lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 1 Isolation of the operating field termafilreal l l l l l l lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 2 Goals of isolation lMoisture control – excluding sulcular luquid, saliva, gingival bleeding, cooling spray, restorative debris lRelatively and absolutely dry operatiog field lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 3 Relative dry operation field lExcluding sulcular luquid, saliva, gingival bleeding, cooling spray, restorative debris l The operating field is not isolated against moist air - high relative humidity in oral cavity. l lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 4 suchepoleobr suchepoleobr suchepoleobr suchepoleobr suchepoleobr Absorbents Minidam Cotton rollers Cotton pellets Cotton cups Suctions lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 5 kavitankavitasklinkem Wooden wedge Compression of gingiva Separation of teeth Adaptation of matrices Retraction cords lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 6 opalvnitrnibel barva Special materials – light curing lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 7 Absolute moisture control lRubber dam -A dry, clean operating field -Improved access and visibility -Potentilally improved properties of dental materials (curing, bonding) -Protection of the patient (aspirating, swallowing,protection of soft tissues, mercury exposure) and operator (infection control barrier) -Operating efficiency l l l lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 8 Disadvantages lBreathing difficulties (asthma) lTeethe that have not erupted lsufficiently to lsupport a retainer lExtremely malpositioned teeth lPsychologic reasons lLatex allergy l Ø lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 9 daniel6 homolk1 alergie lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 10 koffferprehled spona Instruments and materials lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 11 blany Rubber dam material -Deteriorates over time -lower tear strength - -Available -Sheets (12,5 x 12,5 or 15x 15 cm) -Roll - -Thickness: -Thin, medium, heavy, extra heavy, -special heavy lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 12 ramecekkov ramecekplast1 ramecekplastmuj Rubber dam holder - frame Maintains the rubber dam in position U ahaped Closed Closed with joint lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 13 ramecekkloub1 ramecekkloub2 lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 14 Rubber dam retainers - clamps l sponabezkridla Bow Hole Jaw Prong (4 prongs) Anchore the rubber dam to the most posterior tooth to be isolated lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 15 sponakridlata sponabezkridla sponadvaobl sponykov sponaplast Wings Wingless and winged retainers lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 16 sponadvaobl mojespona2 lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 17 sponyretretr zubtvar zubtvar1 zubtvar2 lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 18 kontakt 3 kontakt1 kontakt2 The retainer must not move lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 19 retencni retencni1 retrakcni lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 20 perforace1 razitko perforaceblany koffferprehled Rubberdam template Rubberdam stamp lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 21 kleste kleste1 Rubber dam punch Cuts the puncture in the rubberdam Ainsworth Ivory lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 22 klesteASH perfplotenka spatnaperforace Rotating metal table – disk Six holes of varying size Tapered plunger centered in the cutting hole lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 23 klestespony6 klestespony7 klestespony12 klestespony11 Retainer forceps For placement and removal of the retainer lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 24 lubrikace ubrousek2 ubrousek1 uzda Lubricant Rubberdam napkin Neck strape lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 25 Perforace blány kleste Vyražení otvoru Okraje okrouhlé bez nepravidelností lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 26 z praxe praxe2 lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 27 spona klestespony klestespony1 lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 28 Placement ØComfort of the patient and operator ØAnaesthesia ØChecking of proximal contacts – dental tape ØPunching the holes ØLubrication the dam ØSelecting the retainer ØTesting the stability of the retainer ØPositioning of rubberdam ØApplying of the napkin ØAttaching the frame Ø Ø lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 29 Placement Ø ØPassing the septa with and without the tape ØInverting the dam interproximally – interdental adaptation ØInverting the dam faciolingually – inversion ØConfirmingya properla applied rubber dam ØRemoval of the rubber dam (cut the with scissors) ØRemoving of the retainer ØWiping the lipes ØExamining the dam (no remnants) lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 30 daniel1 odstraneniprevisu revize lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 31 Modes of placement lRubber first lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 32 nasazeni01 nasazeni011 lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 33 Modes of placement lRetainer first lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 34 nasazeni02 nasazenjiO21 lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 35 Modes of placement lRubber and retainer together lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 36 nasazeni03 lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 37 Modes of placement l„One second placement“ lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 38 sekundove lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 39 intedent1 interdent2 interdent3 interdent00 interedenééě Interdental adaptation – inverting the rubber dam interdentally lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 40 interdent5 interdent6 lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 41 inverzeschema inverzeschema1 Inverting the rubber dam faciolingually lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 42 inverze inverze1 inverze3 lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 43 z praxe praxe2 Dentap tape Wedjet Additional methods and factors lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 44 kreplovahorni1 kreplova2 kreplova3 kreplova5 lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 45 Modifications ØOptidam Ø ØOptradam Ø ØMinidam Ø ØDermadam lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 46 l OptiDamAnteriorOutlined-200Width-Prod OptiDamPosteriorOutlined-200Width-Prod OptiDamFrameOutlined-200Width-Prod kreplova2 suchepoleobr lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 47 l suchepoleobr DSC00186 lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 48 l DSC00187 lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 49 lenka.roubalikova@tiscali.cz optradam optradam1 lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 50 l dermadam lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 51 l destr1 destr2 destr4 IMG_1082 lenka.roubalikova@tiscali.cz lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 52 l beleniizolace IMG_3414 lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 53 l kofferdam kofferdam1 lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 54 l kofferd lenka.roubalikova@tiscali.cz ‹#› lenka.roubalikova@tiscali.cz 55 l silnebeleni optradam