CLINICAL USE OF MODIFIED ABSOLUTE ISOLATION AND ITS EFFECTIVENESS - CASE REPORT

Abstract

MODIFIED ABSOLUTE ISOLATION ISOLATES MAXILLARY ANTERIOR TEETH IN A SIMPLER WAY AND WITH THE SAME EFFECTIVENESS AS CONVENTIONAL. COTTON ROLLS ARE PLACED LATERALLY TO THE LABIAL FRENUM (BOTTOM OF THE BILATERAL SUPERIOR VESTIBULE), THEN PERFORATIONS ARE MADE SIDE BY SIDE IN THE RUBBER DAM, INSTALLED IN THE OSTBY ARCH, COVERING FROM PREMOLAR TO PREMOLAR, CAN BE FIXED WITH STAPLES OR STOPS, LEAVING THE SHEET FIRM UNDER THE COTTON ROLLS. WITH THIS TYPE OF ISOLATION, IT CAN BE WORKED FROM CANINE TO CANINE, MANAGING TO KEEP THE OPERATIVE FIELD DRY, WITHOUT MOISTURE AND WITH THE GINGIVAL MARGINS PERFECTLY EXPOSED TO PERFORM PROCEDURES IN THESE AREAS, PREVENTING BLOOD AND SALIVA FROM COMING INTO CONTACT WITH THE WORKPLACE AND, WHEN ASSOCIATED WITH THE RETRACTOR WIRE, IT ALLOWS THE EXUDATE OF THE CREVICULAR FLUID TO BE CONTROLLED. TO MAINTAIN A STERILE OPERATIVE TECHNIQUE FOR ANTERIOR TEETH, THE USE OF MODIFIED ABSOLUTE ISOLATION IS ESSENTIAL. THE RUBBER DAM IS THE ONLY EFFECTIVE SAFEGUARD AGAINST BACTERIAL CONTAMINATION BY SALIVA AND SWALLOWING FOREIGN BODIES. OPERATIVE DENTISTRY PROCEDURES PERFORMED WITH MODIFIED ABSOLUTE ISOLATION ARE ALMOST ALWAYS OF BETTER FINAL QUALITY THAN THOSE PERFORMED WITHOUT THIS TYPE OF ISOLATION, FOR THIS REASON ITS USE IS VIRTUALLY INDICATED FOR ANTERIOR TEETH. IT IS CLEAR THAT THE BENEFITS PROVIDED BY THE MODIFIED ABSOLUTE INSULATION, WHERE ITS ADVANTAGES ARE: FREE AND CLEAN FIELD; IT PROVIDES FAVORABLE CONDITIONS TO OBTAIN BETTER QUALITY AND DURABILITY OF THE PROCEDURE; BETTER ACCESS AND VISIBILITY OF THE OPERATIVE FIELD; PATIENT PROTECTION, SO THAT THE PATIENT DOES NOT SWALLOW OR ASPIRE ANY MATERIAL, OR EVEN INSTRUMENTS, IN ADDITION TO OFFERING GREATER FREEDOM OF MOVEMENT, WITHOUT DISTURBING THE PROFESSIONAL. PATIENT V. A, FEMALE, 38 YEARS OLD, ATTENDED THE EOC OF UNI EVANGELICA DE ANÁPOLIS REPORTING �€ŒFRACTURED TOOTH�€ AS HER MAIN COMPLAINT. IT HAS ALREADY UNDERGONE PROCEDURES SUCH AS ATRAUMATIC RESTORATIONS, ENDODONTICS ON TOOTH 24 AND EXTRACTION OF TEETH 18, 16, 25, 26, 28, 38, 36, 47 AND 48. IN THE TREATMENT PLAN, THE PLACEMENT OF AN INTRARADICULAR POST WAS INSERTED IN TEETH 12. , 22 AND 46 AND ENDODONTIC TREATMENT ON TEETH 13, 42 AND 43.