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A simplified method of rubber dam placement
A simplified
method of rubber
Kirk
D.D.S.
W. Baldauf,
dam placement
Marshfield. Wis.
All standard operative texts agree on the unsurpassed ability of rubber dams to maintain a dry field and to retract tissue, to act as barriers for infection control, and to protect against aspiration of debris and small hand instruments.‘.’ The standard methods of placement can be difficult and time consuming. A simplified method of placement has been developed: 1. Stretch the rubber dam loosely over the frame. 2. Punch only two holes in the dam approximately 2 cm apart. 3. Make a straight scissors cut between the holes. 4. Place a winged clamp on the posterior tooth. 5. Stretch the dam over the clamp and carry the dam anteriorly over the canine or from the first premolar to the first premolar to isolate the anterior segment. Advantages of this simplified placement method are as follows: 1. Rapid and easy placement can be done by an assistant. 2. Removal is simplified should anesthetic reinjection become necessary, should a medical emergency require immediate clearing of the airway, or for the end of the appointment.
Bound
volumes
3. There are no interproximal rubber septa to become entangled in the bur or diamond instrument. 4. The rubber is less likely to tear when stretched over the clamp. 5. Moisture is easily controlled by standard high-volume suction even though the dam is not sealed around the neck of each tooth. REFERENCES 1. Gilmore W. Textbook of operative dentistry. St Louis: The CV Mosby Co, 1967. 2. Emphasis: Infection control in the dental office: A realistic approach. J Am Dent Assoc 1986;112:458-68. 3. Weine Endodontic therapy. St Louis: The CV Mosby Co, 1972. Reprint requests to: DR. KIRK W. BALDAUF 119 W. UPHAM ST. MARSHFIELD, WI 54449
available
to subscribers
Bound volumes of the JOURNAL OF PROSTHE~C DENTISTRY are available to subscribers (only) for the 1987 issues from the publisher at a cost of $42.00 ($51.75 international) for Vol. 57 (January-June) and Vol. 58 (July-December). Shipping charges are included. Each bound volume contains a subject and author index, and all advertising is removed. Copies are shipped within 30 days after publication of the last issue in the volume. The binding is durable buckram with the journal name, volume number, and year stamped in gold on the spine. Payment must accompany all orders. Contact The C. V. Mosby Co., Circulation Department, 11830 Westline Industrial Drive, St. Louis, MO 63146, USA, phone (300) 325-4177, ext. 351. Subscriptions must be in force to qualify. Bound volumes are not available in place of a regular JOURNAL subscription
256
AUGUST
1987
VOLUME
58
NUMBER
2
method of rubber
Kirk
D.D.S.
W. Baldauf,
dam placement
Marshfield. Wis.
All standard operative texts agree on the unsurpassed ability of rubber dams to maintain a dry field and to retract tissue, to act as barriers for infection control, and to protect against aspiration of debris and small hand instruments.‘.’ The standard methods of placement can be difficult and time consuming. A simplified method of placement has been developed: 1. Stretch the rubber dam loosely over the frame. 2. Punch only two holes in the dam approximately 2 cm apart. 3. Make a straight scissors cut between the holes. 4. Place a winged clamp on the posterior tooth. 5. Stretch the dam over the clamp and carry the dam anteriorly over the canine or from the first premolar to the first premolar to isolate the anterior segment. Advantages of this simplified placement method are as follows: 1. Rapid and easy placement can be done by an assistant. 2. Removal is simplified should anesthetic reinjection become necessary, should a medical emergency require immediate clearing of the airway, or for the end of the appointment.
Bound
volumes
3. There are no interproximal rubber septa to become entangled in the bur or diamond instrument. 4. The rubber is less likely to tear when stretched over the clamp. 5. Moisture is easily controlled by standard high-volume suction even though the dam is not sealed around the neck of each tooth. REFERENCES 1. Gilmore W. Textbook of operative dentistry. St Louis: The CV Mosby Co, 1967. 2. Emphasis: Infection control in the dental office: A realistic approach. J Am Dent Assoc 1986;112:458-68. 3. Weine Endodontic therapy. St Louis: The CV Mosby Co, 1972. Reprint requests to: DR. KIRK W. BALDAUF 119 W. UPHAM ST. MARSHFIELD, WI 54449
available
to subscribers
Bound volumes of the JOURNAL OF PROSTHE~C DENTISTRY are available to subscribers (only) for the 1987 issues from the publisher at a cost of $42.00 ($51.75 international) for Vol. 57 (January-June) and Vol. 58 (July-December). Shipping charges are included. Each bound volume contains a subject and author index, and all advertising is removed. Copies are shipped within 30 days after publication of the last issue in the volume. The binding is durable buckram with the journal name, volume number, and year stamped in gold on the spine. Payment must accompany all orders. Contact The C. V. Mosby Co., Circulation Department, 11830 Westline Industrial Drive, St. Louis, MO 63146, USA, phone (300) 325-4177, ext. 351. Subscriptions must be in force to qualify. Bound volumes are not available in place of a regular JOURNAL subscription
256
AUGUST
1987
VOLUME
58
NUMBER
2