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Lec 08 A Field Isolation

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15 views

Lec 08 A Field Isolation

Uploaded by

syeda laiba Ali
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Field Isolation

Dr. Farah Naz


AIDM
Why Isolate teeth?
 To improve visualization
 To protect patient from aspirating
instruments, fluids
 Improving the quality of restoration-good
moisture control
 To control cross contamination
 To decrease bacterial entry into the
restoration
Why protect?
Methods of Isolation

 Rubber dam
 Saliva ejector
 High volume suction
 Svedopter
 Hygoformic saliva ejector
 Absorbent cotton and paper products
Saliva ejector
High volume suction
Svedopter

 Tongue retraction
device with vacuum
evacuation
 Adjustable chin blade
 Varying sized mirror
like, reflecting tongue
blade
Hygoformic saliva ejector
 Similar to svedopter
 Coiled saliva ejector
 No reflective blade
but tongue retracting
coil
 More comfortable
 Can be re-bent
Absorbent cotton and paper
products
Rubber dam
 Rubber dam kit includes
 Rubber dam sheets

 Napkins

 Rubber dam punch

 Hole positioning device

 Rubber Dam frames

 Clamp forceps

 Rubber dam clamps

 Lubricants

 Inverting instrument

 Other retainers: floss

ligatures, dam strips,


modeling compound
Rubber dam sheets

 6x6 inch squares


 Different gauges: thin,
medium, heavy, extra
heavy
 Different colors
Rubber dam punch

 Cutting table and a


punch
 Range of hole sizes
Hole positioning device

 Template:
 Made of metal
 Holes in place of teeth
 Sheet placed on it to trace
tooth location
 Teeth as guide: in cast
 Stamp:
 Efficient method
 0.9 inches away from top
Rubber Dam frames
 Young’s Frame:
 Metallic frame
 Can be sterilized
 Placed outside the dam
 Nygaard Ostby:
 Plastic frame
 Wears with autoclaving
 Placed below the dam
 Pre-attached frames
Clamp forceps

 Holds the clamps and


carries to the tooth
 Angled beaks
 Lock mechanism
Rubber dam clamps
 Types: winged / wingless/
Bow butterfly
Jaws Ferrier
 To retain the dam in place
Points  Different sizes acc. to teeth.
 “W” indicates clamp is
wingless
wings
 W8A:molars, 2A:premolars,
212A:maxillary anterior
 Four point contact with
teeth

Holes for holder


Other retainers
 Floss ligature:
 For tying the clamp
 Interproximally instead of clamp
 Short strip of dam
 Elastic cords or wedgets:
 interproximal elastic cords.
 Modeling compound: adjunct to clamp
 Wooden wedge
Floss Ligature
Wedgets
Other Equipment
 Inverting instrument
 Plastic instrument
 Inversion required to provide tight seal and
prevent leakage of saliva.
 Lubricants
 Water soluble preferable e.g. velvachol
 Petroleum based: Vaseline, cocoa butter
 Interferes in bonding process
 Difficult inversion of dam.
 Ease of dam application and prevent tearing
How many to isolate?
Which tooth to clamp?
 Operative dentistry: segment/ quadrant
isolation
 Endodontics: single tooth isolation
 Clamp over most posterior tooth.
Quadrant Isolation
Single tooth isolation,
Nygaard Ostby
Rubber dam application
techniques
1. Dam over clamp (wingless technique)
2. Winged clamp in dam (winged technique)
3. Clamp after dam
Application techniques:
Dam over clamp
 Anesthesia administration
 Wingless clamp over tooth
 Dam lubricated
 Dam stretched and carried
on tooth.
 Use dental floss to pass
dam interproximally
 Frame attached
Wingless technique
Application techniques:
Winged clamp in dam
 Winged clamp placed on
hole of dam
 Dam lubricated
 Frame attached
 Forcep inserted
 Clamp, dam and frame
carried in one unit
 Stability checked
 Dam on wing pulled off
the wing
Winged technique
Application techniques:
Clamp after dam
 Dam lubricated
 Dam applied on tooth
 Clamp placed later
 Needs more practice
Split dam Technique
• For broken down root isolation
• Slit cut between holes
• Caulking material required to prevent
Contamination e.g oraseal or cavit
After application….
 Check stability
 Place napkin on skin
 Adjust frame
 Invert dam sheet
against teeth.
That’s all for today!
Preparatory Test No. 1
 Date: 30-09-2010
 Test type: SEQs and BCQs.
 Significance: Marks included in internal evaluation
 Topics included:
1. Biologic considerations
2. Patient evaluation and treatment planning
3. Esthetic considerations
4. Caries management
5. Pulp considerations
6. Nomenclature and instrumentation
7. Field isolation
8. Bonding to enamel and dentin
9. Fundamentals of cavity preparation
10. Direct anterior restorations

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