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Dr.Nilesh Rathi
Introduction
Dr
Rubber
Advantages
Isolation
Aids
Protects
Prevents
Creates
Additional uses
After
Disadvantages
Claustrophobia
Time consuming
Contraindication
Contact
Metal
allergy
crowns
Ceramic
Mouth
crowns
breathing
Respiratory
problems
Classification
Winged
Metal
Bland
and Retentive
Armamentarium
Rubber
dam sheet
Rubber dam frame
Rubber dam clamp
Rubber dam clamp holder
Ainsworth rubber dam punch
Floss or wedges or wood stick
Rubber dam template
Rubber dam lubricant
Napkin
Armamentarium
Armamentarium
Clamp forcep
Punch forcep
Armamentarium
Armamentarium
of teeth
Selection of clamp
Punching of hole in rubber dam
Flossing the clamp
Application of the rubber dam
Application of lubricant & flossing
through contact with lubricant
Application of napkin and holder
Selection of clamp
Four
Clamp selection
S No
Clamp
Teeth
#8 A,
#14 A
#9, #212
Anteriors
#00, #1,
#2
4
Molars
#12A
#13A
Type
Thickness
(mm)
Thickness
(inches)
Thin
0.15
0.006
Medium
0.20
0.008
Heavy
0.25
0.010
Extra heavy
0.30
0.012
Super heavy
0.35
0.014
Colour of sheet
Sr No
Colour
Special Uses
Blue/ Green
Photography
Black
Grey
Transparent
Endodontics
Punch holes
S
No
Hole
Teeth
Mandibular 1 molar,
Large maxillary molar
Canine , Premolars,
First primary molar
Upper incisors
Lower incisors
Floss Method
1. Fissure sealants
2. Class I and Class V cavity
restoration
3. Endodontics
1.
2.
3.
Premolar to premolar ,
premolar to contra lateral
lateral incisor
Bleaching
Class II restoration
Multiple restorations
Method of Application
Sr
No
Methods
Utility
Posterior teeth in
children and adults
Third molars
Anteriors and
Premolars
Guidelines
Sr Teeth
Teeth applied with rubber
No Operatin dam
g
1
Incisors
Canine to canine (Clamp not
compulsory)
2
Canines
1st premolar to 1st premolar
3
Posteriors Two teeth distal to lateral
incisors of contralateral side
4
Any other At least one tooth distal and
one tooth mesial
Sterilization
Autoclave
Clamps, frame,
forceps
Punches
References:
Sturdevent.
Textbook of Operative
Dentistry.
Raymond Braham. Rubber Dam in
Clinical Practice.
Thank you