Rubber Dam

Rubber Dam

1. Advantages

   • a dry, clean operating field
   • protects the patient from swallowing or inhaling instruments
   • protects the dentist from infection from the patien
   • High patient acceptance – Allow to Relax
   • improved access and visibility
   • operating efficiency.
   • potentially improved properties of dental materials

2. Instruments Used for Rubber Dam placement

   • RD Sheet.
   • RD Frame
   • RD Clamp.
   • RD Punches.
   • RD clamp Forceps.
   • Dental floss.
   • , wooden wedges
   • Lubricant (petroleum jelly).
   • RD napkins

3. Disadvantages

   • Time consumption
   • Patient’s objection
   • Conditions where rubber dam not used:
     • partially erupted teeth
     • Some third molars
     • Extremely malpositioned teeth
     • Asthma patients
     • Psychological reasons
     • Latex allergy

4. Materials

   • Latex
   • non Latex

5. Sizes

   • 5 × 5 inch (12.5 × 12.5 cm) sheet
   • 6 × 6 inch (15 × 15 cm) sheets

6. Thickness

   • Thin 0.15mm
   • Medium 0.2mm
   • Heavy 0.25mm
   • Special heavy 0.35mm

7. Placement of rubber dam

   • Dam first technique
   • Clamp first technique
   • Clamp and dam together technique

8. Errors in Application and Removal

   • Off-Center Arch Form
   • Inappropriate Distance between the Holes
   • Incorrect Arch Form of Holes
   • Inappropriate Retainer
   • Retainer-Pinched Tissue
   • Shredded or Torn Dam
   • Incorrect Technique

9. Reference

   • Sturdevant's Art and Science of Operative Dentistry

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