RUBBER DAM

ISOLATION
Presented by GROUP 2:
AQUINO, MADELYN DOLOR- BUSTAMANTE, NICOLE-
CHAPASEN, JOSHUA-LACSON, MELJANE-TAMAYO,
HYGEIA VALI-ANNE-TONGOL, SHIELA-QUIDANGEN,
GLAZELLE
Topic Outline
01 Single Motion Technique

02 Substitution of a Retainer with a matrix

03 Split dam technique

04 Errors in Rubber Dam Application

05 Removal of Rubber dam

 SINGLE MOTION TECHNIQUE
This is the most efficient endodontic dam

application technique through the use of

winged clamps resulting in the dam, clamp,

and frame being taken to the tooth to be

isolated in a single motion.

 SINGLE MOTION TECHNIQUE
1. Select the clamp to be used.
2. Punch one appropriate-sized hole just off center of a 6" 6" piece of
dam material.
3.Stretch the dam over the frame and fit the clamp through the
punched hole so that the wings retain the clamp.
4. Place the clamp over the tooth with the accompanying frame and
dam attached so the clamp is seated over the bulk of contour of the
tooth.
5. Use a plastic or cementing instrument to flick the dam off of the
wings of the clamp. The dam material should be positioned on the
tooth below the clamp.
6. Use floss to aid in passing the dam through contacts.
SINGLE MOTION TECHNIQUE
 SUBSTITUTION OF A RETAINER WITH A MATRIX

When a matrix band must be applied to the posterior anchor tooth, the jaws of
the retainer often prevent proper positioning and wedging of the matrix.
Successful application of the matrix may be accomplished by substituting the
retainer with the matrix.
 SUBSTITUTION OF A RETAINER WITH A MATRIX

Figure A: Completed preparation of the terminal tooth with the retainer

in place
 SUBSTITUTION OF A RETAINER WITH A MATRIX

Figure B: The dentist and the assistant stretch the dam distally and
gingivally as the retainer is being removed
 SUBSTITUTION OF A RETAINER WITH A MATRIX

Figure C: The retainer is removed before placement of the matrix

Figure D: Completed matrix is in place, to maximize access and visibility
during insertion, the mouth mirror is used to reflect the dam distally and
occlusally
SPLIT DAM TECHNIQUE
Used to isolate anterior teeth
without using a rubber dam
clamp
Done in isolating several teeth

INDICATIONS:
insufficient crown structure
horizontal fractures
for tooth restored with
porcelain crowns or laminates
abutment tooth for bridge
partially erupted tooth
 STEPS:
Two overlapping holes are punched in the
dam.
Cotton roll is placed under the lip in the
mucobuccal fold
Rubber dam is stretched over the three
teeth or over one adjacent tooth, distal on
each side
The edge of the dam is carefully teased
through the contacts
Dental floss helps carry the dam around
the gingiva
Placement of rubber dam frame
SPLIT DAM TECHNIQUE
SPLIT DAM TECHNIQUE w/o the clamp
SPLIT DAM TECHNIQUE
ERRORS IN RUBBER DAM
APPLICATION
a. INAPPROPRIATE DISTANCE BETWEEN THE HOLES.
excessive distance
too short distance

Consequences: (a) wrinkling of dam (b) interference in accessibility (c)

overstretching of dam (d) tearing of dam and (e) poor fit
Correction/Prevention: Proper placement of holes by accurate use of
rubber dam punch and template.

b. WRONG SIZE RETAINER (OR CLAMPS)

Correction/Prevention: Select the appropriate size and type of clamps
according to the tooth to be isolated.
ERRORS IN RUBBER DAM
APPLICATION
COMMONLY USED RUBBER DAM CLAMPS:
For anterior teeth: HF 9
For premolars: HF 1 and HF 2
For molars: HF 7 and HF 14 A
ERRORS IN RUBBER DAM APPLICATION

c. OFF-CENTER ARCH FORM

Consequences:
obstructs breathing
makes patients uncomfortable

Correction/Prevention:
Folding of extra dam material under
the nose and proper punching of
holes
Use of rubber dam template
ERRORS IN RUBBER DAM APPLICATION

d. TISSUE PINCHED BY THE RETAINER

e. SHREDDED OR TORN DAM
Consequences:
Leakage
Improper isolation

Correction/Prevention:
1. Replacement of dam
2. Use of cavit, periodontal packs or liquid rubber dam

f. SHARP BEAKS ON A CLAMP

g. HOLES NOT FOLLOWING THE ARCH SHAPE
Removal of Rubber
Dam
Step 1: Cutting the Septa

Step 2: Removing The

Retainer

Step 3: Removing the

Dam

Step 4: Wiping the Lips

Removal of Rubber Dam
Step 5: Rinsing the Mouth
and Massaging the
Tissue

Step 6: Examining The Dam

REFERENCES:
Garg, N. and Garg, A. (2019). Textbook of Endodontics. 4th edition. Jaypee Brother
Medical Publisher.
Hargreaves, K. et. al, (2011). Cohen’s Pathways of the Pulp 10th edition chapter 5 page
115
Ritter, A.V. et al. (2019) Sturdevant’s art and Science of Operative Dentistry. St. Louis,
MO: Elsevier. p. e39 p. e40