Tips and tricks basic rubber dam isolation. Part I
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- Опубліковано 5 чер 2020
- With COVID-19 the way we practice dentistry will change. One of those changes will be the need for more procedures to be performed under rubber dam isolation. In Part I of this webinar Dr. Romero shares the basics from clamp selection to all the required clinical steps, included the floss ligature technique.
For more information on Hygenic clamps please visit: nam.coltene.com/
For CE Credits take the quiz visiting: www.romerodentalseminars.com/...
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Amazing video! Thank you so much for all the knowledge. Very useful!
Thank you for watching!
You are awesome!
I did not expect to the sack come out at all. Love your videos by the way.
Dr. i have a case with badly broken lingual part, subgingival. i did gingivectomy last visit. i want to do pre-endo build up , but i don't have any remaining wall to use clamp. so i'm in dilemma , should i do my build up without rubber dam?
No. Use a B4 or a modified 212 and you will be able to isolate for sure!
@@romerodentalseminars in a lower 6 ?
Yes, you can use them anywhere
@@romerodentalseminars Thank you so much
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Amazing video ❤ I would love to ask your opinion whether it's better to cavity prep before or after placing rubber dam in case of subgingival margins?
It really depends on your level of experience with the rubber dam. I like placing the dam before hand, this allows you to “stop” your preparation before impinging into the dam and use teflon to separate it to continue with the bur. Now, if I know the preparation will be very deep prior to removal of the old restoration, then I remove it first and deal with the isolation later. Hope this helps and thanks for watching
How many teeth do you anasthesize in the multiple isolation technique? Is the clamped tooth and the tooth to be restored enough? And are teeth involved anasthesized both buccopalately?
The clamped teeth are usually numbed, but not all the time. I would say 80% of times. And yes, the tooth to be restored if we are cutting into dentin. If it is an esthetic restoration, no anesthesia is used for those teeth.
@@romerodentalseminars thank you 😊❤
Epic.
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Dear Dr Romero, you gave me zero on rubber dam competency because i forgot to write my roll number on it lol I still love you !!! :) love your videos sir!! god bless you
😂😂😂 hey man, love you too!!
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Me gusta el video soy susan Daniela flores funez de tegucialpa
Muchas gracias por ver y por seguir nuestro vídeos! Saludos desde Fort Myers, Florida
Thank you for all this knowledge
Perfect presentation. Thank you very much
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Tx a lot for this complete course. Greetings from Tenerife.
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Thank you very much doctor 💚
Excellent and great!!! Thank You Dr for fantastic webinar!!!
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One of my all time favorite clamps - modified 12a and 13a. Use a 557 Carbide bur, cut the wings off of the clamps, make them round (think W3 style) and then smooth edges with a Brownie point. Just like that the 12a/13a become incredibly useful
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Thank you so much for this webinar!
While applying the shaving cream, can the patient tell the taste?
You really don’t need too much. I haven’t had a patient ever complaint. Shaving cream (not gel) is water soluble so very easy to rinse.
Can u smell gunpowder
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Wonderful webinar, Sir. Rubber dam isolation is rarely used beyond dental school in my country. I'm planning on going back to using it in my office.
My question is, how do we maintain good suction within the oral cavity? Does the assistant need to intermittently raise the edge and suction saliva? Or leave the aspirator in place at the back of the mouth? Please guide me on this matter. Thanks!
Both options you mention are good. I personally use the intermittent one since I find the mouth over-dries when it is constant. The rubber dam allows the patient to help us with swallowing as well. Glad you liked it, please share.
@@romerodentalseminars
Respected Dr Romero.
I have been implementing your webinar in my practice and have experienced a marked improvement in my restorative work. I thank you immensely! A question arose in my mind today:
Do you attach the rubber dam to the frame immediately after seating the clamp, and then pass the perforations over the teeth? Or should the perforations be passed over the teeth before the dam is secured to the frame?
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Thanks a lot. It was a beautiful presentation.
I would like to ask some questions about the floss ligature technique
1. In posterior teeth with deep subgingival proximal margins, the septum area of the rubber dam would extrude into the cavity. When I try to use the floss ligature technique to invert the rubber dam, sometimes the floss doesn't go apically enough and sometimes the floss slips beneath the rubber dam (instead of pressing it apically). What can I do to correct this?
2. In some anterior teeth with short clinical crowns, sometimes there is no cervical undercut. When I tighten my knot, the loop slips incisally instead of cervically. What should I do in these situations?
Thanks a lot for your sharing.
1. Try using a smaller perforation size. I only recommend the one next to the largest size for molars and the one next to the smallest size for premolars in general. Another option is to use a retraction clamp like the B4 or a modified 212. You can watch this on our “advanced rubber dam” webinar.
2. Again, try the retraction clamps.
Hope this helps and thanks for watching.
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What do you use for rubber dam lubrication?
We will have a video coming soon with 7 valuable tips, this one included.
thank you 10000000000 thanks
This was great and useful😍thank you so much🙏🏻
☺😙🥰😙
Eu preciso de uma pessoa assim a minha unha tá feia
Puss should come before blood. Used needle willy_nilly. Ruthless with nail and instrument use.
How do I isolate when performing a class 2 DO in upper 7 when upper 8 is present and when it is absent?
😮
No. 18 or 28 are very hard to isolate, but “if possible” you can try using a 13A or a 12A, really good clamps. If 8 is absent you will have to use 7 for your clamp and choose a retainer-less type of band. Hope this helps.
Parabéns!
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How much additional time per visit does it regularly take you to isolate with full rubber dam?
Depending on the procedure and number of teeth from 2-8 minutes.
@@romerodentalseminars 100% agreed. There are some unique cases that take a while, but for the most part, I usually say 2 - 8 min as well 😎👍
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Would you prefer to put the rubber Dam on the patient yourself?. My dentist makes me put the rubber dam on a patient
No
很难着啊
Excellent webinar
Glad you think so!
The 2nd time a dentist used a dam, there was a pin prick hole that allowed water to drip down the back of my throat. I panicked and freaked out. Never again.
Completely understand the feeling, this is why we created this content, so that dentist improve their techniques and protect their patients. There are many “small” instruments we use that can fall easily to the back of the throat with bad consequences. Thanks for your comment.
อยากรู้ฟันไม่หักแต่ต้องการใส่ได้ไหมคะฟันเหลือง
บอกตรงๆตคุณตอบไทยนะอ่านไม่ออกพาษาอื่นช่วยหน่อยนะคะไทยอ่านง่าย
En español
Por favor busque en nuestros videos uno llamado “Webinar AISLAME”. Es el mismo pero completamente en Español. Gracias por visitar nuestro canal.
Esse alicate dá a impressão que não corta nada. Precisa de ser amolado. 😪
Thank you. Very informative
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This started playing while i was asleep??
Uh.. same here..
Me too! What the hell…
Wth
Just woke up to this video after playing while I was sleeping and saw this comment! LOL
Bro wtf! Same💀
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dr romero i think thers is a problem in the sound its too low even when using headphone
I just listened to it and I don’t have any problems with the volume. Sorry you are having problems.
@@romerodentalseminars try it in a different devices doc
Thank you for great efforts
There is indeed a problem with the sound, it is too low
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Rubber buggy baby bumper.
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you can not see 50 patients in 8 hours duty if you are using rubber dam
You SHOULD NOT be seeing 50 patient in 8 hours period!
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Audio volume is a bit too low . Cannot hear properly.
Thank you for the feedback. We will check and make corrections as needed.
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Need to talk louder
You need to listen louder.
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Thanks a lot, really a great work Sir
I want to ask you sir, if I may, can we use floss ligature as an alternative for retraction clamp ? If yes, in whitch cases ?
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