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Rubber Dams

Rubber dams are devices used in dentistry to isolate a tooth or group of teeth during various dental procedures.
They are typically made of thin, flexible rubber sheets that are stretched over the tooth or teeth, creating a barrier that prevents contamination from saliva, blood, or other materials.
Rubber dams help maintain a clean and dry working area, enhancing the accuracy and reproducibility of dental treatments.
They are commonly used in procedures such as fillings, root canal therapy, and tooth restoration.
Proper use of rubber dams can improve patient comfort, reduce the risk of infection, and increase the overall success of dental interventions.
Researchers can utilize PubCompare.ai to optimize their rubber dam research by locating and comparing protocols from literature, preprints, and patents, leveraging AI-driven comparisons to enhance reproducibility and accuracy, and identify the best protocols and products for their needs.

Most cited protocols related to «Rubber Dams»

Samples were collected on teeth isolated with a rubber dam and using strict aseptic techniques. The tooth surface was cleaned with 30% hydrogen peroxide for one minute and NaOCl 3% for two minutes. The operation field (tooth, rubber dam, and clamp) was swabbed with 5% iodine tincture. To control the sterility of the operation field, samples of the disinfected tooth crown were taken with two foam pellets (Disposable Mini-Sponge Applicator; 3M ESPE, St. Paul, MN, USA) damped in thiosulfate solution (5%; surface control). One pellet was placed in fluid thioglycollate medium supplemented with agar (FTM). If growth occurred after seven days of aerobic incubation, the sample was excluded from the study. The other pellets were stored at −80 °C in Tris-EDTA (TE-buffer, Sigma, St. Louis, MO 63178, USA) for further DNA analysis.
For root canal samples, the access cavity was prepared with a sterile carbide bur, canals were gently filed with K-files (Dentsply Sirona Endodontics), and filled using a syringe containing sterile saline solution. The contents of the root canal were absorbed into sterile paper points and transferred to FTM. The paper points were moved to TE-buffer (1 mL) and ten-fold serial dilutions (0–104) were cultured on fastidious anaerobic agar (FAA, Svenska LABFAB, #ACU-7531A) in an anaerobic atmosphere (5% CO2, 10% H2, 85% N2, 37 °C) for one week. Colony-forming units (CFU) were counted, and colonies with different phenotypic patterns were selected from each plate for bacterial typing. Two colonies of each phenotypic pattern were collected. The remaining sample (800 µL) containing the paper points was stored at −80 °C for DNA extraction. The experimental workflow is presented in Figure 1. Up to 10 isolates with different phenotypic patterns were selected from each plate, amplified by PCR, and sequenced to identify bacterial species as previously described [13 (link)]. Thus, aliquots of the 16S rDNA PCR products were purified and sequenced with Sanger (Eurofins MWG Operon, Ebensburg, Germany), and sequences were compared with the eHOMD database (Expanded Human Oral Microbiome Database, Forsyth, (http://www.ehomd.org)).
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Publication 2020
Agar Asepsis Atmosphere Bacteria Bacteria, Aerobic Buffers Dental Caries Dentsply DNA, Ribosomal Edetic Acid Human Microbiome Iodine Operon Pellets, Drug Peroxide, Hydrogen Phenotype Porifera Pulp Canals Root Canal Therapy Rubber Dams Saline Solution Sterility, Reproductive Syringes Technique, Dilution Thioglycolates Thiosulfates Tooth Tooth Crowns Tromethamine
The sample frame for this study consisted of all U.S. dentists in the network who had previously participated in one or more network studies and who were in current practice with an active practice address (n=828). At the time of the survey, practices were predominately located in Alabama, Mississippi, Florida, Georgia, Minnesota, Oregon, and Washington. This project was approved by the human participants institutional review boards at the University of Alabama at Birmingham and all of the network’s regional centers. The reporting conforms to STROBE Guidelines (http://www.strobe-statement.org).
The design was cross-sectional, consisting of a single administration of the IUS. The results of this questionnaire were combined with those of an Enrollment Questionnaire that all practitioners completed when they enrolled in the network. Both questionnaires are publicly available (please see the reference to this publication at http://nationaldentalpbrn.org/peer-reviewed-publications.php).
Thirty-four practitioners and network staff pre-tested a pilot version of the survey to assess the feasibility and comprehension of each questionnaire item. Items regarding electronic dental record use were taken from a study of clinical computing (15 (link)). Pilot testing started with network staff, across the regions and from different browsers, then in groups of 6–8 practitioners. The practitioners were queried regarding their experience taking survey, including access, clarity and ease of use. Pilot testing was considered complete when all practitioners in the group reported no problems with access, clarity or ability to complete. Subsequently, letters were sent by the main network administrative site to eligible practitioners, inviting them to participate, and to provide them with a unique identification number and log-in code to complete the online survey. Practitioners were asked to complete the questionnaire within three weeks. Non-respondents received a reminder letter after the fourth week. After an additional four weeks, a final reminder was sent, along with a printed version of the questionnaire allowing the option of completing the online or paper version. Network staff entered data received on mailed, paper versions through an online portal. Individuals who had not responded after a final three-week waiting period were considered non-respondents. Practitioners or their business entities could request a $50 remuneration as a gesture of appreciation for completing the questionnaire, of whom 92% did so. The practitioners who chose the mail option have access to the internet, but either chose not to complete the survey online because of personal preference or perhaps because of difficulty with network or connectivity problems. Prior to and during conduct of the IUS survey, the network staff received queries from practitioners and their staff regarding ability to logon or reconnect, for enrollment questionnaire and survey. These were few and were not documented, nor was the specific reason for using mail option rather than completing the survey online determined.
The overall intent of the IUS was to quantify the (1 (link)) use of electronic dental records; (2 ) use of rubber dam during root canal treatment; and (3 (link)) utilization of dental staff for specific clinical procedures, specifically, expanded-function auxiliaries. The questionnaire comprised 25 primary questions, with over 100 branching questions. The survey was completed between December 2010 and June 2011. Survey findings regarding use of electronic dental records, use of rubber dams during root canal procedures and utilization of dental staff have been published (16 (link)–18 ).
Bivariate cross-tabulations were calculated to examine associations of the following with completion of the survey by mail: 1) respondents and their practice characteristics and setting; and 2) their use of electronic dental records, use of rubber dams during root canal procedures, and 3) experience and attitude towards working with expanded-function auxiliaries. The chi-squared test was used to assess significance of the differences for bivariate analysis; logistic regression was used for adjusted analysis. Odds ratios (OR) and 95% confidence intervals (CI) were calculated from the models. Statistical significance was assumed for a p-value less than 0.05. All analyses were performed using SAS (SAS/STAT version 9.3, SAS Institute, Inc.).
Publication 2014
Dental Staff Dentist Ethics Committees, Research Homo sapiens Reading Frames Root Canal Therapy Rubber Dams
Each child received a combination of oral medications: midazolam 0.5 mg/kg (maximum dose 20 mg; Dormire®, Cristália Laboratory, São Paulo, Brazil); ketamine at a dose of 3.0 mg/kg (maximum 50 mg, Ketamin®, Cristália Laboratory, São Paulo, Brazil). After 15 minutes, the child received either oxygen only or a mixture of oxygen and sevoflurane (Sevocris®, Cristália Laboratory, São Paulo, Brazil) through a vaporizer connected to the nasal anesthesia mask at an initial concentration of 0.1%, which was increased 0.1% every 30 seconds until a final expirate concentration between 0.3% and 0.4%.
After 15 minutes of nasal mask use, dental procedures commenced according to the following standardized sequence: mouth prop insertion, topical and local anesthesia administration, rubber dam isolation, and use of a handpiece. All children received restoration of a lower primary molar under local anesthesia and rubber dam.
The dental sedation procedure was continuously complemented by nonpharmacological behavior management techniques, such as distraction and “tell-show-do,” as we aimed to achieve moderate sedation.
All procedures in the dental chair were fully video-recorded by digital camcorder, Handycam® HDR-PJ10 (Sony Corporation, Tokyo, Japan) for later analysis of the children's behavior. The camera was camouflaged to prevent interference with the children's behavior.
Publication 2016
Anesthesia Child Conscious Sedation Dental Care Drug Combinations Fingers isolation Ketamine Local Anesthesia Midazolam Molar Neoplasm Metastasis Nose Oral Cavity Oxygen Rubber Dams Sedatives Sevoflurane Vaporizers
One hundred extracted, fully root formed, human permanent maxillary central incisors were selected for this in vitro study from a pool of teeth extracted for periodontal reasons, but the age and sex of the patients at the time of extraction were unknown. Samples were stored in 100% humidity until further use. Periapical radiographs were taken to ensure the existence of a straight canal with no previous RCTs, calcifications, anomalies, and resorptions.
After cutting off the clinical crown at CEJ by diamond fissure burs (MANI, Japan) using a high-speed hand piece with water spray cooling system, an ISO size K-file #10 (MANI, Japan) was inserted into the root canal and instrumented to apical foramen to ensure patency. The working length was defined as 0.5 mm short of the foramen. Then 5 millimeters of the coronal third of each canal was enlarged by no #3, no #2, and no #1 Gates-Glidden drills (MANI, Japan). The remaining of the root canal was hand instrumented with K-file ISO size #25 to #50 (MANI, Japan) using a step-back technique. Each sample was buried vertically from its coronal side in self-curing acrylic resin (Aria Dent, Iran). The apical 3 mm of each root was then cut perpendicular to the long axis using a #0.8 fissure diamond bur in a high-speed hand piece with water spray (Fig 1). The apical end of the cut root was polished with composite polishing bur, rubber cup and bristle brush (MANI, Japan). To ensure that no cracks were present after root resection, the root end surfaces in all samples (no=100) were evaluated at 50x magnification with a stereomicroscope (OLYMPUS, 8ZXI2).
Fifty samples were randomly selected for creating artificial cracks. Consequently, a cylindrical steel wedge (1.2 millimeter in diameter) was attached to a force application universal testing machine (Instron, Germany) that was used to vertically apply the force to the apical end of the root (Fig 2).
The machine had a sensitive pen to measure the applied forces and register it on graduated paper. Immediately after a crack formed on the root-end surface, a serrated line was registered on the paper. The amount of applied forces was between 50 and 60 N.
In order to confirm artificial cracks, the same stereomicroscope was used at 50x magnification (cracked samples), but samples with visible cracks by unaided vision were excluded from the study and replaced with new ones. Subsequently, all parts of each sample were covered by a rubber dam except for 2 mm of the apical third (Fig 3).
Four dental students who were blind to the procedures of this study, evaluated all 100 specimens (cracked=50 and non-cracked=50) using each of the following diagnostic methods. Between four blind observers, the observer with the least correct diagnosis was excluded. Then, the diagnoses of the three other observers were recorded. In the final analysis, minimum two observers with a similar opinion was considered.
In method-1, samples were assessed by transillumination using a 2-mm-diameter fiber optic.
In method-2, 2 mm of the resected surfaces of the apical third of the root was stained with 2% methylene blue for 30 seconds. Subsequently, the samples were washed and dried for 5 seconds by water and air spray. The samples were examined under a surgical microscope (GLOBAL ST, Swiss) at 8x magnification.
In method-3, the samples were painted with 2% methylene blue and examined by a 2-mm-diameter fiber optic transillumination, as a combination method (Fig 6).
Prior to the main study the inter-observer reliability was measured in a pilot study.
Sensitivity and specificity were calculated by the following equations:
To select the suitable method for detecting cracks, Youden index was used.
To compare agreement between studied methods and the gold standard, kappa statistics and odds ratio of McNemar were calculated. To compare sensitivities and specificities between different methods, Cochran’s Q test was performed and adjusted p-values for pair wise comparisons were reported. In this study, p-values of less than 0.05 were considered statistically significant.
Publication 2013
Acrylic Resins Apicoectomy Diagnosis Diamond Drill Epistropheus Foramen, Apical Gold Homo sapiens Humidity Incisor Maxilla Methylene Blue Microscopy Neoplasm Metastasis NRG1 protein, human Operative Surgical Procedures Patients Periodontal Ligament Physiologic Calcification Pulp Canals Rubber Rubber Dams Steel Students, Dental Tooth Tooth Root Transillumination Vision Visually Impaired Persons X-Rays, Diagnostic
The patients were randomly allocated into the two groups, using a random number sequence. Each patient contributed two teeth randomly selected among those affected by DH to the study. The type of hard tissue erosion, cuneiform defect, pathological abrasion, or gingival recession, associated with DH, was determined, recorded, and stored for every included tooth.
The selected teeth of each patient were treated with either Tiefenfluorid® solution or EnamelastTM varnish (Ultradent Inc., Cologne, Germany), depending on their allocation to the treatment or control group, respectively, following the manufacturer’s instructions.
The treatment group, which included 96 patients, was treated in three sessions with Tiefenfluorid®, at time intervals of 7 days. The dental surfaces of this group were first cleaned with pumice and then isolated with a rubber dam. Tiefenfluorid®, which consisted of two distinct solutions, was applied as follows: the first solution was applied with a cotton pellet and left in situ for 60 s. Then, the second solution was applied (no rinsing in-between) with another cotton pellet and left in situ for 5 min (time necessary for its evaporation). The surface was rinsed with water only at the end of the procedure. At this point, the patient could eat immediately after the session, since there was no hardening time to respect. The mechanism of Tiefenfluorid® activity on the surface of loose enamel is presented in Figure 1.
The control group, which included 80 patients, was treated over seven sessions with a fluoride varnish, named EnamelastTM (Ultradent Inc., Cologne, Germany). In this group, the dental surfaces were also first cleaned with pumice and then isolated with a rubber dam. Subsequently, the fluoride varnish was applied using a bristle brush; the treatment was repeated every 7 days. Table 1 provides details on the composition of the two fluoride-based agents used in the present study.
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Publication 2022
Dental Enamel Dental Health Services Drug Kinetics Fluorides Gingival Recession Gossypium Histocompatibility Testing Patients pumice Rubber Dams Tooth

Most recents protocols related to «Rubber Dams»

The current study was carried out in accordance with the Consolidated Standards of Reporting Trials (CONSORT) group’s standards for clinical trial planning and reporting (Figure 1). The study included children of both genders and ages ranging from 4 to 9 years, who needed pulpectomy in their primary mandibular molars (first “D” and second “E”). A total of 110 patients were enrolled after acquiring informed consent from the accompanying parent. Prior to performing the pulpectomy, a four-point pain scale was employed to quantify the pre-instrumentation pain score [26 (link)]. The following four-point scale was used to assess pain: (1) zero—no pain, (2) one—slight pain, (3) two—moderate pain, and (4) three—severe pain (Figure 2) as reported by Topçuoğlu et al. [27 (link)]. The investigation involved radiographic examinations performed prior to treatment that revealed no interradicular radiolucency or periapical lesions. In addition, only teeth with three root canals following access cavity preparation were included in the trial to standardize the groups.
Acute apical periodontitis, necrotic pulp, more than three root canals, and individuals with abscess were disqualified. Patients who took medications up to six hours before the treatment were also barred from participating in the study. Children with a lack of cooperative capacity, those with a systemic ailment, or those with particular healthcare needs were also excluded from the study. A total of 8 individuals were disqualified because they did not match the inclusion criteria.
The block randomization strategy was employed to divide the individuals n = 31, 34, and 37 for XP-endo Shaper, Kedo-SG Blue, and hand file groups, respectively. A statistician created the randomized sequence, and the allocation was hidden by using opaque envelopes. The treatment technique was kept undisclosed from the patients and their parents, and the evaluator who recorded the instrumentation time was likewise blinded. The operator (B.T.) was delivering the therapy, hence the operator could not have been rendered blind.
The pulpectomy treatment was executed by the same operator (B.T.) and completed in a single visit. Non-pharmacological behavior management approaches were employed to change the child’s attitude and seek cooperation. Local anesthetic (2% lignocaine and 1:200,000 adrenaline; LIGNOX, Indoco Remedies Limited, Mumbai, India) inferior alveolar (I.A.) nerve block that enables a reasonably long-lasting anesthesia was performed, proceeded by rubber dam isolation of the tooth (CricDental Rubber Dam Kit, Mumbai, India). This was continued by caries removal and access cavity creation utilizing a high-speed no.4 round diamond point (Dentsply Maillefer, Tulsa, OK, USA). The root canal orifices were then recognized using the DG-16 explorer (Hu-Friedy, Chicago, IL, USA) only after de-roofing the entire pulp chamber. For standardized groups, teeth with only 3 root canal orifices were included in the current clinical trial. The root canal patency was checked for all the canals located using a size #10 (0.02%) k-file (NiTi flex; Dentsply Sirona, Charlotte, NC, USA) followed by estimation of the working length (WL) as 1 mm short of the apex using an electronic apex locator (ProPex Pixi; Dentsply Sirona, Charlotte, NC, USA) and the root canal instrumentation was initiated.
The randomization procedure was used to select the kind of instrumentation for the specific tooth. The adaptive XP-endo Shaper (tip size #30; FKG Dentaire, La Chaux-de-Fonds, Switzerland) was used for root canal instrumentation in Group 1; for Groups 2 and 3, Kedo-SG Blue pediatric rotary files (E1 tip size #0.30; Reeganz Dental Care Private Limited, Chennai, India) and a hand K-file (Dentsply Maillefer, Tulsa, OK, USA) up to #30 were used, respectively. The rotary files were powered with the aid of X-smart Plus endo-motor (Dentsply Sirona, Charlotte, NC, USA) according to the manufacturer’s instructions. The XP-endo Shaper was operated at 800 rpm and 1 Ncm torque, while the Kedo-S file was used at 250 rpm and 2.2 Ncm torque.
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Publication 2023
Abscess Access Cavity Preparation Acclimatization Anesthesia Child Creativity Dental Care Dental Pulp Necrosis Dentsply Diamond Endometriosis Epinephrine Gender isolation Lidocaine Local Anesthetics Mandible Molar Motion-Aid Nerve Block Pain Parent Patients Periapical Periodontitis Pharmaceutical Preparations Physical Examination Pulp Canals Pulp Chamber Pulpectomy Root Canal Therapy Rubber Dams titanium nickelide Tooth Torque Visually Impaired Persons X-Rays, Diagnostic
A complete root canal procedure was performed by a single operator who specialized in endodontics (with experience of more than 10 years) in a single visit to minimize interpersonal variability in the treatment procedures. A thermal test and an electric pulp-testing device (Waldent Innovations Pvt Ltd., New Delhi, India) were used to assess the sensibility of the pulp. The code for different instrumentation techniques was assigned by the principal investigator. The patients were randomly allocated to 3 groups (Figure 1) of 40 each by the dental assistant who did not know the root canal procedure. After evaluating the patient and the tooth that required treatment, the information about the patient and the specific code were written down and sealed in an envelope. Only the operator knew the assigned technique. The participant, the dental assistant, and a second investigator who assessed were unaware of the instrumentation technique. Hence, it was double-blinded. After allocation, the tooth was anesthetized using a cartridge of 2% lignocaine with 1:100,000 adrenaline (Lignox 2%, Indoco Remedies Ltd., Mumbai, India). Each patient was checked for signs of soft tissue anesthesia. Isolation was performed using a rubber dam, and access to the cavity was prepared. Apical patency was confirmed with a size 10 K file (Mani Inc., Tochigi, Japan). The initial working length was determined with an electronic apex locator (Root ZX Mini Apex Locator, Morita Corporation, Kyoto, Japan) and confirmed using radiographs by a blinded operator. Subsequently, root canal procedures were accomplished by any one of the following instrumentation techniques.
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Publication 2023
Dental Anesthesia Dental Assistants Dental Caries Dental Pulp Epinephrine Innovativeness Involuntary Treatment isolation Lidocaine Medical Devices Patients Root Canal Therapy Rubber Dams Tissues Tooth Tooth Root X-Rays, Diagnostic
Occlusal cavities were prepared by using a sterile 245 bur (Komet, Hamburg, Germany) under complete rubber dam isolation. A standard pulpal exposure of 1–1.5 mm was made with round diamond burs, and hemostasis was obtained with cotton moistened with sterile saline. Exposed pulps were capped with TDMH, freshly mixed hydrogel was injected over the exposed pulp using a single syringe (5 mm chamber) leading to extrusion of a homogeneous composite to the site of defect. The residual material was carefully removed using a moistened cotton pellet. Then, the cavities in all groups were lined with a layer of RMGI cement (SDI, Bauswater victoria, Australia) and resin composite restoration (3M-ESPE, St. Paul, MN, USA) was then incrementally placed and light-cured. All restorative procedures were carried out by a single experienced operator in the department of conservative dentistry to standardize the procedure. Patients were asked about postoperative sensitivity or pain throughout the study period. Pulp sensitivity was assessed preoperative and before extraction using thermal testing (Endo Ice, Hygienic; Coltene/Whaledent AG, Switzerland) and electric pulp tester (Digitest II Pulp tester; Parkell Inc, Edgewood, NY, USA) [5 (link)]. The teeth were divided into 4 experimental groups (n = 5) according to extraction interval after 2-, 8-, 12- and 16-weeks using a computerized method (www.randomizer.org).
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Publication 2023
Composite Resins Dental Caries Dental Cements Dental Pulp Diamond Dysmenorrhea Electricity Endometriosis Gossypium Hemostasis Hydrogels Hypersensitivity isolation Light Patients Rubber Dams Saline Solution Sterility, Reproductive Syringes Tooth
The 17-item questionnaire consisted of 5 questions on demographics, 2 on knowledge, 6 on attitudes, and 4 on perceptions and was framed to gather information on dental professionals’ attitudes and beliefs regarding the isolation of rubber dams during post and core procedures for endodontically treated teeth (Tables 1, 2).
Questionnaire development and data collection were carried out by 2 researchers (S.M.A and S.C.). The dental public health faculty was consulted for an expert opinion for determining the questionnaire’s validity. The experts expressed their reservations regarding the questionnaire’s simplicity, applicability, and significance. The reliability was also established by test-retest analysis. The kappa value was 0.8, which indicated high reliability. Following this, a pilot study was conducted with a few practicing dentists, who were asked to complete the questionnaire and offer feedback on its content, clarity, and brevity.
The first part of the questionnaire consisted of questions pertaining to dental professional’s demographic variables, such as sex, place of work, occupation, specialty, and years of practice. The second part of the questionnaire consisted of questions related to the attitudes and practices of dentists toward rubber dam isolation of endodontically treated teeth during post and core procedures. This included attitudes toward the use of rubber dams in post and core procedures, impact on success of endodontically treated teeth, adequate isolation using conventional rubber dams, usage during prefabricated and all steps of casted (indirect) post and core procedure, decision for its usage based on tooth location, training for using rubber dams during undergraduate/residency education, knowledge about rubber dams and their application, the best way to enhance the knowledge about rubber dams, and the recommendation of the use of rubber dams during post and core procedures. The 2 open-ended questions were regarding the isolation methods used and the reasons for not using the rubber dam during the post and core procedures.
Publication 2023
Dental Health Services Dentist Faculty Impacted Tooth isolation Residency Rubber Dams Teeth, Endodontically-Treated Tooth
A total of 200 patients, in the age group of 4–8 years were screened, out of which, 90 patients met the inclusion criteria. Guardians of 70 patients consented to the treatment as a part of a research study, however, only 60 subjects reported for treatment. According to Edward and Mascha, for a sample to be statistically examined, there must not be less than 30 subjects [26 (link)]. Therefore, the total sample size was calculated to be 60 subjects. All the advantages and disadvantages of the procedures to be carried out were explained to each parent and informed consent was obtained. The study entailed randomly allocating the patients into two groups with the chit system. Those with the odd-numbered chit were assigned to group 1 and those with the even-numbered chit were assigned to group 2. Children with more than one carious primary molar were asked to pick the same number of chits as the number of molars involved, and the teeth were then grouped for treatment accordingly. All the teeth in both groups were treated under rubber dam isolation (Dental Dam, Coltène Whaledent, Langenau, Germany). Group 1: The teeth were restored with an alkasite restorative material (Cention-N) after the procedure of pulpotomy of the carious primary molar. Group 2: The teeth were restored with SSC after pulpotomy.
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Publication 2023
Age Groups Child isolation Legal Guardians Molar Parent Patients Pulpotomy Rubber Dams Tooth

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Fuji IX is a glass ionomer restorative dental material. It is designed for use in the restoration of small to medium-sized cavities in posterior teeth.
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More about "Rubber Dams"

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