The document discusses the importance of using a rubber dam during endodontic procedures. It states that a dry, isolated operating field provides better visibility and access, prevents legal liability if instruments are swallowed or aspirated, and protects against tissue damage. Several benefits of rubber dams are outlined, including moisture control and creation of an aseptic environment. Potential issues with patient acceptance and various medical contraindications are also noted. Finally, the document describes the various materials involved in rubber dam application, including the dam itself, clamps, punches, and templates to help isolate teeth for endodontic treatment.

1. Presented by- Krishna Naikwade

2. • To induce desirable working area in the oral cavity there
should be proper moisture control, visibility and good
accessibility .
• If an instrument is swallowed or aspirated during
endodontic treatment without a rubber dam, one is likely
to confronted with a law suit
• Grossman has stated that ``in the eyes of court, when an
endodontic instrument escapes from dentist’s fingers and
is ingested or aspirated, expert opinion is unnecessary to
justify claims of negligence``

3. • Dry clean operating field
• Access with visibility
• Moisture control
• Retraction of soft tissue
• Aseptic environment
• Prevents tissue damages
• Minimization of mouth breathing

4. • Patient acceptance
• Poorly retentive
• Trauma to tissues
• Frame can cause pressure mark habbits
• Latex allergy
• Build up saliva
• Partially erupted tooth cant receive retainer
• Psychological intolerance

5. • Allergy to latex
• Patient with respiratory problems
• Patient at risk with transient bacteremia
• Severe gingival disease

6. • Rubber dam material
• Rubber dam clamp
• Rubber dam punch
• Rubber dam clamp carrying forceps
• Rubber dam frame rubber dam template
• Wedgets cord dental silk floss
• Rubber dam napkin

7. • This is available as heavy , medium ,light and in different
colors and standard sizes.
• Readymade sheets are available in 5×5’’ and 6×6’’ and rolls
according to need which may be conveniently cut into
necessary size .
• It is usually made up of latex material.
• For patient with latex allergy, non latex rubber dam material
is used in clinics.

8. • Medium weight thickness
is usually recommended
for endodontic purpose

9. • Different types of clamps are available according to tooth
to be isolated
• Clamp with wings lead to more rapidity rapidity of work
and efficiency
• Plastic clamps are also available

10. • In summary only five clamps are needed for applying
rubber dam to most teeth
• For anterior teeth-HF 9S
• For premolars-HF 1 and HF 2
• For molars – HF 7 and HF 14A

11. • It is available from different companies like Ash, Ivory and
Hu-Freidy
• This is used to carry the rubber dam clamp on the tooth

12. • It is used to punch the rubber dam for application on
specific tooth.
• It has a moving table with holes of different diameters.
• The smallest one is for lower anterior teeth and largest
one is for the posterior teeth.

13. Rubber dam
punch

14. • These are used to maintain the borders of the rubber
dam in position.
• These are made up of stainless steel or plastic.

15. • It is provided to clinician to make an
exact punch on the tooth in
question for both upper and lower teeth.

16. • It is used to stabilize the interproximal area of the rubber
dam.
• It is flexible elastic material that can be passed over dam
interproximally below the contact area.

17. • It is required for rubber dam application specially for
endodontic purposes or during inoffice vital or nonvital
bleaching.

18. • The rubber dam napkin is placed between the dam and
the patient’s skin in order to avoid any latex related
allergic reaction

19. • Cleaning of teeth
• Selection of clamp
• Punching of the hole in rubber dam
• Flossing the clamp
• Application of rubber dam
• Application of lubricant & flossing through contact with
lubricant
• Application of napkin and holder