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1. Select the appropriate sized OptraDam. The size (R for
regular or S for small) is indicated on the back of the
latex bag.
2. The rubber dam punch is used to make the appropriate
holes, depending on the teeth to be exposed.
3. OptraDam may be inserted from both the 12 o'clock
position with the patient lying down, or from the 8
o'clock position with the patient sitting upright (or, the
4 o'clock position if the clinician is left-handed).
4. To ease placement, the operator should grasp the inner
ring by reaching through the outer ring. The inner ring
should be held between the thumb and index finger
and pressed together slightly (see Figure 2).
Fig 2: Correct hold on the inner ring with thumb and index
finger. The ring is slightly compressed in the process.
5. The slightly compressed ring is then inserted into the
buccal corridor on one side, so that the elastic
component embraces the corner of the mouth and the
outer ring is still located extraorally (see Figure 2).
6. As soon as OptraDam is securely in place on one side,
the other side is inserted in the same manner by
slightly bending it (see Figure 2).
Fig 3: After having positioned the inner ring behind the corners
of the mouth, it is pushed behind the upper and lower lip.
7. Subsequently, the inner ring is placed behind the upper
and lower lips and thus the OptraDam assumes its
final, stable position (see Figure 3).
8. The dam is secured around the teeth by fitting the
septum of the dam interproximally and in the sulcus
using dental floss.
9. The securely positioned OptraDam improves the overall
view and accessibility of the working field. The saliva
ejector is introduced below the integrated frame and
positioned in the corner of the mouth. Lateral
movements of the mandible and opening of the mouth
to various degrees may provide additional space and
access to the treatment area. If the interproximal
spaces are large and retention of the rubber dam is
insufficient, a ligature of dental floss or Wedjets may be
used additionally to hold the latex bag in place.
10. Before the dam is removed, each septum is carefully
cut. For the removal of OptraDam, the outer rim is held
and compressed slightly, so that the inner ring is
loosened from the gingivobuccal fold. The inner ring is
carefully removed from one corner of the mouth. Due
to its restoring force it will then slip free on its own.
If, in individual cases, the inner ring should show a
tendency to slip out of the mouth in the area of the lower
lip when the mouth is closed completely, positioning of the
inner ring deeper inside the vestibule is usually sufficient to
solve the problem. Sometimes, the use of the other size
may also be a solution.
Note
OptraDam is for single patient use only.
In patients with impeded respiration through the nose or
for suctioning purposes, a hole may be cut into the latex
bag in the palatal region using scissors. As OptraDam
contains natural rubber latex, it may provoke an allergic
reaction in sensitive individuals.
Keep out of the reach of children!
For use in dentistry only!
Date of preparation: 05/2005
Revision 0
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