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Why is Using a Dental Dam Considered Best Practice?

Part 1 of 4: Introduction

September 25, 2023

Dental dams provide considerable benefits for the patient and dentist. Dental dams create a hygienic environment around the teeth being treated and are particularly important when performing procedures such as root canals, where the inner pulp of the tooth is exposed and vulnerable to contamination. In fact, according to the American Association of Endodontists, “the use of rubber dam is mandatory to avoid microbial contamination of the root canal system during treatment, to retract tissues and protect the patient, prevent aspiration or swallowing of instruments, and limit aerosols.”1

Even in situations where the use of a dental dam is not explicitly required, the CDC still recommends use of dental dams to lower risk of droplet splatter and aerosol generation even when patients are not suspected to have SARS-CoV-2 infection when using ultrasonic scalers, high-speed dental handpieces, air/ water syringes, air polishing, and air abrasion.2 Here are the top five benefits that a dental dam can provide to both you and your patients:

1 - Infection control

Dental dams are primarily used for infection control. They provide isolation around the teeth being treated, preventing saliva and bacteria contamination to the treatment area.

2 - Improved visibility

Dental dams help to improve visibility for the dentist, as they isolate the area being treated and keep it dry. This allows the dentist to see the tooth more clearly and work more efficiently, which can reduce the time required for the procedure and increase the chances of success.

3 - Patient comfort

Dental dams can also improve patient comfort during dental procedures. By isolating the teeth being treated, the dam can protect the patient’s tongue, lips, and cheeks from accidental injury. The dam also helps to keep the mouth open, which can reduce jaw fatigue during longer procedures.

4- Enhanced accuracy

Dental dams can improve the accuracy of dental procedures, as they help to keep the treatment area dry and free of debris. This allows the dentist to work with greater precision, which can result in better outcomes for the patient.

5 - Safety

Dental dams can be an important safety measure, as they can help to prevent accidental ingestion or aspiration of dental materials or instruments. By isolating the treatment area, any materials or instruments that may become dislodged are contained and can be easily retrieved.

1. American Association of Endodontists. (2020). Treatment Standards [White Paper]. American Association of Endodontists. https://www.aae.org/specialty/wp-content/uploads/sites/2/2018/04/TreatmentStandards_Whitepaper.pdf
2. Centers for Disease Control and Prevention. Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic, (Sept 2022). Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html

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