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Treatment Planning
Published in M S Duggal, M E J Curzon, S A Fayle, K J Toumba, A J Robertson, Restorative Techniques in Paediatric Dentistry, 2021
M S Duggal, M E J Curzon, S A Fayle, K J Toumba, A J Robertson
Rubber dam is the technique most widely advocated in dental teaching—yet the most widely neglected in dental practice. However, we believe that the restoration of primary teeth should always, as far as possible, be carried out under rubber dam. It is essential for pulp therapy, and highly desirable if quadrant dentistry is to be accomplished.
Oral problems: speech, diet and oral care
Published in Jeremy Playfer, John Hindle, Andrew Lees, Parkinson's Disease in the Older Patient, 2018
Lizzy Marks, Karen Hyland, Janice Fiske
The person should not be reclined more than 45° in the dental chair because of potential difficulties such as triggering the swallow reflex and the risk of pulmonary aspiration of saliva and debris. Use of a rubber dam, with additional suction behind the dam to cope with salivary secretions, is recommended for restorative dentistry. The use of ‘four-handed’ (dental-nurse-assisted) dentistry and high-volume suction are advocated.
Identifying our learning needs
Published in Amar Rughani, Chris Franklin, Stephen Dixon, Dame Margaret Seward, John Renshaw, Personal Development Plans for Dentists, 2017
Amar Rughani, Chris Franklin, Stephen Dixon
Therefore when we look at our educational needs, we have to ask: ‘What are the implications for patient care of not prioritising this need?’, and the more serious the consequences for the patient, the more urgently should the need be addressed. Hence, if we were involved in a significant event such as the inhalation of a dental file during root canal treatment, we would urgently need to consider using rubber dam routinely.
Mercury, silver and selenium in serum before and after removal of amalgam restorations: results from a prospective cohort study in Norway
Published in Acta Odontologica Scandinavica, 2023
Lars Björkman, Frauke Musial, Terje Alræk, Erik L. Werner, Harald J. Hamre
The 32 patients in the Amalgam cohort were given dental treatment at 212 sessions within the project. The mean number of treatment sessions was 6.6 (median 6.5, range from 2 to 13). Dental amalgam restorations were removed in a total of 179 treatment sessions (dentist documentation) or 178 sessions (patient documentations). Rubber dam was used in about three-quarter of the removal sessions, water-cooling and high-volume evacuation was according to dentist and patient documentation used in 94% and 92%, respectively. Rubber dam, water-cooling and high-volume evacuation were not used in all amalgam removal sessions for 17 patients using the documentation by the dentists. According to patient documentation, dietary supplements (vitamins and minerals) were used in conjunction with 57% of the amalgam removal sessions, other preparations like alcohol or charcoal were used by 19%; corresponding numbers as reported by dentists were lower (Table 2).
Influence of dental education on adoption and integration of technological aids in the delivery of endodontic care by dental practitioners: a survey
Published in Acta Odontologica Scandinavica, 2022
Hanne Q. Christensen, Brita R. Linde, Asgeir Bårdsen, Vilhjalmur H. Vilhjalmsson, Sivakami R. Haug
Rubber dam use for all RCT procedures was reported by 280 (93%) DPs, while 16 DPs (5.3%) reported using rubber dam sometimes and 5 DPs (1.7%) reported never using rubber dam. Significantly more female DPs always used rubber dam (p < .05) when compared with male DPs. Dentists who applied rubber dam sometimes during treatment procedures placed them on maxillary and mandibular posterior teeth. The least frequent tooth isolated with rubber dam was the maxillary anterior teeth. Significantly higher number of DPs in private practice did not use rubber dam (p < .01). Of the five dentists who never placed rubber dam, four were male and one female, and all of them worked in private practice. Three of these “non-rubber dam users” performed RCT more than 10 times a month. There were no significant differences in use of rubber dam between newer and older graduates.
Triage and urgent dental care for COVID-19 patients in the Hospital District of Helsinki and Uusimaa
Published in Acta Odontologica Scandinavica, 2022
Maria Kaarina Mikkola, Jenny Johanna Gästgifvars, Jaana Sisko Helenius-Hietala, Johanna Tuulikki Uittamo, Jussi Oskari Furuholm, Hannamari Välimaa, Hellevi Merja A. Ruokonen, Karita Maaria Nylund
If dental staff had any COVID-19 symptoms, they were instructed to stay home and referred to COVID-19 testing. One asymptomatic day was required before returning to work. All dental staff were protected by a FFP2-mask, disposable liquid impermeable protective gown, a cap, goggles/face shield, nitrile or latex gloves, and disinfectable shoes. PPE was put on in an isolated, separate space that was specifically prepared for this purpose. In the operating room, the patient was given antimicrobial hydrogen peroxide (1.5%) mouth rinse to rinse for 1 min as recommended earlier [3]. The dentist checked the medical and dental history and oral symptoms, examined the patient and possible X-ray image, assessed the diagnosis and gave the necessary dental treatment in agreement with the patient. Dental nurses prepared for the upcoming procedure and only the necessary instruments were provided to avoid contamination. There was one dental nurse in the operating room and another outside ready to assist with necessary instruments if needed. Using rubber dam was recommended whenever possible based on its efficacy to significantly reduce airborne particles [24]. Between patients longer breaks than usual were taken, which allowed better ventilation in operating rooms [8]. Staff was instructed not to enter operating room without FFP2-mask at least for 30 min after AGP. The treatment protocol is shown in Figure 3.