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Patient Management

392 - Effect of Isolation Techniques on Behavior: Rubber Dam vs Isolite

Saturday, May 24, 2025
2:15 PM - 2:30 PM MDT
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    Presenting Author(s)

  • Kali Gupton, DMD

    Resident
    University of Kentucky, Lexington, KY
    University of Kentucky
    Richmond, Kentucky, United States

    • Research Mentor(s)

  • dS

    debora Scheffel, DDS

    Assistant Professor Division of Pediatric Dentisty
    University of Kentucky
    Lexington, Kentucky, United States

    • Program Director(s)

  • Perez Cristina, DDS

    Assistant Professor Division of Pediatric Dentisty
    University of Kentucky
    University of Kentucky
    Lexington, Kentucky, United States

Abstract:



Purpose: This study compared the effect of the Isolite System (Iso) and Rubber Dam (RD) on the behavior of pediatric dental patients during restorative treatment.

Methods: A convenience sample of 10 pediatric patients aged 6 to 12 years from the UK Pediatric Dental Clinic requiring restorations in two or more quadrants was enrolled. Participants were randomized to receive treatment using one isolation system (Iso or RD) at their first appointment and the other at a subsequent appointment. Similar restorative procedures were performed during both visits. Patient behavior was assessed at four time points: “sitting in the chair,” “anesthesia,” “isolation placement,” and “restorative treatment,” using the Modified Venham Scale. Data were analyzed using Fisher's exact test (α=.05).

Results: No significant differences in patient behavior were observed between Iso and RD at any of the evaluated time points (P>.05). The “anesthesia” stage exhibited the highest percentage of scores greater than 0, indicating increased anxiety or discomfort (77% for Iso and 62% for RD). In contrast, the “sitting in the chair” stage had the lowest percentage of scores greater than 0 (7.7% for Iso and 0% for RD).

Conclusion: These findings suggest that both isolation systems can be effectively used into pediatric dental practice with similar outcomes regarding behavior.

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