The purpose of this survey was to determine the frequency of use of rubber dam isolation in the United Kingdom for both operative and endodontic procedures. Questionnaires were sent to 1800 dentists throughout the country, with 1008 returns (56%). Most replies were from dentists active in general dental practice. The use of rubber dam is largely neglected and more than 70% of all dentists surveyed did not utilise rubber dam for any procedure whatsoever.
Caries is a ubiquitous, natural process occurring in the biofilm. Lesion formation can be controlled by plaque control, fluoride and a sensible diet. Diagnosis is a mental resting place for a treatment decision. Active lesions require active management, including non-operative measures to arrest the lesion, supplemented with operative dentistry to facilitate cleaning of cavities. The diagnosis of active lesions is the best measure of caries risk and should determine recall intervals. The paper describes a clinical sequence of oral hygiene instruction, followed by a clinical examination of clean, dry teeth and then fluoride varnish application .
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