Abstract

Objective. To investigate the frequency and influencing factors of rubber dam usage for endodontic procedures among general dentistry practitioners and specialized practitioners (endodontist) in Tianjin. Methods. Three hundred questionnaires were distributed among practitioners from 3 different types of medical institutions in Tianjin. Data were collected and analysed using Chi-square tests. Results. There were 63.3% of respondents who have used rubber dam (response rate 82.7%, valid response rate 76.3%). However, only 0.4% and 3.1% of them recognized using rubber dam “every time” during caries direct restoration and root canal therapy, respectively. There was no significant difference in rubber dam usage between male and female practitioners. Among the respondents, practitioners with working experience between 5 and 10 years showed the highest usage rate (76.3%), while practitioners working more than 20 years showed the lowest (53.2%). The endodontists gained the highest and the most frequent usage rate and the best rubber dam technique mastering skills. Practitioners working in those stomatological departments of general hospitals showed the lowest rubber dam usage rate. Conclusions. The prevalence of rubber dam usage in Tianjin city is still low. The practitioner's gender, years of professional experience, general or specialized field, and the type of dental setting they work for are the factors that need to be considered during making policy and executing training.

Highlights

  • Since being introduced by Dr Barnum in the 1860s, rubber dam isolation technique has gradually gained recognition as an essential technique in the process of dental treatments

  • This study conducted a questionnaire survey of 300 dentists from 18 medical institutional dental settings in Tianjin, in order to determine the overall attitude of dentists towards rubber dam application, explore possible influencing factors such as the practitioner’s gender, years of professional experience, general or specialized field, and the type of medical institutional dental settings they work for, and hopefully make some contribution in policies development on how to promote the rubber dam technique usage in dental practice in China

  • The questionnaire consisted of 30 questions concerning different aspects of rubber dam usage, such as (1) the basic information regarding the practitioner’s gender, years of professional experience, general or specialized field, and the type of medical institutional settings they work for, (2) rubber dam awareness, source of knowledge gained for rubber dam usage, and prevalence in caries filling and root canal treatment application, and (3) the time required for the clinical installation of rubber dam and problems occurring during rubber dam usage

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Summary

Introduction

Since being introduced by Dr Barnum in the 1860s, rubber dam isolation technique has gradually gained recognition as an essential technique in the process of dental treatments. The benefits of rubber dam are well known, which can effectively protect patients and doctors and provide a more professional, safe, and comfortable medical experience. Various prevalences of rubber dam usage have been reported from different countries [1,2,3,4,5,6]. This study conducted a questionnaire survey of 300 dentists from 18 medical institutional dental settings in Tianjin, in order to determine the overall attitude of dentists towards rubber dam application, explore possible influencing factors such as the practitioner’s gender, years of professional experience, general or specialized field, and the type of medical institutional dental settings they work for, and hopefully make some contribution in policies development on how to promote the rubber dam technique usage in dental practice in China

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