Techniques and procedures of isolation of the work field in dental treament

Abstract

Introduction. In the contemporary dental literature we find very often questions about isolation dental technique. When performing dental restorations with hydrophobic composite materials there are problems with biological fluids like: saliva, gingival fluid, blood, condensation of vapors from the exhaled air. Some of this issues might be avoided by using wool rolls, saliva vacuum cleaners, gingival retraction yarn, thread but when the issue is about condensation of vapors from the exhaled air the only solution is high quality isolation of teeth. To have best isolation of operative field the best choice is to use rubber-dam isolation system. Aim of the study. Argumentation of the importance of using the rubber-dam isolation system and familiarization of dentists with the particularities, components and methods of using this system. Materials and methods. The study was based on a complex of questions given to dentists from different areas of the Republic of Moldova. A total of 140 doctors were questioned out of wich 95 doctors were from Chișinău and 45 doctors were from the North hand the South of the coutry. The questions they answered were: 1. Do you know about the isolation rubber-dam system? 2. Do you use this system in your daily work? 3. Are you satisfied with the quality of the operative field with this system? 4. The quality of isolation of the operative field? There were three options of answers: yes, no, other answer. Positive answers have the following percentage: 1- 97,7%; 2- 86,2%; 3-90,8%; 4-75,9%. Results. After the study was completed, we determined that most of the dentists from the country know about this isolation system and they are using it in daily work being satisfied about its quality and results. Even if the cost of the system and the instruments used for it is high, 90% of specialists prefers to bear these costs in favor of good quality of work and also in favor of patients safety. Conclusions. After a detailed study of the dental methods of isolating the working field from the biologic fluids, the rubber-dam isolation system appeared to have more advantages, if compared to the wool rolls, vacuum cleaners and other methods. Also, the doctor has the possibility to apply the working technique depending on the clinical case and doctor's skill.