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Introdução: O dique de borracha foi criado em 1864 pelo Dr. Sanford Barnum e desde então é considerado o padrão ouro durante o tratamento endodôntico. O dique de borracha tem caído em desuso, portanto seria importante criar um novo sistema de marcação que melhorasse o conforto do paciente e incentivasse o uso do dique por parte dos médicos dentistas. O dique de borracha, devido à atual situação pandémica começa a ganhar destaque sendo aconselhado o seu uso sempre que possível, principalmente quando à formação de aerossóis, garantindo assim uma melhor segurança para o paciente e para o médico dentista. Materiais e métodos: Foi feita a pesquisa nas plataformas Pubmed/MEDLINE e na Cochrane Library com os termos “dental dam” OR “rubber dam”, sendo a seleção dos artigos guiada por critérios de inclusão e exclusão. Foi feita uma placa de plástico com vários ângulos (de 0º a 180º) distanciados de 10º em 10º e no centro foi colocado um fio com marcações a cores para localizar o dente onde vai ser feito o isolamento. Resultados: Foram incluídos 19 artigos no estudo e foi observada uma diferença na percentagem de uso de dique nos vários países (variando de 5,1% a 98,7%). A maioria dos pacientes preferiam usar o dique nas próximas consultas. Quando o dique foi aplicado com o novo sistema de marcação este encontrava-se centrado e a 0mm do ponto subnasal do paciente. Conclusões: É necessário criar programas educacionais que incentivem os alunos e os profissionais de saúde a utilizar o dique. Os profissionais recém-licenciados apresentam uma maior percentagem de uso do dique em relação aos dentistas com mais anos de experiência. O protótipo apresentou um bom resultado, necessitando de estudos mais alargados que comprovem a sua eficácia e facilidade de aplicação, esperando aumentar a adesão ao uso do dique de borracha.
Introduction: The rubber dam was created in 1864 by Dr. Sanford Barnum and has since then been considered the gold standard during endodontic treatment. The rubber dam has fallen into disuse, so it is important to create a new marking system that improves patient comfort and encourages the use of the dam by dentists. The rubber dam, due to the current pandemic situation is beginning to gain prominence being advised its use whenever possible, especially when aerosols are generated thus ensuring better safety for the patient and the dentist. Materials and methods: The search was performed on Pubmed/MEDLINE and Cochrane Library with the terms "dental dam" OR "rubber dam", and the selection of articles guided by inclusion and exclusion criteria. A plastic plate was made with several angles (from 0º to 180º) distanced from 10º in 10º and in the center a string with color markings was placed to locate the tooth to be isolated. Results: 19 articles were included in the study and a difference in the percentage of use was observed between various countries (ranging from 5.1% to 98.7%). Most patients preferred to use the dam in the next appointments. When the rubber dam was applied with the new marking system, it was centered and was 0mm away from the subnasal point. Conclusions: It is necessary to create educational programs that encourage students and health professionals to use the dam. Newly graduated professionals have a higher percentage of use compared to dentists with more years of experience. The prototype showed a good result, requiring more extensive studies that prove its effectiveness and ease of application, hoping to increase adherence to the use of the rubber dam.
Introduction: The rubber dam was created in 1864 by Dr. Sanford Barnum and has since then been considered the gold standard during endodontic treatment. The rubber dam has fallen into disuse, so it is important to create a new marking system that improves patient comfort and encourages the use of the dam by dentists. The rubber dam, due to the current pandemic situation is beginning to gain prominence being advised its use whenever possible, especially when aerosols are generated thus ensuring better safety for the patient and the dentist. Materials and methods: The search was performed on Pubmed/MEDLINE and Cochrane Library with the terms "dental dam" OR "rubber dam", and the selection of articles guided by inclusion and exclusion criteria. A plastic plate was made with several angles (from 0º to 180º) distanced from 10º in 10º and in the center a string with color markings was placed to locate the tooth to be isolated. Results: 19 articles were included in the study and a difference in the percentage of use was observed between various countries (ranging from 5.1% to 98.7%). Most patients preferred to use the dam in the next appointments. When the rubber dam was applied with the new marking system, it was centered and was 0mm away from the subnasal point. Conclusions: It is necessary to create educational programs that encourage students and health professionals to use the dam. Newly graduated professionals have a higher percentage of use compared to dentists with more years of experience. The prototype showed a good result, requiring more extensive studies that prove its effectiveness and ease of application, hoping to increase adherence to the use of the rubber dam.
Descrição
Palavras-chave
Dique de borracha Endodontia Novo sistema de marcação Rubber dam/dental dam Endodontics New marking system