This video was super helpful! I haven't had the chance to get much rubber dam practice in over the past while due to delays from the pandemic. :S I think after watching this, I'll have a better handle on the one-step dam process!
I hate rubber dam. Today was my practical exam I struggled to insert it for 30 mins it got ripped as well and that gave me an anxiety attack. Which resulted in terrible tooth preparation and restoration.
I remember struggling during dental dam day as well; these dentists and dental assistants make it look so easy! I'm still relatively new in the industry, and it really seems like a "practice makes perfect" situation. Luckily, many of my coworkers have had some great advice and tips that they've used to make things easier. If you're able, don't hesitate to ask around fellow practitioners for tips they've learned over the years! :)
I tried to put it on my patient today but since she can't open her mouth very well and i was working on her most posterior molar, I wasn't even able to insert it 😂.
Thank you! Dr. Mario Romero, for sharing this video. This is very helpful for me to advance study since I am a first-year dental student, your videos and Kriss ai helped me a lot. keep it up!
yeah.. im having my tooth fixed atm and i really wish i could have opened my mouth wider. its the least i could have done for the dentist. 😥 it got really tiring for me after having my mouth opened for 3 hours tho 🤧
@@Danny13243 Oh yes it was long. This was consecutively done within a couple of weeks, too. 3 sessions. It was to remove the nerve in my tooth because there was an infection and there were complications throughout the whole ordeal. :D
For endodontics you would isolate the single tooth you are working on. For other clinical treatments you may need multiple teeth isolated such as: composite restorations, cementation of indirect restorations which require a dry working field etc etc
From what I've learned in the industry so far, the rule of thumb is to only punch one hole for a tooth if it's being endodontically treated, otherwise, punching one distal and three mesial is a safe bet for general restorations. That being said, I've seen folks who prefer to punch holes for the entire quadrant. I guess it mostly just depends on the dentist's preference.
When I attended dental school beginning 44 years ago at Georgetown University they had strictly enforced rubber dam policy that basically required all operative procedures to be performed with rubber dam isolation and that isolation was graded before one could pick up a handpiece. If the rubber dam did not provide effective isolation the dam was removed and replaced until; it was properly placed. 44 years later I find placement of a rubber dam rather simple in most cases. I feel empathy for dentists that were not required to learn how to effectively place a rubber dam and have developed an aversion to it's use for zero good reasons. . When I am treating a patient with a rubber dam in place I relax and enjoy my task. Occasionally utilization of a rubber dam is not effective or easy to place. This is when I revert to using and Isodry or Garmers cotton roll holder.I am glad these options exist. I can treat patients for many hours without any stress if the operative field is well isolated and I am confident I can bond restorative materials without the distraction of being concerned that the surface of the teeth becomes contaminated with saliva or blood. If one is able to ignore the negative effects of contamination with blood or saliva during a resin bonded procedure I suppose good isolation is not a priority.
I've noticed that some dentists don't bother; and it seems to vary from practitioner to practitioner. It's one of those things that I was taught to do in my course, but it seems to be executed differently in practice. That being said, *most* dentists I've worked with use floss for safety; but definitely not all. It makes me nervous not using the floss, but different folks, I guess.
@@VancouverGranny12 sorry for the late response the idea is to use a dental floss inside the holes of the clamp and tie it around the clamp till the next hole then to tie it inside the next hole afterwards we just take the floss and but it to the side of the patient so if the patient choked on the clamp we could simply just pull it out by pulling the floss out.
hi doctor romero please i have some questions ,(1)Do you anasthetise the tooth that recieves the abutment clamp ? (2) Is the bite block necessory ? (3) If the patient closes his mouth a bit , the dam would tear ? (4) If we are working on the most posterior tooth , the dam wont affect the drilling ? especially endodontics. thanks !
My answers, in case they help: 1. Not always, if the work is minimal and you ensure the clamp is not impinging the gingiva, you do not always need to anaesthetise the tooth on which the clamp will be placed. I find it useful to try in the clamp on the tooth before fitting the entire rubber dam to ensure a good and comfortable fit. 2. No, I prefer not to have anything underneath the clamp that could be a choking hazard. If the patient requests it or it is a long appointment, I may place a bite block with floss attached to it for easy retrieval. 3. I've never had a dam tear because a patient bit down. Come to think of it, I don't think I've ever had a patient try to bite down with the rubber dam on. 4. Yes, the clamp can stop the head of the highspeed/slowspeed handpiece from reaching the ideal position. In these cases, you might have to alter your clamp choice, bur choice, or see if you can prepare the tooth from a different angle.
Ok I think Indians place better dam without so much of practice . As rubber dam.shoukd be placed without wrinkles, and also should squeeze into the contact area. Struggle of an endo resident but we do it with ease !
My god, that look horrific. As a nervous patient anyway, I've just been informed by my dentist, that he will be using these from now on. I felt anxious just watching that !
I saw a coin trick using a dental dam and needed to see what it's actual use was. Thank you for this video! Other dental dam videos use it for sex... 🙄
Thank you Sir. but which side of rubber dam sheet is kept on the outside , facing the dentist- the shiny surface or the dull surface ;and why cant both the surfaces be of same texture or reflection. ?
I like to have the dull side facing me as the operator. Much better for photographs and easier to tell if it's dry and clean when it comes to restoring the tooth.
The best video in youtube for rubberdam🌻🌻
I totally agree
I have a patient that wanted rubber dam placement, now im whatcing this video while she is waiting at seat haha
Gen z dentist 101 😂
This video was super helpful! I haven't had the chance to get much rubber dam practice in over the past while due to delays from the pandemic. :S
I think after watching this, I'll have a better handle on the one-step dam process!
I hate rubber dam. Today was my practical exam I struggled to insert it for 30 mins it got ripped as well and that gave me an anxiety attack. Which resulted in terrible tooth preparation and restoration.
I remember struggling during dental dam day as well; these dentists and dental assistants make it look so easy! I'm still relatively new in the industry, and it really seems like a "practice makes perfect" situation. Luckily, many of my coworkers have had some great advice and tips that they've used to make things easier.
If you're able, don't hesitate to ask around fellow practitioners for tips they've learned over the years! :)
I tried to put it on my patient today but since she can't open her mouth very well and i was working on her most posterior molar, I wasn't even able to insert it 😂.
😂😂😂😂 it makes me nervous too , but i usually control the situation after its done
3:13 dis big thing that dr. is inserting here giving me traumas. Imagine if it slips & hurt patient's eyes🥶.
It’s will become easy as you practice it ! Like a piece of cake
Thank you so much
We weren’t able to practice this at all due to corona
And I didn’t understand it
Same here
Best video on rubberdam, I came across. Thanks Dr.
Wow, you made it so easy and smooth, thank you so much! =)
Glad to hear that!
Thanks Doc! You make it look so easy!
Thanks doctor for this amazing yet simple technique.
Thank you! Dr. Mario Romero, for sharing this video. This is very helpful for me to advance study since I am a first-year dental student, your videos and Kriss ai helped me a lot. keep it up!
Heyyy, I’m also a dental student! I’m also here to study ❤ btw, what kriss ai?
@@lunasol435-tw8ij It's this ai dental assistant. You should check it out!
@@allisondarcy thanks to kriss ai, it really helps me a lot even though i'm busy at work it's reliable.
@@uzmitin you said 'at work' so you're a dentist? wow how accurate is that krissai? is it free?
I just had to come and watch this after my dentist used it in me yesterday lol.
This is a very informative video. Thank you for making it.
Great tutorial 👍
I wish that all the patients can open their mouth widely so we can work easily 😫
yeah.. im having my tooth fixed atm and i really wish i could have opened my mouth wider. its the least i could have done for the dentist. 😥 it got really tiring for me after having my mouth opened for 3 hours tho 🤧
@@swordpupperoni6911 3 hours to have one tooth filled seems kind of long
@@Danny13243 Oh yes it was long. This was consecutively done within a couple of weeks, too. 3 sessions. It was to remove the nerve in my tooth because there was an infection and there were complications throughout the whole ordeal. :D
Best ever video about rubber dam
Thank you so much! I got sick the day we were supposed to practice this and couldn’t practice it.
Glad it helped!
The best, easiest, no bullshit included video! Where do you practice sir? I would love to come over and shadow you
I’ve been taught to use a rubber dam for 1 infected tooth, mainly for root canals.
For endodontics you would isolate the single tooth you are working on. For other clinical treatments you may need multiple teeth isolated such as: composite restorations, cementation of indirect restorations which require a dry working field etc etc
From what I've learned in the industry so far, the rule of thumb is to only punch one hole for a tooth if it's being endodontically treated, otherwise, punching one distal and three mesial is a safe bet for general restorations.
That being said, I've seen folks who prefer to punch holes for the entire quadrant. I guess it mostly just depends on the dentist's preference.
Use it for your restorative work. It will make life a lot easier.
Bundle of thanks dear Doctor 👨⚕️
God bless you.
What the... how you insert the rubber in each tooth was easy and fast 😭 I cry to insert just one tooth
u can use lubricant gel :D
getting mixed messages here
You are not alone!
When I attended dental school beginning 44 years ago at Georgetown University they had strictly enforced rubber dam policy that basically required all operative procedures to be performed with rubber dam isolation and that isolation was graded before one could pick up a handpiece. If the rubber dam did not provide effective isolation the dam was removed and replaced until; it was properly placed. 44 years later I find placement of a rubber dam rather simple in most cases. I feel empathy for dentists that were not required to learn how to effectively place a rubber dam and have developed an aversion to it's use for zero good reasons. . When I am treating a patient with a rubber dam in place I relax and enjoy my task. Occasionally utilization of a rubber dam is not effective or easy to place. This is when I revert to using and Isodry or Garmers cotton roll holder.I am glad these options exist. I can treat patients for many hours without any stress if the operative field is well isolated and I am confident I can bond restorative materials without the distraction of being concerned that the surface of the teeth becomes contaminated with saliva or blood. If one is able to ignore the negative effects of contamination with blood or saliva during a resin bonded procedure I suppose good isolation is not a priority.
@@doctoredable wow 44 years ago, 😳 I wasn’t even born 21 years ago. Doc, time flies really fast huh..
This makes me feel so claustrophobic 😭😂 probably looking at one of these for a filling soon, and I already want to leap out of my skin.
Sir...what about securing the clamp with a floss to prevent aspiration??
Yess..same doubt
I've noticed that some dentists don't bother; and it seems to vary from practitioner to practitioner. It's one of those things that I was taught to do in my course, but it seems to be executed differently in practice.
That being said, *most* dentists I've worked with use floss for safety; but definitely not all. It makes me nervous not using the floss, but different folks, I guess.
How would you secure the clamp with "a floss"? This is unclear to me.
@@VancouverGranny12 sorry for the late response the idea is to use a dental floss inside the holes of the clamp and tie it around the clamp till the next hole then to tie it inside the next hole afterwards we just take the floss and but it to the side of the patient so if the patient choked on the clamp we could simply just pull it out by pulling the floss out.
Good video, You Sir are actually a great dental mentor. 🦷
Great content indeed thks for sharing good job you luv your job
Informative video. Thank you
this is so helpful I'm ready to be dentist. 😬 hope it doesn't hurt
hi doctor romero please i have some questions ,(1)Do you anasthetise the tooth that recieves the abutment clamp ? (2) Is the bite block necessory ? (3) If the patient closes his mouth a bit , the dam would tear ? (4) If we are working on the most posterior tooth , the dam wont affect the drilling ? especially endodontics. thanks !
My answers, in case they help:
1. Not always, if the work is minimal and you ensure the clamp is not impinging the gingiva, you do not always need to anaesthetise the tooth on which the clamp will be placed. I find it useful to try in the clamp on the tooth before fitting the entire rubber dam to ensure a good and comfortable fit.
2. No, I prefer not to have anything underneath the clamp that could be a choking hazard. If the patient requests it or it is a long appointment, I may place a bite block with floss attached to it for easy retrieval.
3. I've never had a dam tear because a patient bit down. Come to think of it, I don't think I've ever had a patient try to bite down with the rubber dam on.
4. Yes, the clamp can stop the head of the highspeed/slowspeed handpiece from reaching the ideal position. In these cases, you might have to alter your clamp choice, bur choice, or see if you can prepare the tooth from a different angle.
@@jotham97 thanks
having rubber dam practice next week, wishing for ease, anyone reading this pls pray for me, hopefully will survive my dental school uhuks
How did it go? 🤭
I've been doing it wrong for years. Thank you
Awesome video. Thank you!
Your video was quite helpful! Thank you Doc.
This was very useful, thanks doctor
I enjoy his accent.
That part of your brain that thinks you were watching a dental dam video until the end!!!!!!!!
Thank you. It was really informative for me.
Beautiful explanation
Thanks, Dr. Romero
Thank you so much really an amazing video of rubber dam placement
Ok I think Indians place better dam without so much of practice . As rubber dam.shoukd be placed without wrinkles, and also should squeeze into the contact area. Struggle of an endo resident but we do it with ease !
hi question, how come you cut the rubber dam in the end, why not just pull it out? also im not a dental student just someone curious. Thx
How to pass the floss out of the dam before placing the clamp??, thanks
What is the name of this doc ?
Very informative video
My god, that look horrific. As a nervous patient anyway, I've just been informed by my dentist, that he will be using these from now on. I felt anxious just watching that !
Thanks for this video doctor
How do you breathe w that thing over your mouth? I'm very claustrophobic and won't get a root canal because of it.
I am too but mostly doesn't bother after it just makes me nervous at first but doesn't block ur nose or air
Ma. Shaa Allah
So informative
That is a great video. Thanks!
I don’t know why I watched the whole vid, I am not even in med school lmao. But still, it’s really interesting though. 😅
Hey I had one of these used on me the other week. Wondered wtf they were doing.
Very interesting ❤❤
exceptional video. thanks
These clamp things came off midway during my root canal!
great video,
do you have video for put RD for broken teeth?
great video
I saw a coin trick using a dental dam and needed to see what it's actual use was. Thank you for this video! Other dental dam videos use it for sex... 🙄
Suprb helpful
thank u ..it was useful
Thanks doc!!
So good! 👍🏻
very clear thx u so much .!
Heartfelt thanks
Thank you sir😀its useful...
Thank You!
Very nice work
RCT without rubber dam can cause cancer?
Thanks for educated us🙏🙏🙏🙏
Amazing video sir .
Thanks a lot !
U are best❤
Thank you Sir. but which side of rubber dam sheet is kept on the outside , facing the dentist- the shiny surface or the dull surface ;and why cant both the surfaces be of same texture or reflection. ?
I like to have the dull side facing me as the operator. Much better for photographs and easier to tell if it's dry and clean when it comes to restoring the tooth.
@@jotham97 thank you boss . :)
awesome! keep making videos please
Thank u.
U are succesful😊
HI were do you get a typodont like the one your using.
Very useful, thank you !
Excellent
Great video Dr.! Where are you practice ? Can I come for shadowing?😁
big liiiiike🥰
how does the patient not gag during their
procedure if they are awake??
If local anaesthesia has been used, the patient may not feel the pressure on their palate/tongue/soft tissues to trigger the gag reflex.
perfect!! thank you so much!
Amazing
Ciao sei italiano quindi, mi ricordo questa esperienza oh letteralmente rifatto mezzo dente e mi ricordo che non era una esperienza bellissima.
Very nice thankyou
Very well explained sir 🙏
nice
How can I get this done to me without gagging? :c
I have the same problem! I gag ☹️
thank you so much.
Thank you sir
Thank you
THANK YOU
Simple and clear
Very helpful!!
Perfect ❤️❤️
Thank you doctor
Thank you very much Sir
Thanku sir
Useful👍
..you didn't put ligature on the clamps
super
Thanks
Thank you doctor