1,229 results match your criteria rubber dam

Management of Intracanal Separated File Fragment in a Four-Rooted Mandibular Third Molar.

Case Rep Dent 2021 30;2021:5547062. Epub 2021 Jun 30.

Department of Conservative Dentistry and Endodontics, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India.

The success of endodontic therapy is attributed to complete arbitration of the bound entities concealed within the complexity and absolute disinfection of the root canal system, thus, deeming it mandatory to effectively negotiate and overcome the challenges posed by obstruction, either iatrogenic or anatomic. To achieve this, considerable depth of knowledge and expertise with reference to variations in root canal morphology and clinical mishap management is substantially as important as developing fine observation skills in conjunction with an appropriate armamentarium and a keen sense of determination, thereby enhancing one's clinical acumen by several folds. In the present case, following rubber dam isolation, the temporary restoration was removed, and the remaining carious dentin was excavated. Read More

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An internet-mediated investigation into the reported clinical use of rubber dam isolation by GDPs in the UK - part 2: clinical applications.

Br Dent J 2021 Jul 8. Epub 2021 Jul 8.

Honorary Professor, Centre for Professional Practice, Medway Campus, University of Kent, Medway Maritime, Kent, ME4 4AG, UK.

Aims To investigate the reported clinical applications of rubber dam isolation by UK general dental practitioners (GDPs) using an internet-mediated approach.Methods The data were collected in 2019, using an online (SurveyMonkey) questionnaire that was distributed to GDPs in a private group on Facebook. The percentages are based on the number of respondents who answered each question. Read More

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Biodentine Full Pulpotomy in Mature Permanent Teeth with Irreversible Pulpitis and Apical Periodontitis.

Healthcare (Basel) 2021 Jun 12;9(6). Epub 2021 Jun 12.

UR 2496 Laboratory of Orofacial Pathologies, Imaging and Biotherapies, School of Dentistry, Université de Paris, 1 rue Maurice Arnoux, 92120 Montrouge, France.

Vital pulp therapy, including direct pulp capping and partial and full pulpotomy, is primarily indicated for immature or mature permanent teeth with reversible pulpitis. Mature permanent teeth with irreversible pulpitis are frequently treated with root canal therapy. This report presents two cases of full pulpotomy using Biodentine in mature permanent teeth with irreversible pulpitis and acute apical periodontitis. Read More

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Dental Education during the COVID-19 Pandemic in a German Dental Hospital.

Int J Environ Res Public Health 2021 06 27;18(13). Epub 2021 Jun 27.

Department of Operative Dentistry, Endodontics, and Pediatric Dentistry, Medical Center for Dentistry, Philipps University Marburg and University Medical Center Giessen and Marburg (Campus Marburg), Georg Voigt Str. 3, 35039 Marburg, Germany.

Due to the SARS-CoV-2 pandemic, dental treatment performed by undergraduate students at the University of Marburg/Germany was immediately stopped in spring 2020 and stepwise reinstalled under a new hygiene concept until full recovery in winter 2020/21. Patient treatment in the student courses was evaluated based on three aspects: (1) Testing of patients with a SARS-CoV-2 Rapid Antigen (SCRA) Test applied by student assistants (SA); (2) Improved hygiene regimen, with separated treatment units, cross-ventilation, pre-operative mouth rinse and rubber dam application wherever possible; (3) Recruitment of patients: 735 patients were pre-registered for the two courses; 384 patients were treated and a total of 699 tests with the SCRA test were performed by SAs. While half of the patients treated in the course were healthy, over 40% of the patients that were pre-registered but not treated in the course revealed a disease being relevant to COVID ( < 0. Read More

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An internet-mediated investigation into the reported clinical use of rubber dam isolation by GDPs in the UK - part 1: factors influencing rubber dam use.

Br Dent J 2021 Jun 25. Epub 2021 Jun 25.

Honorary Professor, Centre for Professional Practice, Medway Campus, University of Kent, Medway Maritime, Kent, ME4 4AG, UK.

Aims To investigate the reported use of rubber dam isolation by UK general dental practitioners (GDPs), utilising an internet-mediated (SurveyMonkey) questionnaire reporting the demographic profile of respondents and the attitudes and factors influencing rubber dam use.Methods A piloted questionnaire was distributed to a random sample of GDPs in a private Facebook group, investigating respondent demographics, clinical applications, and attitudes towards and factors influencing rubber dam use. The data were analysed using descriptive statistics along with chi-squared and pairwise Mann-Whitney U tests. Read More

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The legal position of delivering dental care in a time of COVID-19.

Chris Deery

Evid Based Dent 2021 01;22(2):84

Dean, Professor/Honorary Consultant in Paediatric Dentistry, School of Clinical Dentistry, University of Sheffield, Claremont Crescent, Sheffield, S10 2TA, UK.

Aim To provide an international perspective on COVID-19 (SARS-CoV-2) safety measures and discuss the medico-legal perspective of providing dental care during the COVID-19 pandemic.Data sources This paper is a narrative review. The authors are drawn from academic dentistry and academic law. Read More

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January 2021

Endodontic procedures produce bacterial droplet contamination - but what about viruses?

Evid Based Dent 2021 Jan;22(2):76-77

Academic Clinical Fellow and Honorary Speciality Trainee in Endodontics, Newcastle University School of Dental Sciences, Newcastle Upon Tyne, UK.

Research question The study aims to investigate spread, distance and spatial distribution of aerosolised microorganisms generated through various endodontic procedures.Study design A case-control study carried out at the University of Maryland, US in 2020. The study investigated the aerosolised microorganisms produced during three endodontic treatments: emergency pulpotomy, emergency pulpectomy and non-surgical root canal therapy (NSRCT), with 15 participants in each group (n = 45). Read More

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January 2021

Effect of pre-cooling agent on intensity of pricking pain at intraoral injection site in adults: An experimental study.

J Pak Med Assoc 2021 May;71(5):1379-1383

Department of Operative Dentistry, Dr. Ishrat ul Ebad Khan Institute of Oral Health Sciences, Karachi, Pakistan.

Objective: To determine the effect of pre-cooling agent on the intensity of pricking pain at the intraoral injection site in adult patients.

Methods: The in-vivo interventional study was conducted at the Department of Operative Dentistry, Dr. Ishrat-ul-Ebad Khan Institute of Oral Health Sciences, Dow University of Health Sciences, Karachi, from September 2018 to August 2019, and comprised adult patients of either gender. Read More

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The management of deep caries in UK primary care: A nationwide questionnaire-based study.

Int Endod J 2021 Jun 5. Epub 2021 Jun 5.

Division of Restorative Dentistry and Periodontology, Trinity College Dublin, Dublin Dental University Hospital, Dublin, Ireland.

Aim: To investigate current approaches and attitudes towards the management of deep caries in primary dental care within the United Kingdom (UK).

Methodology: Open distribution of an electronic questionnaire survey was undertaken to primary care dental professionals working in publicly funded National Health Service [NHS], privately funded, military and community dental services. Demographic variables investigated included the following: place of qualification, method of remuneration, level of restorative training, materials available, years qualified, appointment length and clinician type. Read More

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Comparison of Fissure Sealant Chair Time and Patients' Preference Using Three Different Isolation Techniques.

Children (Basel) 2021 May 25;8(6). Epub 2021 May 25.

Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia.

This randomized clinical trial aimed to evaluate the patient's preference and chair time needed during pit and fissure sealant placement under three isolation techniques (Isolite system, rubber dam isolation, and cotton roll isolation). Participants, aged 6-15 years and requiring four sealants on the first or second permanent molars, attending the pediatric dental clinics at King Saud University in Saudi Arabia were enrolled according to the inclusion criteria. Each participant received sealants on three random first or second permanent molars using three isolation techniques. Read More

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A simple guide to using dental dam.

Br Dent J 2021 05 28;230(10):644-650. Epub 2021 May 28.

Centre for Oral, Clinical and Translational Sciences, Floor 25, Tower Wing, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, Guy's Hospital, London Bridge, SE19RT, UK.

The coronavirus (COVID-19) pandemic has caused a major impact on the provision of dental care. The 'new normal' in primary and secondary care is to apply specific measures to reduce the potential impact of aerosol generating exposure (AGE), for example, use of appropriate personal protective equipment and fallow time after aerosol generating procedures. The use of dental dam is essential to reduce the degree of AGE and also potentially reduce fallow time. Read More

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Digital scanning under rubber dam: An innovative method for making definitive impressions in fixed prosthodontics.

J Esthet Restor Dent 2021 May 18. Epub 2021 May 18.

Private practice, Barcelona, Spain; and Chairman and Professor, Department of Restorative Dentistry, School of Dentistry, International University of Catalunya, Barcelona, Spain.

Objective: To provide a comprehensive protocol for final impressions making under rubber dam isolation by using an intraoral scanner.

Clinical Consideration: Impression making after tooth preparation with rubber dam isolation are impossible with conventional physical impressions, which are not with intraoral scanners. Digital technologies have disrupted dentistry in the last decades, bringing new, straightforward, and more time-efficient protocols for dental practice. Read More

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Rubber dam isolation for restorative treatment in dental patients.

Cochrane Database Syst Rev 2021 05 17;5:CD009858. Epub 2021 May 17.

State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Pediatric Dentistry, West China Hospital of Stomatology, Sichuan University, Chengdu, China.

Background: The effective control of moisture and microbes is necessary for the success of restoration procedures. The rubber dam, as an isolation method, has been widely used in dental restorative treatments. The effects of rubber dam usage on the longevity and quality of dental restorations still require evidence-based discussion. Read More

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Resin Bonding of a Lithium-Disilicate Crown Using a Ligated Rubber Dam: A 2-Year Case Report.

Compend Contin Educ Dent 2021 Apr;42(4):188-191

Professor, Department of Restorative Sciences, Dental College of Georgia, Augusta University, Augusta, Georgia.

Enduring glass-ceramic restorations greatly depend on the quality of adhesion of the crown to enamel and dentin. Proper isolation is vital to the success of bonded ceramic restorations. The rubber dam has long been considered the primary method of preventing contamination of the operating field, a crucial requisite for adhesion. Read More

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Current and future trends in the teaching of direct posterior resin composites in Malaysian dental schools: a cross-sectional study.

J Dent 2021 07 3;110:103683. Epub 2021 May 3.

Division of Clinical Dentistry, School of Dentistry, International Medical University Kuala Lumpur, 126, Jalan Jalil Perkasa 19, Bukit Jalil, 57000, Wilayah Persekutuan, Kuala Lumpur, Malaysia. Electronic address:

Objective: To investigate the current and future teaching of posterior composite restorations in undergraduate curricula in Malaysian dental schools.

Methods: A 24-item validated questionnaire including closed and open questions on the teaching of posterior composites was emailed to faculty members in all 13 Dental Schools in Malaysia. Responses were compiled on Excel and analysed. Read More

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Practice with confidence: Analyzing confidence level of final year dental students from four Saudi dental colleges in Riyadh.

Saudi J Biol Sci 2021 Apr 1;28(4):2175-2179. Epub 2021 Feb 1.

Assistant Professor of Prosthodontics, College of Dental Medicine, Qatat University, Qatar.

Objective: To investigate the confidence level of final year dental students in Riyadh.

Materials: Cross-sectional study was conducted at four dental colleges in Riyadh (N = 312, 220 and 70,5% responded). Oneway ANOVA and post hoc Tukey-Kramer was used. Read More

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Modern endodontic practices among dentists in India: A comparative cross-sectional nation-based survey.

J Conserv Dent 2020 Sep-Oct;23(5):441-446. Epub 2021 Feb 10.

Department of Public Health Dentistry, Kalinga Institute of Dental Sciences, KIIT (Deemed to be) University, Bhubaneswar, Odisha, India.

Introduction: More than 41,000 root canal treatments (RCTs) are performed every day and about 25 RCTs are performed every week by an endodontist. The success rate of endodontic treatment ranges between 86% and 98%; however, the failure rates cannot be ignored which can range up to 20% of the treated cases due to a varied number of reasons including incorrect adoption of working techniques and usage of inappropriate materials. The present study aimed at comparing the practices of various levels of dentists toward RCT in their daily practice. Read More

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February 2021

Novel COVID-19 Intersections with Dentistry: Approaches to protection.

J Clin Exp Dent 2021 Apr 1;13(4):e406-e411. Epub 2021 Apr 1.

MD, PHD. Associate Professor - Surgery Department - Faculty of Medicine of the University of São Paulo, Brazil.

Background: COVID-19 outbreak brought many challenges to the society and to health care systems. Health care professionals in dental practices are a high-risk population, due to close contact to saliva and aerosols. Specific guidance for those professionals is essential to control disease transmission and guarantee dentist's health. Read More

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Morphological analysis of cementoenamel junction in premolars of Sri Lankans.

Anat Sci Int 2021 Apr 5. Epub 2021 Apr 5.

Department of Basic Sciences, Faculty of Dental Sciences, University of Peradeniya, Peradeniya, 20400, Sri Lanka.

Cementoenamel junction is an anatomical landmark which indicates the meeting point of enamel of the crown and the cementum of the root. It is an important reference point in clinical dentistry as well as in dental radiography. The present study is done to describe the distribution of the mineralized tissue at the cementoenamel junction in relation to various surfaces of the premolars. Read More

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Do composite restorations in primary molar teeth have a higher survival rate following total or selective caries removal?

Evid Based Dent 2021 01;22(1):38-39

Newcastle upon Tyne Hospital NHS Foundation Trust, Newcastle upon Tyne, UK; Senior Lecturer/Honorary Consultant in Paediatric Dentistry, School of Dental Sciences, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.

Study design A double-blind randomised clinical trial, conducted between June 2009 and June 2011, in a paediatric dental department in a Brazilian dental school.Study selection Children aged 3-8 years, in good general health, with deep carious lesions (caries radiographically located in the inner quarter of dentine) affecting either one or two surfaces in primary molars were eligible for inclusion. Teeth were excluded if clinical or radiographic evidence of pulpal inflammation or necrosis or clinical mobility were observed. Read More

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January 2021

Clinical performance of high-viscosity glass ionomer and resin composite on minimally invasive occlusal restorations performed without rubber-dam isolation: a two-year randomised split-mouth study.

Clin Oral Investig 2021 Mar 8. Epub 2021 Mar 8.

Department of Restorative Dentistry, Faculty of Dentistry, Izmir Katip Celebi University, Izmir, Turkey.

Objective: The aim of this clinical trial was to evaluate the 2-year clinical performances of high-viscosity glass ionomer and nanohybrid resin composite restorations performed without rubber dam isolation.

Materials And Methods: Occlusal carious lesions on the right and left mandibular second molars of 56 patients (26 female, 30 male patients) were restored in a split-mouth design. High-viscosity glass ionomer (Hv-GIC) (Equia, GC) and nanohybrid resin composite (GrandioSO, Voco) were used as restorative materials. Read More

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Comparing effectiveness of rubber dam and gingival displacement cord with copy abutment in reducing residual cement in cement-retained implant crowns: A crossover RCT.

Clin Oral Implants Res 2021 May 1;32(5):549-558. Epub 2021 Mar 1.

Institute of Odontology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

Objective: To evaluate the amount of residual cement after cementation of implant crown abutments with rubber dam and retraction cord with copy abutments techniques.

Material And Methods: Thirty single posterior metal-ceramic implant-supported restorations were delivered to 20 patients. The crowns were fabricated with occlusal openings obturated with composite, and then luted with resin-reinforced glass-ionomer cement on customised standard abutments. Read More

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Impact of COVID-19 on Pakistani dentists: a nationwide cross sectional study.

BMC Oral Health 2021 02 10;21(1):59. Epub 2021 Feb 10.

Operative Dentistry Department, Islamabad Medical and Dental College, Main Murree Road, Bharakahu, Islamabad, Pakistan.

Background: The COVID-19 outbreak which developed into a public health crisis has raised concerns regarding infection control among health care workers particularly dentists all over the world. The aim of this survey was to assess awareness, fear and compliance with practice modification according to CDC guidelines during COVID-19 pandemic among Pakistani dentists.

Methods: A cross-sectional study was conducted using an online survey questionnaire. Read More

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February 2021

Self-reported habits regarding dental bur use and conditioning among academic and non-academic argentinian dentists.

Acta Odontol Latinoam 2020 Dec;33(3):195-199

Universidad de Buenos Aires. Facultad de Odontología, Cátedra de Materiales Dentales, Buenos Aires, Argentina.

The removal of tissues affected by caries lesions is one of the most frequent procedures in daily dental practice. The aim of this study was to collect information about the habits of members of the academic and non-academic dental community in Argentina regarding the use and conditioning of burs employed in the removal of dentin during the treatment of carious lesions. A 14- item questionnaire was prepared, and once validated in small groups, it was sent to three lists of dental subscribers through the computer services area of the School of Dentistry, University of Buenos Aires, Argentina (FOUBA). Read More

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December 2020

The Debate: What Are Aerosol-Generating Procedures in Dentistry? A Rapid Review.

JDR Clin Trans Res 2021 04 29;6(2):115-127. Epub 2021 Jan 29.

University of Bristol Dental Hospital, Bristol, UK.

Introduction: This article aims to review the current national and international dental guidance produced during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic to identify the level of consensus on aerosol-generating dental procedures (AGDPs). The outcomes intend to encourage increased collaboration with respect to dental guidelines in relation to the SARS-CoV-2 pandemic, as well as to improve decision making and safety for dental patients and staff.

Methods: This rapid review was conducted by 2 authors (MKV and KD), with the support of a third author (SD), to assess current guidelines related to dental AGDPs. Read More

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Effective Protocol for Daily High-quality Direct Posterior Composite Restorations. Cavity Preparation and Design.

J Adhes Dent 2020 ;22(6):581-596

Tooth-cavity preparation contributes to a large extent to the quality of the direct posterior composite restoration, the so-called hidden quality of the restoration. Indeed, the effect of a poor cavity design is not immediately visible after placement of the restoration. To correctly prepare a cavity for a posterior composite restoration, the tooth to be restored should first be profoundly biomechanically analyzed. Read More

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January 2021

Preprocedural Pool Testing Strategy for Dentistry during the COVID-19 Pandemic.

F Umer A Arif

JDR Clin Trans Res 2021 04 21;6(2):139-144. Epub 2021 Jan 21.

Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan.

Introduction: Aerosol-generating procedures (AGPs) put the dental health care professionals (DHCPs) at a greater risk for acquiring severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. In late June 2020, the Centers for Disease Control and Prevention advised elective dental procedures provision to asymptomatic patients while mandating strict infection control protocol and suggested the use of preprocedural testing as an adjunct. A cost-effective method for mass preprocedural testing is pool testing, which has specificity and sensitivity similar to polymerase chain reaction. Read More

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Aerosols generation using Er,Cr:YSGG laser compared to rotary instruments in conservative dentistry: A preliminary study.

J Clin Exp Dent 2021 Jan 1;13(1):e30-e36. Epub 2021 Jan 1.

DDS, MSc. Faculty of Medicine and Health Sciences, University of Barcelona. Barcelona, Spain. Master of Laser in Dentistry (EMDOLA) University of Barcelona. Spain.

Background: In restorative dentistry, the use of high-speed air turbine, which generates aerosols, can be associated with the transmission of airborne diseases. New laser technologies could be useful in reducing the amount of aerosols, but there is a lack of scientific research on this topic.

Material And Methods: This is a descriptive study to analyze the amount of aerosols produced after class I cavity preparation using high-speed air turbine (group 1) and Er,Cr:YSGG laser with two different parameters (groups 2 and 3). Read More

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January 2021

Endoscopic retrieval of an accidentally ingested bur during a dental procedure: a case report.

Patient Saf Surg 2021 Jan 5;15(1). Epub 2021 Jan 5.

Department of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences, Mangalore, Affiliated to Manipal Academy of Higher Education, Manipal, Karnataka, India.

Background: Accidental ingestion of a dental bur during the dental procedure is a rare, but a potentially serious complication. Early recognition and foreign body retrieval is essential to prevent adverse patient outcomes.

Case Presentation: A 76-year old male patient, presented to the department with a chief complaint of sensitivity in his upper right back tooth due to attrition. Read More

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January 2021