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Isolation Techniques
Isolation Techniques
Isolation Techniques
3)
3) Give indications/ contraindications of rubber dam application.
Indication
i. During root canal treatment/endodontic procedures: To prevent swallowing of foreign
bodies and contamination of root canal space
ii. Excavation of deep caries: To prevent contamination of pulp in case of pulpal exposure
iii. Subgingival restorations: To provide gingival retraction and control gingival fluid
iv. During adhesive restorations: To prevent salivary contamination and ensure complete
dryness of operating field
v. In high-risk patients: In patients with hepatits B or HIV, isolation prevents spread of
oral fluids
vi. Bleaching of teeth: To prevent damage of adjacent soft tissues by bleaching agents.
Contraindication
i. Asthmatic patients
ii. Allergy to latex
iii. Mouth breathers
iv. Extremely malpositioned tooth
v. Third molar (in some cases).
This method in which rubber dam is placed to isolate the tooth without the use of rubber dam
clamp. In this technique, two overlapping holes are punched in the dam. The dam is stretched
over the tooth to be treated and over the adjacent tooth on each side. Edge of rubber dam is
carefully teased through the contacts of distal side of adjacent teeth.
Indications of split dam technique:
• To isolate anterior teeth
• When there is insufficient crown structure
• When isolation of teeth with porcelain crown is required. In such cases placement of rubber
dam clamp over the crown margins can damage the cervical porcelain.
Advantage
• Easy to apply for anterior teeth.