• Protection from ingestion/aspiration
• Retraction/protection pf soft tissues
• Better visibility
• Reduction of delays during treatment
• Patients and dentists more relaxed
• Dentists and nurses are protected against infections which can be transmitt
2 of 13
what equipment is required
rubber dam material, rubber dam clamps, carrying forceps, punch, frames, templates, wedgets (elastic )cord, floss, rubber dam napkin
3 of 13
what are the symptoms and the treatment for type I- anaphylaxis
Symptoms: swelling, light headedness, dizziness, oedema, erythema, itching, difficulty breathing.
Treatment: assess patient and call ambulance. 0.5 ml (1:1000) epinephrine IM (adult). Repeat after 5mins if needed. 100% oxygen- 10 litres/min
4 of 13
when are winged and wingless clamps placed
winged= placed with rubber dam attached to clamp
wingless= placed on too before applying rubber dam
5 of 13
Talk about passive clamp
4 points of contact have a flat approach to the crown of the toot.
Not aggressive
Suits most molars/premolars with an intact crown
6 of 13
talk about active clamp
A good choice if the tooth is badly broken down, partially erupted or has no undercut.
An aggressive clamp- do not use on ceramic crowns
May traumatise gingival tissues ( give LA before to avoid this)
7 of 13
how to achieve fluid tight seal
By using correct size hole punch or by light curing a rubber dam liquid
8 of 13
why should we place floss around clamp being used
to allow its retrieval if it flies off or breaks
9 of 13
method 1 of placing rubber dam:
Dentist can set up in advance and carry clamp, RD and frame to tooth
- Once the clamp has been firmly seated a flat plastic is used to flick dam off and under wings
If frame has not been attached
- Once clamp/ dam is placed, napkin is placed behind RD an
10 of 13
method 2 of placing rubber dam:
Using a wingless or winged clamp
The clamp is placed directly on the tooth
RD is stretched over the clamp
Clamp MUST be tied with floss as a precaution against fracture or dislodgement
11 of 13
method 3 of placing rubber dam:
anterior teeth
This can be used instead of using the aggressive anterior clamp
Punch a series of 8 holes (from premolar on one side to the canine on the other side)
Place topical around tooth being clamped
Seat clamp on premolar tooth (ensure stable)
12 of 13
what is the method for when you have to place a rubber dam on a very badly broken down tooth/ bridgework
Split dam technique
Clamps are placed on teeth mesial and distal to broken tooth
3 holes are made in dam and joined together with scissors
Dam is stretched over the 3 teeth
Requires extra protection from salivary contamination/ leakage by suing cotton w
13 of 13
Other cards in this set
Card 2
Front
what are some advantages of rubber dam
Back
• Protection from ingestion/aspiration
• Retraction/protection pf soft tissues
• Better visibility
• Reduction of delays during treatment
• Patients and dentists more relaxed
• Dentists and nurses are protected against infections which can be transmitt
Card 3
Front
what equipment is required
Back
Card 4
Front
what are the symptoms and the treatment for type I- anaphylaxis
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