Rubber Dam Tips and Template for Dentists | Sonia Chopra, DDS, Board-Certified Endodontist

Hi everybody, Dr. Sonia Chopra here, and I want to talk to you a little bit more about the rubber dam
because after my last post I got a lot of feedback that people were still
reluctant to use the thing. So I wanted to create another download for you to make everything really simple for you. So this is one of those rubber dam
templates that you can use in your office. It’ll print out really nicely on an 8.5 x 11″ sheet. You can then laminate it and then keep one in each opertory so that your team can use it and implement it for you. So what you’ll do is you’ll take the rubber dam and you’ll simply place it right
over that square on the template and you’ll want to look through it and see where those dots shine
through. And based on the tooth number that
you’re doing you’ll just use a sharpie and mark it right on your rubber dam. Now the Opaldam rubber dam that I use may be a little bit thick for you, so you may want to invest in some ultrathin rubber dams to
begin with. The ultrathin rubber dam will help you look through and see exactly where to make your
mark on that with a sharpie. And it can also help you when you’re
taking x-rays when you’re doing your root
canal because your sensor will shine through underneath that rubber dam, so that you know exactly where to put your x-ray sensor. So when you’re using the rubber dam
template you can use it for either a single
tooth or you can use it for multiple
teeth. When you’re doing a single tooth
it’s really simple — you just use one hole punch and that will be held down nicely by your rubber dam clamp. When you’re doing multiple teeth you
may have to make a few adjustments. So when I do multiple teeth — let’s
say I’m doing teeth 3 and 4 at the same time — I actually want to make a hole punch
for teeth 3, 4 and 5. I want to go one tooth beyond the teeth that I’m actually working on so that the rubber dam will sit all the way down around the necks of
the teeth. And then sometimes if I feel that it’s coming up then I’m going to use something like
Wedgets, which is a rubber band- like
material that I can put in between the teeth like a piece of floss. So you can actually take it and put it between teeth 5 and 6 and it’ll hold the rubber dam in place, but a piece of floss will function just as well. Now if your rubber dam is on there and you feel pretty confident with it but you’re seeing some moisture come through and some saliva come through, you want to make sure you reinforce your rubber dam with something like
Opaldam — this is like a liquid dam material that
you will light cure in place. It doesn’t stick well in moisture so make sure you suction and dry the area really well before you place it and then light cure it. But if you use these tools your rubber dam should be really
easy for you and if you have this already set for your team they can punch the hole in the right place. The idea is to make sure that your rubber dam hole isn’t punched right in the center of the rubber. Instead you want to put it in the
quadrant. So the template will help you get it
in just the right spot, and your team can help you use it.

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