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BMC Oral Health
Published in: BMC Oral Health 1/2016

Open Access 01-12-2016 | Research article

Why dentists don’t use rubber dam during endodontics and how to promote its usage?

Author: Ahmad A. Madarati

Published in: BMC Oral Health | Issue 1/2016

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Abstract

Background

This survey study aimed at investigating the frequency of rubber dam use during root canal treatment, identifying influencing factors for not using it by Saudi general dental practitioners (GDPs) and endodontists. It also aimed at identifying measures that increase rubber dam usage.

Methods

After obtaining an ethical approval, two pilot studies were conducted on staff members at Taibah University College of Dentistry and a group of GDPs. A final online survey was constructed comprising 17 close-ended questions divided into six categories: demographics, endodontic practice, rubber dam use, alternative isolation methods, reasons for not using rubber dam, and measures and policies that increase its usage. The survey was emailed to 375 GDPs randomly selected from the dental register and all endodontists (n = 53) working in the western province, Saudi Arabia. Data were analyzed using the Chi-square and Linear-by-Linear association tests at p ≤ 0.05.

Results

The proportion of endodontists who used rubber dam (84.8 %) was significantly greater than that of GDPs (21.6 %) (p < 0.001). Significantly the highest proportion (40.5 %) did not use rubber dam because of unavailability at working place. Most rubber dam none-users (69.25 %) used a combination of other isolation means. The highest proportion of those who used rubber dam were working in the governmental sector (54.3 %). Among rubber dam users, the greatest proportion graduated from Saudi Arabia (57.8 %) compared to those graduated from Egypt (34.3 %) and Syria (22.4 %). There was a significant correlation between the patterns of rubber dam use during undergraduate training and its usage after graduation (p = 0.001). The highest proportion of participants (48.1 %) reported better undergraduate education as the most important factor that would increase rubber dam use in dental practice.

Conclusions

Using of rubber dam was not common in Saudi general dental practice. Dentists must follow the recommended standards of care. Place of work and patterns of using rubber dam during undergraduate study were the most influencing factors. Better undergraduate education was the most important proposed measure to increase its usage. The combination of cotton rolls and saliva high-volume ejector or gauze was the most common alternative to rubber dam isolation.
Literature
1.
Elderton RJ. A modern approach to the use of rubber dam. 3. Dent Pract Dent Rec. 1971;21:267–73.PubMed
2.
European Society of Endodontology. Quality guidelines for endodontic treatment: consensus report of the European Society of Endodontology. Int Endod J. 2006;39:921–30.CrossRef
3.
4.
Rhodes JS. Advanced endodontics. London: Taylor & Francis Group; 2006. p. 4–5.
5.
Shashirekha G, Jena A, Maity AB, Panda PK. Prevalence of rubber dam usage during endodontic procedure: a questionnaire survey. J Clin Diagn Res. 2014;8:1–3.CrossRef
6.
Heling B, Heling I. Endodontic procedures must never be performed without the rubber dam. Oral Surg Oral Med Oral Pathol. 1977;43:464–6.CrossRefPubMed
7.
Fresa R. Il consenso informato in Odontoiatria [informed consent in the Odontoiatria] .G. Ediz. Medico Scientifiche, Torino. 1998. p. 230.
8.
Joynt RB, Davis EL, Schreier PH. Rubber dam usage among practicing dentists. Oper Dent. 1989;14:176–81.PubMed
9.
10.
Hill EE, Rubel BS. Do dental educators need to improve their approach to teaching rubber dam use? J Dent Educ. 2008;72:1177–81.PubMed
11.
Koch M, Eriksson HG, Axelsson S, Tegelberg A. Effect of educational intervention on adoption of new endodontic technology by general dental practitioners: a questionnaire survey. Int Endod J. 2009;42:313–21.CrossRefPubMed
12.
Whitworth JM, Seccombe GV, Shoker K, Steele JG. Use of rubber dam and irrigant selection in UK general dental practice. Int Endod J. 2000;33:435–41.CrossRefPubMed
13.
Ryan W, O’Connel A. The attitudes of undergraduate dental students to the use of the rubber dam. J Ir Dent Assoc. 2007;5:87–91.
14.
Mala S, Lynch CD, Burke FM, Dummer PM. Attitudes of final year dental students to the use of rubber dam. Int Endod J. 2009;42:632–8.CrossRefPubMed
15.
Swallow DM, Aziz I, Hopkinson DA, Miwa S. Analysis of human erythrocyte 5′-nucleotidases in healthy individuals and a patient deficient in pyrimidine 5′-nucleotidase. Ann Hum Genet. 1983;47:19–23.CrossRefPubMed
16.
Hagge MS, Pierson WP, Mayhew RB, Cowan RD, Duke ES. Use of rubber dam among general dentists in the United States Air Force dental service. Oper Dent. 1984;9:122–9.PubMed
17.
Jenkins SM, Hayes SJ, Dummer PM. A study of endodontic treatment carried out in dental practice within the UK. Int Endod J. 2002;34:16–22.CrossRef
18.
Al-Omari WM. Survey of attitudes, materials and methods employed in endodontic treatment by general dental practitioners in North Jordan. BMC Oral Health. 2004;4:1.PubMedCentralCrossRefPubMed
19.
Palmer NO, Ahmed M, Grieveson B. An investigation of current endodontic practice and training needs in primary care in the north west of England. Br Dent J. 2009;206, E22. discussion 584–5.CrossRefPubMed
20.
Going RE, Sawinski VI. Parameters related to the use of the rubber dam. J Am Dent Assoc. 1968;77:598–601.CrossRefPubMed
21.
Stewardson DA. Endodontics and new graduates: part I, practice vs training. Eur J Prosthodont Restor Dent. 2002;10(3):131–7.PubMed
22.
Ahmed HM, Cohen S, Lévy G, Steier L, Bukiet F. Rubber dam application in endodontic practice: an update on critical educational and ethical dilemmas. Aust Dent J. 2014;59:457–63.CrossRefPubMed
23.
Al-Fouzan KS. A survey of root canal treatment of molar teeth by general dental practitioners in private practice in Saudi Arabia. Saudi Dent J. 2010;22:113–7.PubMedCentralCrossRefPubMed
24.
25.
Brennan DS, Ryan P, Spencer AJ, Szuster FS. Dental service rates: age, period, and cohort effects. Community Dent Health. 2000;17:70–8.PubMed
26.
Hovland EJ, Romberg E, Moreland EF. Nonresponse bias to mail survey questionnaires within a professional population. J Dent Educ. 1980;44:270–4.PubMed
27.
van Gelder MM, Bretveld RW, Roeleveld N. Web-based questionnaires: the future in epidemiology? Am J Epidemiol. 2010;172:1292–8.CrossRefPubMed
28.
29.
McCarthy GM, Koval JJ, MacDonald JK. Nonresponse bias in a survey of Ontario dentists’ infection control and attitudes concerning HIV. J Public Health Dent. 1997;57:59–62.CrossRefPubMed
30.
Peciuliene V, Rimkuviene J, Aleksejuniene J, Haapasalo M, Drukteinis S, Maneliene R. Technical aspects of endodontic treatment procedures among Lithuanian general dental practitioners. Stomatologija. 2010;12:42–50.PubMed
31.
Kapitan M, Sustová Z. The use of rubber dam among Czech dental practitioners. Acta Med (Hradec Kralove). 2011;54:144–8.
32.
Iqbal A, Akbar I, Qureshi B, Sghaireen MG, Al-Omiri MK. A survey of standard protocols for endodontic treatment in north of KSA. ISRN Dent. 2014;4:865780.
33.
Going RE, Sowinski VJ. Frequency of use of the rubber dam: a survey. J Am Dent Assoc. 1967;75:158–66.CrossRefPubMed
34.
Anabtawi MF, Gilbert GH, Bauer MR, Reams G, Makhija SK, Benjamin PL, et al. Rubber dam use during root canal treatment: findings from The Dental Practice-Based Research Network. J Am Dent Assoc. 2013;144:179–86.PubMedCentralCrossRefPubMed
35.
Lin PY, Huang SH, Chang HJ, Chi LY. The effect of rubber dam usage on the survival rate of teeth receiving initial root canal treatment: a nationwide population-based study. J Endod. 2014;40:1733–7.CrossRefPubMed
36.
Ahmed MF, Elseed AI, Ibrahim YE. Root canal treatment in general practice in Sudan. Int Endod J. 2000;33:316–9.CrossRefPubMed
37.
Lynch CD, McConnell RJ. Attitudes and use of rubber dam by Irish general dental practitioners. Int Endod J. 2007;40:427–32.CrossRefPubMed
38.
Tanalp J, Kayataş M, Can ED, Kayahan MB, Timur T. Evaluation of senior dental students’ general attitude towards the use of rubber dam: a survey among two dental schools. Sci World J. 2014;2014:290101.CrossRef
39.
Jones CM, Reid JS. Patient and operator attitudes toward rubber dam. ASDC J Dent Children. 1988;55:452–4.
40.
41.
Filipović J, Jukić S, Miletić I, Pavelić B, Malčić A, Anić I. Patients attitude to rubber dam use. Acta Stomatol Croat. 2004;38:319–22.
42.
Görduysus M. Rubber Dam’in Hastalar TarafındanKabul Edilebilirliği Üzerine BirDeğerlendirme Calısması. Hacettepe Dishekimliği Fakültesi Dergisi. 2006;30:8–12.
43.
Gilbert GH, Litaker MS, Pihlstrom DJ, Amundson CW, Gordan VV, DPBRN Collaborative Group. Rubber dam use during routine operative dentistry procedures: findings from the Dental PBRN. Oper Dent. 2010;35:491–9.PubMedCentralCrossRefPubMed
44.
Whitten BH, Gardiner DL, Jeansonne BG, Lemon RR. Current trends in endodontic treatment: report of a national survey. J Am Dent Assoc. 1996;127:1333–41.CrossRefPubMed
45.
Lin HC, Pai SF, Hsu YY, Chen CS, Kuo ML, Yang SF. Use of rubber dams during root canal treatment in Taiwan. J Formos Med Assoc. 2011;110:397–400.CrossRefPubMed
Metadata
Title
Why dentists don’t use rubber dam during endodontics and how to promote its usage?
Author
Ahmad A. Madarati
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2016
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-016-0175-2

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