Restorative - Isolation
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20 terms
Terms | Definitions |
|---|---|
dental dams should be used | whenever possible |
dental dam advantages | increased visibility of oral cavitycontrols moisture increases efficiency more comfort for patient prevents transmission of disease patient cannot swallow materials |
dental dam material | should be refrigeratedgood for 2 years from date of manufacture |
posterior teeth | minimum 1 tooth distal and 2 teeth mesialvideo: 2 teeth distal and to opposite incisor |
anterior teeth | canine to canine |
check for rough contacts | with floss to prevent tearing the dam |
punch holes | 1. mand incisors2. max incisors 3. premolars and canines 4. molars 5. anchor tooth |
when using punch | pull up on dam while squeezing to clear hole |
lubricate dam | on tissue side after punching holes |
clamp placement | on most distal toothhas to contact tooth at 4 line angles below height of contour |
winged clamp | wings at jawsput in dam before applied to tooth |
wingless clamp | smooth at jawsput on before dam |
clamps designated with an "A" | jaws point downward for partially erupted teethpoints toward "A"pex |
inversion | tucking under of the edges of dam around gingival sulcusT-ball burnisher |
examples of isolation | cotton rollsgauze squares cellulose wafers saliva ejectors svedopters high volume evacuators rubber dams |
examples of cellulose wafers | Dri-Angles |
Advantages of EXCELLENT isolation | protectionmoisture control visibility protection from aspiration patient comfort easy to obtain reduced aerosol sprays from pt. mouth dental material properties are better when placed in a dry field |
protection | soft tissues (cheek, lips, and tongue) are kept from the field of vision, which protects surrounging soft tissues form damage |
mositure control | dental material properties are improved in a dry field |
visibility | improved since the teeth are kept dry and relatively isolated. ideally, isolation would isolate and expose the entire clinical crown by retracting free gingiva |
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