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.
Source: International Journal of Pediatric Dentistry Full Text |
