Influence of rubber dam on objective and subjective parameters of stress during dental treatment of children and adolescents - a randomized controlled clinical pilot study

Ammann, Patricia; Kolb, Andreas; Lussi, Adrian; Seemann, Rainer (2013). Influence of rubber dam on objective and subjective parameters of stress during dental treatment of children and adolescents - a randomized controlled clinical pilot study. International journal of paediatric dentistry, 23(2), pp. 110-115. BSPD, IAPD and Blackwell Publishing 10.1111/j.1365-263X.2012.01232.x

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BACKGROUND Rubber dam is recommended for isolating the working field during adhesive dentistry procedures; however, dentists often omit rubber dam, particularly in paediatric dentistry, supposing that it would stress the patient. AIM The aim of this study was to evaluate stress parameters during a standardized dental treatment procedure performed with or without rubber dam. The treatment time was measured as a secondary outcome variable. DESIGN This study was designed as a randomized, controlled, clinical study with 72 patients (6-16 years; mean age, 11.1). During standardized fissure sealing procedures, objective parameters of stress (e.g., skin resistance, breath rate) were recorded. The operator's stress level was measured by pulse rate. Subjective pain (patients) and stress perception (operator) were evaluated by an interview. RESULTS The breath rate was significantly (P<0.05) lower and the skin resistance level was significantly higher during treatment with rubber dam compared to the control group. Subjective pain perception was significantly lower for the test group. The treatment time needed for the fissure sealing procedure was 12.4% less in the test group. CONCLUSION Isolation with rubber dam caused less stress in children and adolescents compared to relative isolation with cotton rolls if applied by an experienced dentist.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Preventive, Restorative and Pediatric Dentistry

UniBE Contributor:

Lussi, Adrian and Seemann, Rainer

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0960-7439

Publisher:

BSPD, IAPD and Blackwell Publishing

Language:

English

Submitter:

Eveline Carmen Schuler

Date Deposited:

11 Feb 2014 11:15

Last Modified:

14 Dec 2018 10:12

Publisher DOI:

10.1111/j.1365-263X.2012.01232.x

PubMed ID:

22404253

BORIS DOI:

10.7892/boris.40823

URI:

https://boris.unibe.ch/id/eprint/40823

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