Beruflich Dokumente
Kultur Dokumente
OPERATING
FIELD
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CONTENTS
Introduction
Conceptual elements of operating field isolation
Isolation of operating field includes -
Moisture control
- Tissue management
Methods of isolation
Direct method
Rubber dam Saliva
ejector High volume
evacuators Absorbents
(cotton roll and cellulose wafers) Throat
shields Retraction cord
Indirect method
- Local Anesthesia
- Drugs Antisialogogues
Antianxiety drugs
Muscle relaxants
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INTRODUCTION
A clean and dry field is comfortable both for the patient
and the operator.
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RUBBER DAM 7
INTRODUCTION
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HISTORY
1864 Sanford Christe Barnum
first described rubber dam.
STARLITE VISUFRAME
HYGENIC
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RUBBER DAM RETAINER OR CLAMP
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WINGLESS AND WINGED CLAMP
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PREMOLAR
CLAMPS
MOLAR
CLAMPS
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RETRACTING ANCHORING CLAMPS
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OTHER RETAINERS
Elastic cord eg; wedgets
(hygienic) is placed
interproximally to retain
the dam.
Interdental wood sticks or
wedges
Dental floss/tape placed
doubly through a contact
and then cut to short
length
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RUBBER DAM PUNCH
Designs
Ash or Ainsworth pattern
Ivory pattern
Dentsply single hole punch
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HOLES SIZE AND POSITION
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RUBBER DAM PUNCH
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METHODS OF GRASPING CLAMP
WITH FORCEPS
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RUBBER DAM NAPKIN
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RUBBER DAM RUBBER DAM
STAMP TEMPLATE LUBRICANT
PROXIMAL SCISSORS
CONTACT DISKS
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GUIDELINES IN PLACING A RUBBER DAM
Always isolate at least three teeth except when root
canal therapy is indicated, then only the tooth to be
treated is isolated.
When operating on the incisors and mesial surfaces of
canines, isolate from first premolar to first premolar.
When operating on a canine isolate from first molar to
the opposite lateral incisor.
When operating on posterior teeth, it is beneficial to
isolate anteriorly to include the lateral incisor on the
opposite side of the arch from the operatively site.
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TECHNIQUE : I
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TECHNIQUE : 2
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TECHNIQUE : 3
Clamp placement
after the Rubber
Dam.
This technique can
prove difficult for an
operator working
alone and assistance
will simplify the whole
process.
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MULTIPLE TEETH ISOLATION
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RULES IN PLACING A RUBBER DAM
Tooth Malposition
. Tooth with poor retentive shape
.Extensive loss of coronal tissue - Split dam technique
. Porcelain crown.
. Fixed prosthesis
. Orthodontic fixed appliance
. Saliva leakage
. Matrix bands and rubber dam.
. Medical problems
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CLINICAL PROCEDURES
Endodontics
Cavity Preparation
Acid etch bonding techniques
Crown and Bridge Work
Bleaching
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ADDITIONAL ISOLATING AIDS
Saliva ejector
Svedopter
High volume
evacuators
Absorbents
(cotton rolls and
cellulose wafers)
Throat Shields
Retraction Cord
Drugs
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COTTON ROLL ISOLATION
AND CELLULOSE WAFERS
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EVACUATION SYSTEMS
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SALIVA EJECTOR
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SVEDOPTOR (E.C. MOORE)
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MOUTH PROP