ARMAMENTARIUM The entire armamentarium for the rubber dam placement is supplied as a package either for permanent or deciduous teeth. ARMAMENTARIUM 1.RUBBER DAM SHEET 2.RUBBER DAM CLAMPS 3.RUBBER DAM FORCEPS 4.RUBBER DAM FRAME 5.RUBBER DAM PUNCH 6.RUBBER DAM TEMPLATE ACCESSORIES 7.RUBBER DAM NAPKIN 8.LUBRICANT 9.DENTAL FLOSS 1.RUBBER DAM SHEET The rubber dam sheet has a dark side and a shiny side. The shiny side is always towards the tissue so that the dam can easily pass through without irritation. The dull side towards the occlusal aspect so that no light reflects and obstruct vision. The raw material is latex gloves. Chemically, cis-1,4 polyisoprene. Other materials are artificial latex or latex free rubber dam material. 1.RUBBER DAM SHEET Available sizes are 5”x5” or 6”x6”. Available thickness are Thin - 0.15mm Medium - 0.2mm Heavy – 0.25mm Extra heavy – 0.30mm Special heavy – 0.35mm. Available in different flavors like mint, banana and stawberry. 2.RETAINERS OR CLAMPS It has four ponges and two jaws that are connected by a bow. Various types and sizes are present for each tooth. Its use is to anchor the most posterior tooth to be isolated and also to retract gingival tissue. Can be classified as wingless and winged. A newer type of clamps has recently been introduced called as cushion clamps. RUBBER DAM CLAMPS 3.RETAINING FORCEPS Used for placement and removal of clamps. This instrument is necessary to open the clamp and position it around the tooth. The ivory forceps are preferable, because they allow the dentist to apply direct pressure toward the gum, which is frequently necessary to position the clamp securely below the bulge of the tooth crown. 4.RUBBER DAM FRAME This is necessary to maintain tension in the dam so that the lips and cheeks may be retracted. It holds and positions the border of rubber dam. It is of two types 1.Metallic – Young’s frame 2.Plastic – Nygaard-Ostby, Stalite Visi, LeCadre Articule Young’s frame Nygaard-ostby frame
Starlite Visi frame LeCadre Articule frame
5.RUBBER DAM PUNCH It is a precision instrument having a rotating metal table with six holes of varying sizes and a tapered, sharp, pointed plunger. It is used to make round holes of different diameters (0.7-2mm). The largest hole being for molars and the smallest for mandibular incisors. 6.RUBBER DAM TEMPLATE To check for exact placement of rubber dam. 7.LUBRICANT To facillitate passing of dam through posterior contacts and also help the dam to pass over clamps. It is also applied over patient’s tissues to prevent injury and dryness. Commonly used lubricants are soap, petroleum jelly and cocoa butter. 8.RUBBER DAM NAPKIN It is placed between rubber dam and patient’s skin. It is used to 1.Prevent allergy 2.Acts a a cushion 3.Prevents pressure marks on patient’s cheeks 4.Convenient method for wiping the patient’s lips on removal of dam. 9.DENTAL FLOSS To secure the rubber dam.