347H
Fig. 8.8 Resin-modified glass polymer
restoration after 2 years in a lower
second primary molar.348H
Fig. 8.9 Mesial-occlusal restoration
after 1 year in an upper second primary
molar with polyacid-modified
composite resin.8.6 RUBBER DAM
8.6.0 Introduction
Most texts that discuss operative treatment for children advocate the use of rubber
dam, but it is used very little in practice despite many sound reasons for its adoption.
In the United Kingdom less than 2% of dentists use it routinely. It is perceived as a
difficult technique that is expensive in time and arduous for the patient.
In fact, once mastered, the technique makes dental care for children easier and a
higher standard of care can be achieved in less time than would otherwise be required.
In addition, it isolates the child from the operative field making treatment less
invasive of their personal space.
The benefits can be divided into three main categories as shown below.
8.6.1 Safety
Damage of soft tissues
The risks of operative treatment include damage to the soft tissues of the mouth from
rotary and hand instruments and the medicaments used in the provision of endodontic
and other care. Rubber dam will go a long way to preventing damage of this type.
Risk of swallowing or inhalation