Study on Adaptability of Rubber Dam Clamps on Primary Second Molars in Korean Children

Park, Mirae; Mah, Yonjoo; Ahn, Byung Duk

doi:10.5933/jkapd.2013.40.2.98

Cited by 3 publications

(2 citation statements)

References 11 publications

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“…[ 5 ] Furthermore, the sharp metal clamp during application can potentially cause soft tissue damage due to sudden movement by the child. [ 10 ] This dissuades many clinicians from placing the rubber dam in children. Clamps produced from alternate soft materials could override these apprehensions.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of pain response in children to the SoftClamp™ as an alternative to the metal rubber dam clamp: A randomized clinical trial

Pottammal

Rao

Natarajan

et al. 2023

Dental Research Journal

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Background: The use of a rubber dam is more important than ever in today's COVID-19 era to limit cross infections. In children, the placement of the metal clamp to retain the rubber dam is perceived to be painful and often requiring a local anesthetic injection. This dissuades many clinicians from placing the rubber dam. Hence, this study evaluated the pain response of children to a SoftClamp™ compared to the conventional metal clamp. Materials and Methods: This was a randomized controlled, equal allocation ratio, split-mouth clinical trial. Forty-two children aged between 8 and 12 years, having two permanent mandibular molars in need of sealants, were divided into Groups A and B (metal clamp and SoftClamp™, respectively). The pain response was recorded using both an objective and a subjective scale i.e., the Faces Legs Activity Cry Consolability (FLACC) scale and the Wong Baker Faces Pain Rating Scale (WBFPRS). The level of significance was set at 5% (P < 0.05). The pain response recorded from the WBFPRS and the FLACC scale for the metal and the SoftClamp™ were analyzed using the Wilcoxon signed rank test. The difference in pain response between genders and between two age groups (below and above 10 years of age) was analyzed using the Mann–Whitney U-test. Results: The children reported mild discomfort to clamp placement in both the scales. The P values for the FLACC and WBFPRS scores comparing the pain response to the metal and SoftClamp™ were 0.311 and 0.149, respectively. Conclusion: There was no significant difference in the pain response of children to both the clamps. Good rubber dam application practices in children through the use of behavior guidance and a proper topical anesthesia technique may play a far more important role regardless of the clamp used. But the SoftClamp™, with its more child friendly appearance could be a viable alternative to the metal clamp in children.

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Section: Introductionmentioning

confidence: 99%

Evaluation of pain response in children to the SoftClamp™ as an alternative to the metal rubber dam clamp: A randomized clinical trial

Pottammal

Rao

Natarajan

et al. 2023

Dental Research Journal

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show abstract

“…Despite its advantages, placement of rubber dam is cumbersome and can be painful in case of children. There are many problems associated with poorly fitting rubber dam clamps.Improper fitting of rubber dam clamps causes gingival impingement, discomfort, and saliva leakage, resultin g in increased procedural time, and negative behavior in children (5).…”

mentioning

confidence: 99%

Pain Reduction Techniques During Rubber Dam Clamp Placement in Children

Pottammal¹,

Rao²

2020

IJAR

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Rubber dam is considered as one of the gold standard in the isolation techniques .But often clinicians consider the application of rubber dam as a painful experience for children which brings up an uncooperative behavior in them and it hampers the treatment. The most challenging or painful part during rubber dam application is during the clamp placement. There can be many problems associated with poorly fitting rubber dam clamps. The impingement of clamp to the gingiva can often cause discomfort or painful experience. This review article highlights on various techniques ranging from clamp modification, different anesthetic agents to behavior modification techniques used to alleviate/reduce discomfort during clamp placement.

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Survey on Preferences Regarding Rubber Dams in Children, Adolescents and Parents

Jeong¹,

Lee

Lee³

2016

THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY

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The use of a rubber dam is a useful technique for protecting patients and operators, producing good results when treating children and adolescent patients. Despite its many advantages, some children and adolescent patients have negative feelings and sometimes express its discomfort. The purpose of this study was to evaluate the patients'preferences for rubber dam use and the associated factors that may affect it. A survey was conducted targeting patients aged 4-18 years old who visited the pediatric dental clinic, the restorative dental clinic, or the student treatment dental clinic of OO University Dental Hospital, and were treated using a rubber dam without sedation. We collected questionnaires through electronic medical records. Most children and adolescent patients showed positive attitudes towards using rubber dams. The group with a short treatment time and the group with past knowledge or experience of rubber dam use showed more positive attitudes towards rubber dams (p < 0.05), while no significant difference was found among factors such as gender, age, procedure, anesthetics, treatment site, and operator (p > 0.05).

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Study on Adaptability of Rubber Dam Clamps on Primary Second Molars in Korean Children

Cited by 3 publications

References 11 publications

Evaluation of pain response in children to the SoftClamp™ as an alternative to the metal rubber dam clamp: A randomized clinical trial

Evaluation of pain response in children to the SoftClamp™ as an alternative to the metal rubber dam clamp: A randomized clinical trial

Pain Reduction Techniques During Rubber Dam Clamp Placement in Children

Survey on Preferences Regarding Rubber Dams in Children, Adolescents and Parents

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