Rubbers?

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Zurik5

Zurik5

Feel the Illinoise.....
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Rubber dams, feelings? Likes/Dislikes? I hated them at first, but now I don’t mind it at all.
 
Zurik5 said:
Rubber dams, feelings? Likes/Dislikes? I hated them at first, but now I don’t mind it at all.
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So far I've only used them on typodonts. I actually like them, it helps me focus in on what i'm working on. But I've heard horror stories of applying them to real patients. We'll see if I still like them then.
 
Nice, how is Tufts?
 
I don't mind them. They really do help me visually with the field, but there are SOME teeth that are real buggers to get them on. I did a pulpotomy on a tooth last week, and I couldn't get the sucker on there. Tried tons of different clamps, and finally poured anesthesia over the tooth and clamped it as well as I could.
 
They're like anything else in dentistry, a pain to do at first but once you get the hang of it, a piece of cake. I like working under them but most people disregard them in private practice once out....time is money.
 
I didn't mind them once I figured out how to use them. After punching all your holes, go ahead and put the clamp in the appropriate hole with the rubber wrapped around the edges. Then just put the whole damn thing on the tooth all at once. Unhook the rubber from the clamp with a flat instrument and it will be in place around the tooth. Lastly, floss the contacts for all the other holes, leaving the floss in the last contact to hold it in place.

At least that's how I did it.
 
toofache32 said:
I didn't mind them once I figured out how to use them. After punching all your holes, go ahead and put the clamp in the appropriate hole with the rubber wrapped around the edges. Then just put the whole damn thing on the tooth all at once. Unhook the rubber from the clamp with a flat instrument and it will be in place around the tooth. Lastly, floss the contacts for all the other holes, leaving the floss in the last contact to hold it in place.

At least that's how I did it.
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That's exactly how I do it too. Flossing the tight contacts is another story. I wish I had another hand (or long enough 3rd leg!) to stretch the rubber.
 
toofache32 said:
I didn't mind them once I figured out how to use them. After punching all your holes, go ahead and put the clamp in the appropriate hole with the rubber wrapped around the edges. Then just put the whole damn thing on the tooth all at once. Unhook the rubber from the clamp with a flat instrument and it will be in place around the tooth. Lastly, floss the contacts for all the other holes, leaving the floss in the last contact to hold it in place.

At least that's how I did it.
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Ditto here. It's still a little awkward since I've only done a handful of fillings, but it's hardly the greatest inconvenience of the dental school clinical experience.
 
So then for all of you who have used it on actual humans i have 2 questions:

1) Is there a big difference between applying them on a typodont vs a real patients mouth?

2) Will you continue to use it once in private practice?
 
You guys should using the "reach" flossing instrument for the rubber. Makes life so easy
 
It can take a little bit of time and energy to get used to but its great. I would say you should always use it for Endo and Composites as it greatly enhances the success of your final work.

This goes for private practise too.
 
BDS-DMD said:
It can take a little bit of time and energy to get used to but its great. I would say you should always use it for Endo and Composites as it greatly enhances the success of your final work.

This goes for private practise too.
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uhhhhhhhh - im pretty sure its malpractise to open a canal that is not isolated with a rubber dam. and all your composites will fall off in 10 minutes if you get them slobbery.

ok - here is my rubber dam recommendation - and many of you will freak when i say this: do all posterior crown preps with a rubber dam. i started this during my 4th year at san antonio and could not believe i was trying without them for so long. you dont have to floss between every tooth - just do a pedo style split dam - the purpose being to keep the tongue and cheek out of your bur. it is 10 billion times easier, ESPECIALLY when working w/out an assistant. you clamp the distal tooth (if available)
and usually you can get 90% of the prep done really nice and clean this way, take off the dam and finish it up. i know it sounds crazy but try it!!!!!! and dont tell your fixed pros professor or they will laugh.
 
texas_dds said:
uhhhhhhhh - im pretty sure its malpractise to open a canal that is not isolated with a rubber dam. and all your composites will fall off in 10 minutes if you get them slobbery.

ok - here is my rubber dam recommendation - and many of you will freak when i say this: do all posterior crown preps with a rubber dam. i started this during my 4th year at san antonio and could not believe i was trying without them for so long. you dont have to floss between every tooth - just do a pedo style split dam - the purpose being to keep the tongue and cheek out of your bur. it is 10 billion times easier, ESPECIALLY when working w/out an assistant. you clamp the distal tooth (if available)
and usually you can get 90% of the prep done really nice and clean this way, take off the dam and finish it up. i know it sounds crazy but try it!!!!!! and dont tell your fixed pros professor or they will laugh.
Click to expand...

I guess you do the occlusal reduction after you take if off?
 
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