CONTROL
INDIAN DENTAL ACADEMY
Leader in continuing dental education
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Definition
Refers to exculding sulcular fluid, saliva
and gingival bleeding from the
operating field.
Refers to preventing the hand piece
spray and restorative debris from being
swallowed or aspirated by the patient.
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NEED FOR FLUID CONTROL AND
HEMOSTASIS
Hydrophillic material
Hydrophobic material
Increased wettability
Decreased wettability
Decreased contact
angle.
Increased contact
angle.
Toloerate and displace
moisture
Do not tolerate and
displace moisture.
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Dry, clean operating field.
Access and visibility.
Enhance the properties of dental
materials.
Protection of the patient and operator.
Increases operating efficiency.
Successful impression making.
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IMPORTANCE OF MOISTURE
CONTROL IN IMPRESSION MAKING
Irreversible hydrocolloid (alginate)
Reversible hydrocolloid(agar-agar)
Poly ether elastomers
Polysulfide
Addional polyvinyl siloxane
Condensation polyvinyl siloxane
HYDROPHILLIC
MATERIALS
HYDROPHOBIC
MATERIALS
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DONE BY-
RUBBER DAM.
HIGH VOLUME EVACUATOR
SALIVA EJECTOR
SVEDOPTER
ABSORBENTS
ANTI SLILOGOGUES
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RUBBER DAM-
ARMAMENTARIUM
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RUBBER DAM
Most effective of all isolation device
especially in restorative dentistry.
Limited application in cast restoration
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HIGH VOLUME EVACUATORS
Used in preparatory phase along with
an assistant
Suction of water and debris from the
mouth.
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SALIVA EJECTORS
Removes saliva that collects on the floor
of the mouth
Placed in corner of mouth opposite to
the quadrant being operated
Disposable inexpensive plastic material
preshaped according to operators use
Used effectively by lone dentist
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SVEDOPTER
Function both as saliva ejector and
tongue retractor
Consists of metal saliva ejector with
attached tongue deflector
Used effectively in mandibular
teeth
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DRAW BACKS
Reduced access to lingual surfaces of
mandibular teeth
Bruises tender soft tissue in floor of
mouth
Cannot be used in presence of
mandibular tori
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ABSORBENTS
Cotton rolls and cellulose wafers
Used in short periods of isolation
Along with saliva ejectors reduces salivary
flow
PLACEMENT
Maxillary teeth - Adjacent vestibule
Mandibular teeth - Between teeth and
tongue
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ANTI SIALOGOGUES
Gastro intestional anti cholinergics acting on
smooth muscles and biliary tract
Produces dry mouth as side effect
Serves in patients with ineffective isolation
by mechanical devices
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DRUGS USED
Methantheline bromide - Banthine
Propantheline bromide - Pro banthine
DOSAGE;-
ORAL ROUTE :.
PROBANTHINE - 15 MG
BANTHINE - 50 MG
One tablet 1 hour before appointment
produces unpleasent bitter taste
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INTRA ORAL INJECTION
Propantheline - 2-6 mg
Onset of action - 5-10 minutes
Duration of action - Approximately 1.5hours
Drying effect
prolonged by injecting
propantheline - 2-3 mg after 1.5 hours
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CONTRA INDICATIONS
Drug hyper sensitivity
Glaucoma
Asthma
Obstructive disorders of gastro intestinal
tract
Congestive cardiac failure
Lactating mothers
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OTHER DRUGS
Clondine hydro chloride : 0.2 mg 1
hour before
the appointment
Side effects : Sedation
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HAEMOSTASIS
It is a method of controlling bleeding
from gingiva.
Delivered in the gingival sulcus through
retraction cords which are impregnated
with hemostatic agents
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HAEMOSTATIC AGENTS
Racemic epinephrine - 8%
Alum solution ( potassium aluminium sulfate) - 100%
Aluminium sulfate / chloride solution - 5-25 %
Ferric sulfate - 13.3 %
Tannic acid - 20-100 %
Ferric sub sulfate (monsels solution)
Zinc chloride solution - 8- 40 %
Negatol solution - 45%
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Thank you
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