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Rubber Dam
• Dam is Not Religion.
• RD is a Mean and Not a Value ,
isolation can be achieved without RD,
hence RD is just one type of isolation.
• RD it is Just a Tool that help us to get a
Moisture Free environment.
• RD it is Not a Goal in itself ,
Dry environment is The Goal.
separation of a tooth or group of teeth from
oral tissues and saliva,
by use of a dental dam, cotton rolls, or any
other means of isolation ,
to improve access, visibility, and control moi
sture contamination while restorative
or operative dental procedures are
performed.
Goals of isolation
• Moisture control
• Retraction , Accessibility and Visibility
• Harm prevention
• Safe and Aseptic field
• Prevent accidental swallowing of instrument and
restorative materials
Types of isolation
• Direct (Physical)(Complete vs Partial)
• Indirect (Chemical)
ABCDE’s of RD
• Adequate access and visibility in operating field
• Better Pt protection and management
• Complete moisture control in operating field
• Decrease operating time
• Enhancement of safety and aseptic operating field
Advantages
Pt Operator
Provide comfort to pt
Protection from swallowing or
aspirating foreign bodies
Protect soft tissue by retracting them
Dry & clean operating field (long term)
Infection control (protection)
Accessibility & Visibility (Max.)
(effciency))
Improved dental material properties
Prevent contamination of tooth
preparation
Less fogging of mirror
Pt comfort Operator efficiency
(Access , Visibility , Illumination, less fogging)
Pt protection Operator Protection
Prevent soft tissue injury Prevent contamination
by retract them by dry & clean operating field
Improve dental material properties
Disadvantages
• Time consuming
• Pt communication
• Pt objection
• Incorrect use may damage gingival tissue or porcelain
crown
• Insecure clamp may be swallowed or aspirated
Contraindication
• Asthmatic pt
• Allergic pt to latex
• Mouth breather pt
• Extremely malposed teeth
• Third molr
Armamentarium
Basics Accessories
RD sheets
RD clamps
RD forceps
RD frame
RD template
Dental floss
Lubricant
Wadgets
Wooden wedges
Orthodontic elastics
Gingival barrier
Modeling compound
Napkin
Scissor
Sheet
• Size
• Surface
• Latex or non
• Color
• Thickness
Frame• Used to maintain the border of RD in position
Punch• Used for making holes on the dam
Forceps• Used for placement and removal of clamp from tooth
Template• Used for marking of teeth position on the dam
Clamps• Used to secure the RD to the most posterior tooth to be
isolated and to retract the gingiva
Winged Wingless
Double arched
(Butterfly)
Better
retraction&
Visualization
Interfere
with
matrix
&wedge
PassiveActive
General Rules for Isolation
• L.A … Pre-flossing
• Mark /Punch … Lubricate
• Clamp selection … Clamp testing
• Dam … Frame
• Flossing … Inversion
Specific Rule in Isolation
Practical
• Floss Ligature types (Single , Double , Surgeon knot)
• Methods of RD application (Clamp>RD) (RD>Clamp) (Clamp + RD)
• Method of secure RD on frame (Simple , RD pocket ,Envelope)
• Single tooth isolation (Winged VS Wingless) .. Clamp rocking .. Flossing
• Quadrant dentistry isolation .. Inversion (Types) .. Flossing
• Anterior teeth isolation(Clamped OR Clampless) ..Inversion(Types)..Flossing
• Marking holes U- shape VS V-shape hard palate
• Cl III isolation .. Clamp stability .. Flossing
• Split Dam isolation (Remaining teeth , Bridges , Pediatric , Anterior ,
Predictable Cl II , Fixed Ortho. Appliance)
• Teflon Floss .. Retraction cord use .. Teflon tape use
Rubberdamology isolation
Rubberdamology isolation

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Rubberdamology isolation

  • 1. Rubber Dam • Dam is Not Religion. • RD is a Mean and Not a Value , isolation can be achieved without RD, hence RD is just one type of isolation. • RD it is Just a Tool that help us to get a Moisture Free environment. • RD it is Not a Goal in itself , Dry environment is The Goal.
  • 2.
  • 3. separation of a tooth or group of teeth from oral tissues and saliva, by use of a dental dam, cotton rolls, or any other means of isolation , to improve access, visibility, and control moi sture contamination while restorative or operative dental procedures are performed.
  • 4. Goals of isolation • Moisture control • Retraction , Accessibility and Visibility • Harm prevention • Safe and Aseptic field • Prevent accidental swallowing of instrument and restorative materials
  • 5. Types of isolation • Direct (Physical)(Complete vs Partial) • Indirect (Chemical)
  • 6.
  • 7. ABCDE’s of RD • Adequate access and visibility in operating field • Better Pt protection and management • Complete moisture control in operating field • Decrease operating time • Enhancement of safety and aseptic operating field
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  • 32. Advantages Pt Operator Provide comfort to pt Protection from swallowing or aspirating foreign bodies Protect soft tissue by retracting them Dry & clean operating field (long term) Infection control (protection) Accessibility & Visibility (Max.) (effciency)) Improved dental material properties Prevent contamination of tooth preparation Less fogging of mirror Pt comfort Operator efficiency (Access , Visibility , Illumination, less fogging) Pt protection Operator Protection Prevent soft tissue injury Prevent contamination by retract them by dry & clean operating field Improve dental material properties
  • 33. Disadvantages • Time consuming • Pt communication • Pt objection • Incorrect use may damage gingival tissue or porcelain crown • Insecure clamp may be swallowed or aspirated
  • 34. Contraindication • Asthmatic pt • Allergic pt to latex • Mouth breather pt • Extremely malposed teeth • Third molr
  • 35. Armamentarium Basics Accessories RD sheets RD clamps RD forceps RD frame RD template Dental floss Lubricant Wadgets Wooden wedges Orthodontic elastics Gingival barrier Modeling compound Napkin Scissor
  • 36. Sheet • Size • Surface • Latex or non • Color • Thickness
  • 37. Frame• Used to maintain the border of RD in position
  • 38. Punch• Used for making holes on the dam
  • 39. Forceps• Used for placement and removal of clamp from tooth
  • 40. Template• Used for marking of teeth position on the dam
  • 41. Clamps• Used to secure the RD to the most posterior tooth to be isolated and to retract the gingiva
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  • 46. General Rules for Isolation • L.A … Pre-flossing • Mark /Punch … Lubricate • Clamp selection … Clamp testing • Dam … Frame • Flossing … Inversion
  • 47. Specific Rule in Isolation
  • 48. Practical • Floss Ligature types (Single , Double , Surgeon knot) • Methods of RD application (Clamp>RD) (RD>Clamp) (Clamp + RD) • Method of secure RD on frame (Simple , RD pocket ,Envelope) • Single tooth isolation (Winged VS Wingless) .. Clamp rocking .. Flossing • Quadrant dentistry isolation .. Inversion (Types) .. Flossing • Anterior teeth isolation(Clamped OR Clampless) ..Inversion(Types)..Flossing • Marking holes U- shape VS V-shape hard palate • Cl III isolation .. Clamp stability .. Flossing • Split Dam isolation (Remaining teeth , Bridges , Pediatric , Anterior , Predictable Cl II , Fixed Ortho. Appliance) • Teflon Floss .. Retraction cord use .. Teflon tape use