USES OF RUBBER DAM 🙂

 

 

PROTECTS  FILLINGS FROM WATER CONTAMINATION:

PROTECTS ONE FROM  ACCIDENTAL INGESTION OF  FOREIGN OBJECTS:

Most of the failures of restorative treatment is due to saliva/moisture  contamination. IT' s absolutely important to maintain the area of treatment without water/saliva seeping to the cavity preparation.Thus the fillings fail in no time.

1.I use  5" x 5" rubber dam sheet for kids. A template is available to approximate the positon of the teeth.

2.With the use of Rubber dam puncher, bore a hole/holes on the pen- marked rubber dam starting from the second molar up to the canine , depending until where teeth  are to be treated. Usual case is one quadrant of say,  55,54,53. In the case shown,teeth treated are those just mentioned.

3. I use  Clamp 14 by HU-FRIEDY to be clamped on 2nd molar. 

4. Sometimes an extra hole is created in front of the most anterior tooth under treatment  as another  "anchor" to hold the rubber dam, aside from the clamp at the back. In this case,  Sealant is applied mesial to "lock" the dam,  and avoid being dislodged.After treatment,  it is easy to just bur or flake off the sealant with a scaler

 

 

PROTECTS FROM SWALLOWING OLD SILVER AMALGAM FILLINGS

When it is time to change your old silver fillings, then the rubber dam will help you prevent ingesting the metals being dugged out. 

With a strong suction the metal remnants are sucked out straight from the rubber dam without danger of it being ingested.

A healthy and biological way to remove an amalgam, and turn your old filling to a new white

filling!

 

 

 

 

Rubber damsheet on top of the template where molar position marks will be traced by the pen. The marks on the rubber dam sheet are where the rubber dam puncher will bore the holes

Flossed clamp 14 inserted at the last hole, the wing positioned posteriorly.

Clamp with the dam positioned at the 2nd molar

Clamp 14 being inserted into the 2nd molar hole created by the {uncher, and readied for clamping at the tooth

Rubber dam in place, with no fear of saliva contamination, thus dry field, treatment is ready to begin. Oftentimes, i would make a U-shaped cut at the rubber dam at the area of the nose for comfort in breathing.

With rubber dam in place, all procedures go faster, irrigation and suctioning are continuous, and gives the patient feeling of security and peace, without flooding the whole mouth with so much water

Irrigation goes undistubred without worrying the child could choke with so much water!

Sometimes to prevent the dam from getting dislodged i would apply sealant at the mesial of the most anterior dammed tooth,in this case, the lateral. The sealant(white) keeps the dam from escaping . It holds it in place.After treatment it is easy to bur or flake it off, with minimal enamel damage