Restorations In Children Research Articles

International law regulation of children's right to education in the post-conflict period

The article is devoted to the analysis of international legal and national instruments for the regulation of the right of children to education during the conflict and the post-conflict period and to the determination of the mechanisms of its restoration. The author highlights the problem of violation of children's rights, in particular the right to education, during armed conflicts, using the example of the aggression of the Russian Federation against Ukraine. The article examines the genesis of international law on the protection of children's rights, starting from the Geneva Conventions, which for the first time provided for special protection for children during armed conflicts, to modern international instruments. The author emphasizes the inadequacy of the existing international legal mechanisms regarding the restoration of children's right to education during the conflict and post-conflict period. Attention is paid to the analysis of the consequences of armed conflicts for the educational infrastructure. The author emphasizes that the restoration of education is a key factor in overcoming the consequences of the war and ensuring long-term stability and development of the country. The article also suggests practical measures to restore children's right to education. The role of international organizations such as UNICEF, UNESCO, UNHCR and others in promoting the restoration of the right to education in the post-conflict period is considered separately. In conclusion, the author calls for the expansion of the international legal and national framework that would ensure the proper protection and restoration of children's rights, especially the right to education, in the post-conflict period, emphasizing the need to implement new mechanisms at the national and international levels.

Restoration of Children’s Rights after Imprisonment in the Perspective of State Responsibility

Sensitivity to a sense of justice and concern for the next generation of a nation should also be measured by their attention to efforts to protect the rights of troubled children, especially the rights of post-prison children. This research aims to examine the weaknesses of the regulation of children’s rights after imprisonment and to examine the state’s responsibility in restoring the rights of children after imprisonment. This research uses normative legal research methods with statutory and conceptual approaches. The results of the study show that, basically, the rights of children who are post-convicted, as previously mentioned, are regulated in the Child Protection System Law and generally regulated in the Child Protection Law. In an effort to fulfill human rights by the Indonesian State, it must be carried out thoroughly, including in terms of fulfilling children’s rights as part of human rights in general, and the fulfillment of children’s rights itself must be carried out for all children who live, grow and develop under the umbrella of Indonesian law, including children after being convicted. The regulation of children’s rights as stipulated in the Child Protection System Law and the Child Protection Law is not enough, so in addition to the need to explicitly emphasize the rights of children after being released from prison, it is also necessary to regulate the mechanism for restoring their rights after being released from prison.

Persistent Parietal Alterations After Partial Weight Restoration in Children With an Early-Onset Form of Anorexia Nervosa

Persistent Parietal Alterations After Partial Weight Restoration in Children With an Early-Onset Form of Anorexia Nervosa

Impact of End-Effector Device on Gait Restoration in Children Suffering from Neurological Disorders

Impact of End-Effector Device on Gait Restoration in Children Suffering from Neurological Disorders

Comparison of sensory fusion recovery in different types programming of liquid crystal glasses

Objective: to compare the effectiveness of new method of sensory fusion recovery in patients with personalized adjustment of the frequency of alternation of liquid crystal glasses (LCG) compared with the empirical selection of the frequency of alternation. Material and methods. The study included 39 patients with concomitant convergent strabismus with orthotropy and no sensory fusion after surgical treatment of strabismus, who were prescribed LCG. The glasses were programmed empirically at 2 Hz in 21 patients (empiric group), in 18 patients — using the developed formula for calculating the frequency of alternation of LCG (calculated group). The compared groups did not differ in gender, age, visual acuity, and other characteristics. Results. Recovery of sensory fusion occurred more often with LCG in calculated group (16 patients, 88.9%) than in empiric group (9 patients, 42.9%), the difference is highly reliable (p=0.001). Conclusions. Anew method for personalized selection of the frequency of alternating LCG using video oculography is more efficient than empirical programming for sensory fusion restoration in children after surgery for concomitant convergent strabismus.

Comparison of sensory fusion recovery in different types programming of liquid crystal glasses

Objective: to compare the effectiveness of new method of sensory fusion recovery in patients with personalized adjustment of the frequency of alternation of liquid crystal glasses (LCG) compared with the empirical selection of the frequency of alternation. Material and methods. The study included 39 patients with concomitant convergent strabismus with orthotropy and no sensory fusion after surgical treatment of strabismus, who were prescribed LCG. The glasses were programmed empirically at 2 Hz in 21 patients (empiric group), in 18 patients — using the developed formula for calculating the frequency of alternation of LCG (calculated group). The compared groups did not differ in gender, age, visual acuity, and other characteristics. Results. Recovery of sensory fusion occurred more often with LCG in calculated group (16 patients, 88.9%) than in empiric group (9 patients, 42.9%), the difference is highly reliable (p=0.001). Conclusions. Anew method for personalized selection of the frequency of alternating LCG using video oculography is more efficient than empirical programming for sensory fusion restoration in children after surgery for concomitant convergent strabismus.

Exclusive endoscopic ossiculoplasty with autologous material: step-by-step procedure and functional results.

To describe the surgical procedure of exclusive endoscopic ossiculoplasty (EEO) with autologous grafts and evaluate audiological results, focusing on the advantages or drawbacks compared to the corresponding microscopic technique. A retrospective review of consecutive adult and pediatric patients affected by chronic otitis media (COM) with or without cholesteatoma who underwent EEO was conducted. Only autologous ossiculoplasty was included in the study. The procedure was performed by experienced surgeons of our institution between November 2014 and September 2019. Hearing outcomes were evaluated using postoperative air-bone gap (ABG) and success rates in different subgroups of patients and different types of ossiculoplasty (OPL) were analyzed. Our results were finally compared with the existing literature regarding both microscopic and endoscopic ossicular chain reconstruction. In total, 74 endoscopic ossicular chain repair procedures performed within the study period met the inclusion criteria. Of these, 21 were pediatric patients (28%) and 53 were adults (72%). Surgical reconstruction procedures included 43 partial ossicular reconstructions (POR) and 31 total ossicular reconstructions (TOR). The postoperative ABG improved significantly compared to preoperative measurements, and the mean ABG closure was 7.85dB HL (p = 0.00064). No statistically significant differences in audiological outcomes between TOR/POR techniques and pediatric/adult groups were found in our study cohort, with p values of 0.10 and 0.88, respectively. At present, EEO can be considered a valid surgical option for re-establishing a functioning ossicular chain with acceptable hearing restoration in children and adults. Further reports in wider case series are required to confirm these results.

An In Vivo Evaluation of Retention and Antibacterial Efficacy of Posterior High Strength Glass Ionomer Cement and Glass Hybrid Bulk-fill Alkasite Restorative Material as Conservative Adhesive Restoration in Children with Mixed Dentition: A Comparative Study.

The aim of the study was to compare and evaluate the retention and antibacterial efficacy of posterior high strength glass ionomer cement and glass hybrid bulk-fill alkasite restorative material as a conservative adhesive restoration in children with mixed dentition. A total of 60 children of age 6-12 years with mixed dentition were selected and divided into group I (control group n = 30): posterior high strength glass ionomer cement and group II (experimental group n = 30): glass hybrid bulk-fill alkasite restorative material. Restorative treatment was carried out using these two materials. Retention of the material and salivary Streptococcus mutans and Lactobacillus species count was estimated at baseline, 1, 3, and 6 months. The collected data were statistically analyzed using International Business Machines (IBM) Statistical Package for the Social Sciences (SPSS) software (version 20.0 Chicago, Illinois, USA). About 100% retention of glass hybrid bulk-fill alkasite restorative material, and 90% retention of posterior high strength glass ionomer cement was observed according to United State Public Health Criteria. The * signifies statistically significant results, i.e. p < 0.0001 reduction in salivary S. mutans colony count and Lactobacillus species colony count was seen in both groups at different time intervals. Both the materials showed good antibacterial properties, but glass hybrid bulk-fill alkasite restorative showed better retention, that is, 100% when compared to posterior high strength glass ionomer cement, which showed 90% retention at the end of 6 months follow-up. Soneta SP, Hugar SM, Hallikerimath S, et al. An In Vivo Evaluation of Retention and Antibacterial Efficacy of Posterior High Strength Glass Ionomer Cement and Glass Hybrid Bulk-fill Alkasite Restorative Material as Conservative Adhesive Restoration in Children with Mixed Dentition: A Comparative Study. Int J Clin Pediatr Dent 2022;15(5):529-534.

Is the Metallic Color of Stainless Steel Crown Satisfying for Cooperative Children and their Parents? a Preliminary Study.

Currently, the demand for tooth-colored restorations in children and young adults is increasing. Stainless steel crown (SSC) is the most common restoration for decayed primary molars. Given the dark metallic color of SSC, the esthetic appearance of this restoration is poor and subsequently their acceptance is still a matter of debate. This study was conducted to evaluate the effect of restoration's color on children's daily living conditions and compare the clinical and radiographic success rates of composite resins with SSC in primary molars. This clinical trial study was performed on 70 primary molars in 44 healthy 4- to 7-year-old children. The children were randomly divided into two groups restored with SSC and restored with composite resin. Two researcher-made questionnaires were used to assess the children's satisfaction concerning the appearance and color of restoration. The data were analyzed with SPSS 20 using chi-squared, Fisher's, and Mann-Whitney U tests. The significance level was set at p< 0.05. Children's satisfaction with restoration color in the treatment session was 75% in the SSC group and 85% in the composite resin group. However, the difference was not statistically significant (p= 0.246). After one year of follow-up, the satisfaction rate decreased to 69% in the SSC group and increased to 90.6% in the composite resin group, with a significant difference (p< 0.001). Moreover, the frequency of clinical success was 95% in the SSC group and 96.7% in the composite resin group, with no statistically significant difference (p= 0.749). The frequency of radiographic success was 87.5% in the SSC group and 100% in the composite resin group; this difference was not significant (p= 0.061). The results verified that restoration color was not important for cooperative children in the treatment session. However, after one year, children who received composite resin restorations were pointedly more satisfied than those who were treated with SSC restorations.

Dentinhaftung bioaktiver Füllungsmaterialien für die Kinderzahnheilkunde

Aim: Bioactive materials are of interest for dental restoration in children with high caries risk. An important parameter for clinical success is durable adhesion to tooth hard tissues. Therefore, the present study evaluated dentin bonding behavior of two bioactive materials (ACTIVA BioACTIVE-RESTORATIVE [Acti, Pulpdent, Watertown, MA, USA] using All Bond Universal [BISCO, Schaumburg, IL, USA], and Cention N bonded with Adhese Universal [Cent, Ivoclar Vivadent, Schaan, Liechtenstein]) compared to a bonded resin composite (Filtek Z250 [FZ250, 3M Oral Care Dental Products, St. Paul, MN, USA] with OptiBond FL [Kerr, Biberach, Deutschland]) and a conventional glass ionomer cement (Fuji Triage pink [FTp, GC Corporation, Tokyo, Japan]) using Cavity Conditioner (GC Europe, Löwen, Belgien).Materials and methods: Twenty-eight caries-free third molars were randomly assigned to four groups (n = 7). Crowns were ground flat to expose dentin. Specimens were pretreated according to the manufacturers' instructions and built-up in 0.5-2 mm layers with composite. After storage (24 h at 37 °C in distilled water), specimens were cut into resin-dentin beams (0.36 mm2 for Acti, Cent, and FZ250; 1 mm2 for FTp) and subjected to microtensile bond strength testing. Additional micromorphological analyses were done using both light and scanning electron microscopy. Statistical appraisal was carried out using one-way analysis of variance (ANOVA; modified least significant difference [LSD] test; p <0.05). Results: Dentin bond strengths were (in MPa, numbers I-III indicate significant differences between groups): FZ250: 63.9 ± 8.3 (I); Acti: 52.1 ± 8.2 (II); Cent: 51.4 ± 10.9 (II); FTp: 3.7 ± 0.9 (III). A pronounced hybrid layer was only found in FZ250. The investigated bioactive restorative materials showed lower dentin adhesion compared to the bonded resin composite, but 13-fold higher values than the GIC (FTp).Conclusion: When adhesively bonded, the bioactive materials under investigation exhibited good dentin bonding behavior. In minimally invasive restorations, we recommend using them with a separate bonding step. However, further studies must show whether this impairs the caries-inhibiting, bioactive effect of the materials.

National Survey on Silver Diamine Fluoride (SDF) Awareness, Knowledge, Attitude, and Use among General Dental Practitioners in the Kingdom of Saudi Arabia-An Exploratory Survey.

Silver diamine fluoride (SDF) has been accepted as an appropriate alternative for caries management. However, knowledge and utilization of SDF among dentists vary considerably. The authors in the present study aimed to assess the awareness, knowledge, attitudes, and use of SDF among general dentists (GD) in Saudi Arabia and to correlate the differences based on the different regions and experience levels of the dentists. In this regard, a cross-sectional web-based questionnaire was conducted, and a response was received from 311 GDs from different parts of the country. Information regarding demographic data, knowledge, attitudes, use, and barriers to SDF in dentists' professional lives were elicited. The mean age of the participants (55.3%) was between 25-35 years. Most (92.45%) of the dentists were aware of the material and (61%) agreed that SDF could arrest carious lesions. More than half of the dentists agreed/strongly agreed that SDF was a good treatment alternative for restorations in children with behavioral issues (63.1%), medically fragile patients (53.7%), patients with severe anxiety (64.5%), patients who underwent radiation or chemotherapy (47.3%), and patients needing general anesthesia for dental treatment (74%). Comparative evaluation using ANOVA revealed regional differences based on knowledge, attitudes, and use. Tukey HSD further highlighted that the practitioners in the western region are more knowledgeable regarding its benefits and utilize it more frequently in their practice compared to other regions. On the other hand, the experience level of the GDs did not have any impact on their knowledge, attitudes, and use of SDF.

Aesthetic Restoration of Traumatized Deciduous Anterior Teeth Using Custom Fabricated Zirconia Crowns - A Case Report

Loss of anterior teeth in children can adversely affect the aesthetics, decrease masticatory efficiency, cause speech disturbance and result in the development of parafunctional habits and psychological problems. There are various complete crown coverage restorations like polycarbonate crowns, stainless steel crowns (SSC), open-faced SSC, commercially veneered SSC, Figaro crowns and Zirconia crowns. The superior aesthetics, inertness, and biocompatibility of ceramics have made them acceptable as a dental restorative material by clinicians. Zirconia ceramics have become a frequently employed biomaterial in dentistry due to their enhanced aesthetics and mechanical properties.&#x0D; The aesthetic management of decayed and traumatized deciduous anterior teeth using complete coverage restoration in children is strenuous owing to their limited size, proximity to the pulp, decreased surface area for bonding, teeth isolation difficulties and lack of cooperation. Structural loss of anterior teeth affects aesthetics, impairs mastication and phonetics, causes eruption disturbance of permanent teeth and leads to the development of non-nutritive habits. This may result in a psychosocial crisis in the patient including reduced self-esteem.&#x0D; Full coronal restorations like polycarbonate crowns, strip crowns, and modifications of stainless-steel crowns including the open-faced and pre-veneered crowns are being used by clinicians to restore discoloured incisors. However, they are often associated with technical, functional, or aesthetic limitations. Over the past decades, advancement in different technologies in the sphere of dentistry and the immense booming of dental materials have always resulted in a continuous re-assessment of different treatment principles so employed. Paediatric zirconia crowns were introduced in 2010 and have gained popularity for aesthetic considerations.[1] Zirconia crowns are clinically justifiable and with greater parental gratification when compared with other full coverage coronal restorations. Zirconia crowns express high strength, aesthetics, durability, biocompatibility, reduced wear of opposing teeth, and cause less gingival irritation.

Adherence to the CONSORT statement of randomized clinical trials on ART restorations in children: current status and reporting characteristics.

Appropriate research reports are important to facilitate the evaluation of studies and the decision-making by dentists and policymakers. This meta-research study assessed the conformity of randomized clinical trials (RCTs) on atraumatic restorative treatment (ART) restorations with the CONSORT recommendations and their risk of bias (RoB). Cochrane Library, MEDLINE, BBO, LILACS, Scopus, and Web of Science databases were searched from April 2019 to June 2021 for RCTs that assessed the longevity of ART restorations in children. A specific tool was used to assess adherence to the CONSORT recommendations; RoB was evaluated with the Cochrane risk-of-bias tool. Descriptive analyses included the number of studies by journal, follow-up period, country, and quality assessments. A total of 2,181 papers were retrieved and 36 of them were analyzed qualitatively. The overall CONSORT mean score (CONms) was 22.52 ± 6.17 out of 32 points. The best described items were intervention and outcomes, whereas allocation concealment was described in only 22% of the papers. Significant differences in CONms were detected in the analysis by country and publication dates. High CONms were observed in recently published papers (26.7 ± 3.1) when compared to first ART studies (18.1 ± 4.6; p < 0.001). RoB was low in four studies, unclear in 11, and high in 21. Adherence of the papers to the CONSORT recommendations was not fully achieved and most of the papers had unclear and high RoB (PROSPERO registration #CRD42020201460).

Dentists' knowledge, attitudes, and professional behavior regarding silver diamine fluoride: A cross-sectional questionnaire study

Background: Dental caries is a major public health problem and is handled through either treatment or prevention. Unlike other fluoride-based caries preventive agents, silver diamine fluoride (SDF) can simultaneously prevent and arrest coronal and root dentine caries. Aim: The aim of this study is to assess dentists' educational experiences, knowledge, attitudes, and professional behavior regarding SDF use for caries prevention. Methodology: For the cross-sectional survey, a prevalidated questionnaire comprising of 33 questions was being prepared through the Google survey tool of Gmail and was sent to 200 dentists in North India region through Whatsapp groups of different communities or specialties. Data analysis was done using IBM SPSS version 16. Results: The response rate of 63.5% was received from 200 dentists, among which 28.8% were general practitioners and 35.2% were both academic and clinical practitioners. Only 5.6% respondents came up having been very well educated about SDF during Bachelors in Dental Surgery and Master of Dental Surgery in the classroom setting and 3.2% in the clinical setting. There were 14.4% participants who reported that they knew very well about what SDF is used for in dentistry, and 9.6% knew how SDF is used for treatment of tooth hypersensitivity, 24.8% knew how SDF is used to treat dental caries. The attitudes of the dentists toward SDF were positive. SDF use was considered a good treatment alternative for restorations in children with behavioral problems (17.6%), for patients who were medically fragile (12%) or had severe dental anxiety (19%) and strongly agreed to it. Conclusion: Results suggested that the majority of respondents were lacking in knowledge regarding usage of SDF in dentistry.

Epidemiology of pediatric cartilage restoration procedures in the United States: insurance and geography play a role

ABSTRACT Objectives The purpose of this study is to analyze the epidemiology of children and adolescents undergoing osteochondral autograft transplantation (OAT), osteochondral allograft transplantation (OCA), and autologous chondrocyte implantation (ACI) in the United States. Methods The Pediatric Health Information System, a national database consisting of 49 children’s hospitals, was queried for all patients undergoing OAT, OCA, and ACI between 2012 and 2018. Demographic information was collected for each subject. United States Census guidelines were used to categorize hospitals geographically. Univariate analysis was followed by purposeful entry multivariate regression to adjust for confounding factors. Results A total of 809 subjects with a mean age of 15.4 ± 2.4 years were included in the analysis. Of these, 48.6% underwent OCA, 41.9% underwent OAT, and 9.5% underwent ACI. After adjusting for confounders in a multivariate model, ACI was 3.6 times more likely to be performed in patients with private insurance than those that were publicly insured (95% CI 1.6–8.0, p = 0.002). Furthermore, a patient in the Northeast was 33.1 times more likely to undergo ACI than in the West (95% CI 4.5–246.1, p = 0.001). OAT was performed most frequently in the West and Midwest (52.4% and 51.8% of the time, respectively; p < 0.001). Conclusion In the United States, there is substantial variation in the procedures performed for cartilage restoration in children and adolescents. Though ACI is the least commonly selected operation overall, it is significantly more likely to be performed on patients with private insurance and those in the Northeast.

Partial monopolar transfer of pectoralis major for elbow active flexion restoration in children with arthrogryposis

BACKGROUND: One of the main problems that limited or made the self-ability of patients with arthrogryposis impossible is the lack of active elbow flexion due to hypoplasia (or aplasia) of the forearm flexors and, especially the m. biceps brachii.&#x0D; AIM: To evaluate the possibility of active forearm flexion restoration in children with arthrogryposis by partial monopolar transposition of the pectoralis major muscle.&#x0D; MATERIALS AND METHODS: Elbow active flexion restoration by partial monopolar transposition of the pectoralis major muscle to biceps brachii was conducted in 34 children with arthrogryposis (39 upper limbs) from 2011 to 2020. The muscle autograft included a fragment of the fascia of the m. rectus abdominis. Clinical examinations of patients were performed before and after the operation. Statistical data processing was performed using the software packages Statistica 10 and SAS JMP 11.&#x0D; RESULTS: The follow-up results were estimated from 6 to 99 months (44.53 31.72) postoperative. The mean age of patients was 6.24 4.24 years. The active postoperative elbow motion was 0120 (71.94 33.40). The passive postoperative elbow motion did not change and was 90130 (104.12 12.40). Muscles strength after the operation was grade 25. Elbow extension was limited in 30 cases (76.9%) from 0 to 40 (21.70 12.27) without problem in the activities of daily living. Good results were determined in 15 cases (38.5%), satisfactory in 8 (20.5%), and poor in 16 (41%).&#x0D; CONCLUSIONS: This study revealed that our partial monopolar transfer of pectoralis major to biceps brachii technic restored sufficient forearm flexion and improved self-ability without forming severe elbow flexor contractures of more than half of the patients with arthrogryposis.

The relationship between claimed restorations and future restorations in children and adolescents: An observational follow-up study on risk categories for dental caries.

Various models are available to assess caries risk in individuals. In general past caries experience is considered as the best single predictor for future caries development in populations. Likewise, recent restorations have been used to predict future restorations. We aimed to evaluate a classification model for risk categories for dental caries in children based on claims data from Dutch healthcare insurance company Zilveren Kruis. The baseline caries risk categories were derived from the number of claimed restorations in two baseline years (2010 through 2011). These categories were defined as low (no new restorations), moderate (1 new restoration), and high (2 or more new restorations). First, we analyzed the relationship between baseline caries risk categories and the number of new restorations during 3 years of follow-up (2012 through 2014). Secondly, we used negative binominal two-level analyses to determine the accuracy of our classification model in predicting new restorations during follow-up. Thirdly, we reclassified the participants after 3 years and determined the changes in the categorization. We included insurance claims data for the oral healthcare services in 28,305 children and adolescents from 334 dental practices for the period 2010–2014. At baseline, 68% of the participants were in risk category low, 13% in moderate and 19% in high. The mean number of new restorations during follow-up was 0.81 (SD 1.72) in baseline risk category low, 1.61 (SD 2.35) in moderate, and 2.65 (SD 3.32) in high. The accuracy of the multivariate model for predicting 0/>0 restorations was 50%. After 3 years, 60% of the study participants were in the same risk category, 20% were in a lower, and 21% in a higher risk category. Risk categories based on claimed restorations were related to the number of new restorations in groups. As such, they could support planning and evaluation of oral healthcare services.

Speech production accuracy of children with auditory brainstem implants: A comparison with peers with cochlear implants and typical hearing using Levenshtein Distance

Auditory brainstem implantation (ABI) is a recent innovation in pediatric hearing restoration in children with a sensorineural hearing impairment. Only limited information is available on the spontaneous speech development of severe-to-profound congenitally hearing-impaired children who received an ABI. The purpose of this study was to investigate longitudinally the accuracy of ABI children’s word productions in spontaneous speech in comparison to the accuracy of children who received a cochlear implant and children with normal hearing. The data of this study consist of recordings of the spontaneous speech of the first three Dutch-speaking children living in Belgium who received an ABI. The children’s utterances were phonemically transcribed and for each word, the distance between the child’s production and the standard adult phonemic transcription was computed using the Levenshtein Distance as a metric. The same procedure was applied to the longitudinal data of the children with CI and the normally hearing children. The main result was that the Levenshtein Distance decreased in the three children with ABI but it remained significantly higher than that of children with typical hearing and cochlear implants matched on chronological age, hearing age, and lexicon size. In other words, the phonemic accuracy increased in the children with ABI but stayed well below that of children without hearing loss and children with cochlear implants. Moreover, the analyses revealed considerable individual variation between the children with ABI.

Evaluation Of Commonly Treated Mandibular Teeth With Preventive Resin Restoration In Children With Permanent Dentition

Evaluation Of Commonly Treated Mandibular Teeth With Preventive Resin Restoration In Children With Permanent Dentition

Rubber dam isolation for restorative treatment in dental patients.

The effective control of moisture and microbes is necessary for the success of restoration procedures. The rubber dam, as an isolation method, has been widely used in dental restorative treatments. The effects of rubber dam usage on the longevity and quality of dental restorations still require evidence-based discussion. This review compares the effects of rubber dam with other isolation methods in dental restorative treatments. This is an update of the Cochrane Review first published in 2016. To assess the effects of rubber dam isolation compared with other types of isolation used for direct and indirect restorative treatments in dental patients. Cochrane Oral Health's Information specialist searched the following electronic databases: Cochrane Oral Health's Trials Register (searched 13 January 2021), Cochrane Central Register of Controlled Trials (CENTRAL; 2020, Issue 12) in the Cochrane Library (searched 13 January 2021), MEDLINE Ovid (1946 to 13 January 2021), Embase Ovid (1980 to 13 January 2021), LILACS BIREME Virtual Health Library (Latin American and Caribbean Health Science Information database; 1982 to 13 January 2021), and SciELO BIREME Virtual Health Library (1998 to 13 January 2021). We also searched Chinese BioMedical Literature Database (CBM, in Chinese) (1978 to 13 January 2021), VIP database (in Chinese) (1989 to 13 January 2021), and China National Knowledge Infrastructure (CNKI, in Chinese) (1994 to 13 January 2021). We searched ClinicalTrials.gov and the World Health Organization International Clinical Trials Registry Platform, OpenGrey, and Sciencepaper Online (in Chinese) for ongoing trials. There were no restrictions on the language or date of publication when searching the electronic databases. We included randomised controlled trials (including split-mouth trials) over one month in length assessing the effects of rubber dam compared with alternative isolation methods for dental restorative treatments. Two review authors independently screened the results of the electronic searches, extracted data, and assessed the risk of bias of the included studies. Disagreement was resolved by discussion. We strictly followed Cochrane's statistical guidelines and assessed the certainty of the evidence using GRADE. We included six studies conducted worldwide between 2010 and 2015 involving a total of 1342 participants (of which 233 participants were lost to follow-up). All the included studies were at high risk of bias. Five studies compared rubber dam with traditional cotton rolls isolation. One study was excluded from the analysis due to inconsistencies in the presented data. Of the four remaining trials, three reported survival rates of the restorations with a minimum follow-up of six months. Pooled results from two studies involving 192 participants indicated that the use of rubber dam isolation may increase the survival rates of direct composite restorations of non-carious cervical lesions (NCCLs) at six months (odds ratio (OR) 2.29, 95% confidence interval (CI) 1.05 to 4.99; low-certainty evidence). However, the use of rubber dam in NCCLs composite restorations may have little to no effect on the survival rates of the restorations compared to cotton rolls at 12 months (OR 1.38, 95% CI 0.45 to 4.28; 1 study, 30 participants; very low-certainty evidence) and at 18 months (OR 1.00, 95% CI 0.45 to 2.25; 1 study, 30 participants; very low-certainty evidence) but the evidence is very uncertain. At 24 months, the use of rubber dam may decrease the risk of failure of the restorations in children undergoing proximal atraumatic restorative treatment in primary molars but the evidence is very uncertain (hazard ratio (HR) 0.80, 95% CI 0.66 to 0.97; 1 study, 559 participants; very low-certainty evidence). None of the included studies mentioned adverse effects or reported the direct cost of the treatment. This review found some low-certainty evidence that the use of rubber dam in dental direct restorative treatments may lead to a lower failure rate of the restorations compared with cotton roll usage after six months. At other time points, the evidence is very uncertain. Further high-quality research evaluating the effects of rubber dam usage on different types of restorative treatments is required.