JOVD 2018 #2: Dental Dam Application for Endodontics in Dogs—A Novel Clamp Kit

Question 1

Authors?

Answer 1

Miguel Cardoso, DDS, Ph Rita Noites, DDS, PhD, Dora Catr´e, MD, PhD Manuel Paulo, DDS, PhD, Carlos Viegas, DVM, PhD

Question 2

Purpose of this article?

Answer 2

Describe a new line of clamps specifically designed for dogs and to review the procedure and materials used for isolating the operative field in endodontic patients

Question 3

When and by whom was introduced the first dental dam in human dentistry?

Answer 3

Dr Sanford Barnum in 1864.

Question 4

What are the advantages (4) of using dental dam?

Answer 4

• better control of cross-infection and improves treatment efficiency.
• provides an aseptic field isolating the tooth from oral and salivary contamination
• improves access and visibility to the operating field by retraction of soft tissues
• protects from possible aspiration or swallowing of instruments, drugs, irrigating solutions, and tooth/material debris.

Question 5

Are rubber dam often used in veterinary dentistry? Why?

Answer 5

No.

Reasons:

• lack of experience,
• underestimation of its benefits
• unfavorable past experiences when using clamps that are not specific for the canine species
• amount of time required to place a rubber dam is often overestimated.

Question 6

What is the main advantages of this new dental dam?

Answer 6

Clamp are made especialy for dogs and better adapt to dogs’ teeth (different sizes available).

Butterfly clamps provide better access to the tooth

Question 7

What materials are needed?

Answer 7

Rubber dam sheet: 152 x 152 mm size; 0,25mm thick
Rubber dam punch: variable size
Rubber dam frame: metal or plastic

Question 8

How is the dental dam put in place?

Answer 8

3 similar techniques:

• Technique 1: rubber dam sheet & clamp assembled than placed on tooth followed by placement of rubber dam frame

Question 9

How is dental dam put in place?

Answer 9

• Technique 2: rubber dam sheet & clamp & rubber dam frame assembled than put on tooth

Question 10

How is dental dam put in place?

Answer 10

Technique 3: rubber dam sheet & frame assembled, than put on tooth, than clamp is fixed.

Question 11

What armamentarium is needed to place a rubber dam?

Answer 11

Clamp rubber dam sheet rubber dam punch rubber dam frame clamp forceps