. DERMA DAM
• The most pure latex rubber dam available
• Reduces the possibility of latex reactions.
• Quality processing ensures the lowest known
content of surface proteins (1.92 mg/g latex vs
up to 440 mg/g latex for some competitors).
• DermaDam Synthetic contains 0mg of
sensitizing proteins. Powder-free to eliminate
allergic reactions to powder and contamination
to preparation.
• Shelf Life: 24 months.
92. Non-Latex Flexi Dam
• Flexi Dam has an ultra-convenient, built-in-
frame.
• The flexible frame is designed with a
convenient working size of 100 mm x 105
mm to ensure for easy placement without
getting in the way.
• The smooth surface of the plastic frame
helps to maximize patient comfort when
positioned on their skin.
• Features :
• Convenient built-in-frame – saves time
• Highly elastic Flexi Dam material – tear
resistant and easy placement
• Latex free – allergy free
• Odorless – patient comfort
93. Silicone non latex Dental Dam
• Roeko, Coltene
Whaledent
• For patients, doctors and
assistants with latex
allergies and those who
are sensitized to latex.
Autoclavable up to 134°
C.
95. Summary
•A thorough knowledge of preliminary isolation procedures
reduces the physical strain on the dental team associated with daily
dental practice.
•Maintaining optimal moisture control is necessary component in
the delivery of high quality operative dentistry.
96. REFERENCES:
•Sturdevent – Art and Science of Operative Dentistry, 5th edition
•Ingle – Fifth edition
•Cohen – Pathways of Pulp, 8th edition