Abstract
It has been well-documented that uncontaminated ground enamel provides the most predictable substrate for the bonding of ceramic veneers, and thus conservative tooth preparation with complete isolation using a rubber dam is key to the long-term success of the restorations presented with five years of follow-up. Rubber dam isolation provides several advantages to the clinician, such as preventing contamination of the working field by saliva, blood, and sulcular fluids, and improving direct visibility. However, it may be a challenge to the younger clinician to properly isolate teeth prior to bonding ceramic veneer. The present case report demonstrated the sequence and some clinical tips for a case in which the rubber dam is placed from a second premolar to the opposite second premolar and held with clamps, the rubber dam is gently invaginated into the sulcus, and clamps are selected and placed on each tooth to create an ideal situation for the adhesion of the ceramic veneer. This step-by-step sequence may help the younger clinician in understanding how to gently manage soft tissue in order to properly provide complete isolation with rubber dam for future bonding of ceramic veneers. Following these methods, the clinician can achieve complete isolation, invaginate the rubber dam in the sulcus without causing tissues to bleed, and reduce the time needed for bonding procedures.
Highlights
A rubber dam is a device for the isolation of the working field and is commonly used for restorative and endodontic procedures [1]
The results show that clinicians do not use the rubber dam because they believe it is challenging, time-consuming, cumbersome, and that patients will not accept it
The clinician can achieve complete isolation, invaginate the rubber dam in the sulcus without causing tissues to bleed, and reduce the time needed for bonding procedures
Summary
A rubber dam is a device for the isolation of the working field and is commonly used for restorative and endodontic procedures [1]. There are no reports on how to achieve full isolation efficiently and without damaging soft tissues This case report aimed to provide clinical tips and examples on how to properly place a rubber dam prior to bonding of ceramic veneer restorations in the esthetic zone. Following these methods, the clinician can achieve complete isolation, invaginate the rubber dam in the sulcus without causing tissues to bleed, and reduce the time needed for bonding procedures. The image is showing (A) final restorations following the bonding procedure and (B) intra-oral view of final restorations five years following cementation
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