Document Detail

Influence of rubber dam on objective and subjective parameters of stress during dental treatment of children and adolescents - a randomized controlled clinical pilot study.
MedLine Citation:
PMID:  22404253     Owner:  NLM     Status:  Publisher    
International Journal of Paediatric Dentistry 2012 Background.  Rubber dam is recommended for isolating the working field during adhesive dentistry procedures; however, dentists often omit rubber dam, particularly in paediatric dentistry, supposing that it would stress the patient. Aim.  The aim of this study was to evaluate stress parameters during a standardized dental treatment procedure performed with or without rubber dam. The treatment time was measured as a secondary outcome variable. Design.  This study was designed as a randomized, controlled, clinical study with 72 patients (6-16 years; mean age, 11.1). During standardized fissure sealing procedures, objective parameters of stress (e.g., skin resistance, breath rate) were recorded. The operator's stress level was measured by pulse rate. Subjective pain (patients) and stress perception (operator) were evaluated by an interview. Results.  The breath rate was significantly (P < 0.05) lower and the skin resistance level was significantly higher during treatment with rubber dam compared to the control group. Subjective pain perception was significantly lower for the test group. The treatment time needed for the fissure sealing procedure was 12.4% less in the test group. Conclusion.  Isolation with rubber dam caused less stress in children and adolescents compared to relative isolation with cotton rolls if applied by an experienced dentist.
Patricia Ammann; Andreas Kolb; Adrian Lussi; Rainer Seemann
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-3-8
Journal Detail:
Title:  International journal of paediatric dentistry / the British Paedodontic Society [and] the International Association of Dentistry for Children     Volume:  -     ISSN:  1365-263X     ISO Abbreviation:  -     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-3-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9107511     Medline TA:  Int J Paediatr Dent     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors. International Journal of Paediatric Dentistry © 2012 BSPD, IAPD and Blackwell Publishing Ltd.
Department of Preventive, Restorative and Pediatric Dentistry, University of Bern, Bern, Switzerland Dental Practice Dr. Andreas Kolb, Heide (Holstein), Germany, Universitätsmedizin Charité, Berlin, Germany.
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