Percorrer por autor "Silva, Ana Raquel da Costa e"
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- Use of rubber dam in paediatric dentistry among general and paediatric dentists: a cross-sectional studyPublication . Silva, Ana Raquel da Costa e; Silva, Cristina; Abreu, IsabelIntroduction: Rubber dam isolation plays a vital role in paediatric dentistry by improving moisture and infection control and increasing the success of restorative and pulpal procedures. Despite its clinical advantages, it is often underutilised in paediatric patients due to several barriers, including lack of training, perceived difficulty of application, and concerns about patient cooperation. Understanding current usage patterns and perceptions of rubber dam isolation among dental professionals is essential to optimise clinical outcomes and standardise care in paediatric dentistry. Objectives: This study aimed to assess the knowledge, use, and perception of rubber dam isolation among general dentists and paediatric dental specialists. The primary objectives were to determine the frequency of rubber dam isolation application, identify patterns between its use and the academic training or experience of clinicians, and explore whether training influences its implementation in paediatric contexts. Secondary objectives included identifying reasons for non-use, perceived benefits and challenges, and resources considered useful in promoting the technique. Methodology: A structured online survey was conducted and distributed via social networks, email, QR codes, in-person visits to dental clinics, attendance in technical courses, and personal contacts. The questionnaire, adapted from validated studies in the literature, was aimed at dentists who treat paediatric patients. A total of 111 valid responses were received. The data was analysed using descriptive statistics and inferential tests to assess associations between variables. Results: Most participants are female (73.9%), reflecting an ongoing feminisation of the dental profession. The ages range from 23 to 67 years, and 24.3% have qualifications in paediatric dentistry, while 75.7% do not. The majority (95.5%) reported having been introduced to rubber dam isolation during their undergraduate training, and 78.4% considered this training sufficient. Most respondents recognised the clinical benefits, with 89.2% believing that it contributes to the success of dental treatments. The technique was used more frequently by those with postgraduate training or specialisation in paediatric dentistry. The main barriers to the use of rubber dam isolation include the difficulty in placement and the perception of resistance on the part of paediatric patients, although most children tolerate it well (39.6%). A statistically significant association was found between academic training and perception of child acceptance (p = 0.049). Respondents identified practical workshops (76.6%) and professional update courses (64.9%) as the most useful resources for promoting the use of rubber dam isolation. Conclusion: This study highlights the gap between theory and clinical implementation of the rubber dam isolation. Although most professionals recognise its benefits, routine use remains limited. Educational interventions, institutional support, and practical training are essential to promote wider adoption. These results underscore the importance of integrating the rubber dam isolation more effectively into undergraduate and postgraduate curricula to ensure consistent, high-quality paediatric dental care.