Prof. Paul V. Abbott Rubber Dam UWA - 3 rd Yr Endodontics 2007 Page 1 Rubber Dam Rubber Dam Rubber Dam Rubber Dam a) a) First reported use in ~ 1840 First reported use in ~ 1840 Dr. S.C. Barnum Dr. S.C. Barnum – USA USA University of Illinois University of Illinois - 1900 1900 Rubber Dam Rubber Dam a) a) First reported use in ~ 1840 First reported use in ~ 1840 Dr. S.C. Barnum Dr. S.C. Barnum – USA USA b) b) Recommended by Recommended by ALL ALL teaching authorities teaching authorities and professional societies since the 19 and professional societies since the 19 th th Century for Century for ALL ALL endodontic procedures endodontic procedures And for many other dental procedures!! And for many other dental procedures!! Reasons for Using RD Reasons for Using RD Reasons for Using RD Reasons for Using RD a) a) Infection control Infection control b) b) Patient safety Patient safety c) c) Patient comfort Patient comfort d) d) Moisture control Moisture control e) e) Increased visibility Increased visibility f) f) Increased access Increased access g) g) Increased efficiency Increased efficiency h) h) “Dento Dento- legal legal” reasons reasons i) i) Improved treatment outcome Improved treatment outcome
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Prof. Paul V. AbbottRubber Dam
UWA - 3rd Yr Endodontics 2007 Page 1
Rubber DamRubber Dam Rubber DamRubber Dam
a)a) First reported use in ~ 1840First reported use in ~ 1840
Dr. S.C. BarnumDr. S.C. Barnum –– USAUSA
University of IllinoisUniversity of Illinois -- 19001900Rubber DamRubber Dam
a)a) First reported use in ~ 1840First reported use in ~ 1840
Dr. S.C. BarnumDr. S.C. Barnum –– USAUSA
b)b) Recommended byRecommended by ALLALL teaching authoritiesteaching authoritiesand professional societies since the 19and professional societies since the 19thth
Century forCentury for ALLALL endodontic proceduresendodontic procedures
And for many other dental procedures!!And for many other dental procedures!!
Reasons for Using RDReasons for Using RD Reasons for Using RDReasons for Using RD
““You can do it better when you can see it better!You can do it better when you can see it better!””
Increased EfficiencyIncreased Efficiency
Saves significant operating timeSaves significant operating time
Quick to applyQuick to apply –– mean: 1.9 minutesmean: 1.9 minutes
GergelyGergely BDJBDJ 19891989
BUTBUT -- they were general dentiststhey were general dentists
Only used RD 5% of the timeOnly used RD 5% of the time
Regular users likely to be much fasterRegular users likely to be much faster
NB: Local Anaesthesia needsNB: Local Anaesthesia needs33--5 minutes to be effective5 minutes to be effective
“Dento-Legal” Reasons
Recommended by ALL teaching authoritiesand professional societies since the 19thCentury for ALL endodontic procedures
And for many other dental procedures!!
Prof. Paul V. AbbottRubber Dam
UWA - 3rd Yr Endodontics 2007 Page 4
““DentoDento--LegalLegal”” ReasonsReasons
The Dental Practice Board of VictoriaThe Dental Practice Board of Victoria
Policy DecisionPolicy Decision –– Oct 1998; Revised Nov 2002Oct 1998; Revised Nov 2002
““The use of rubber dam is mandatory forThe use of rubber dam is mandatory forroutine endodontic therapyroutine endodontic therapy””
““Serious, deliberate or repeated departuresSerious, deliberate or repeated departures…… could result in a dentist being chargedcould result in a dentist being chargedwith professional misconductwith professional misconduct””
““DentoDento--LegalLegal”” ReasonsReasons
““One of the most obvious departuresOne of the most obvious departures
from the accepted standard of carefrom the accepted standard of care(during endodontic treatment)(during endodontic treatment)
is the failure to use rubber damis the failure to use rubber dam””
““There would be no argument regardingThere would be no argument regarding
liability and the only question wouldliability and the only question wouldbe the amount of the settlementbe the amount of the settlement””