Isolation CATEGORY DESCRIPTION
Dental isolation products are used to control moisture, provide retraction, enhance visibility, prevent aspiration, and protect oral tissues. Among the many commonly used isolation devices and materials are:
-Rubber dams, which maximize access and visibility, prevent swallowing/aspiration of foreign bodies, and protect oral tissues;
-High-volume evacuators and saliva ejectors, which remove solid debris and water and prevent saliva pooling;
-Cheek retractors, which expand the mouth opening when working on the gingival border of front teeth;
-Mouth props, which help to establish and maintain a suitable opening during preparation of posterior teeth, especially in longer procedures;
-Retraction cords, which push gum tissue away from prepared tooth margins and prevent abrasion of gingival tissue.
Materials used for other indications are also frequently used for isolation. Mirrors and evacuator tip retractors can help to retract the cheek, lips, and tongue. Cotton rolls, gauze, and cellulose wafers placed in the buccal and lingual sulcus absorb saliva and provide slight cheek retraction during brief periods of tooth isolation. Unfolded gauze stretched over the tongue and posterior portion of the mouth can be used as a throat shield to prevent aspiration/swallowing of small objects when working in the maxillary arch area.
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