Related Experiment Video
Updated: Jul 17, 2026
Standardized Measurement of Nasal Membrane Transepithelial Potential Difference NPD
Published on: September 13, 2018
The use of DryShield versus rubber dam isolation systems among pediatric patients with different airway patency: A
Sara M Bagher1, Ghalia Y Bhadila1, Njood H Alqahtani1
1Faculty of Dentistry, King Abdulaziz University, P.O. Box 80200, Jeddah 21589, Saudi Arabia.
Insights
DryShield isolation (DSI) improved pediatric dental procedure behavior and reduced chairside time compared to rubber dam isolation (RDI). However, DSI caused more discomfort, regardless of airway patency.
Area of Science:
- Pediatric Dentistry
- Dental Materials and Devices
Background:
- Effective isolation is crucial in pediatric dentistry for successful treatment and patient safety.
- Traditional rubber dam isolation (RDI) can be challenging in children, potentially impacting procedure efficiency and patient experience.
- Alternative isolation methods like DryShield isolation (DSI) aim to improve upon RDI's limitations.
Purpose of the Study:
- To compare the clinical effectiveness of DryShield isolation (DSI) versus rubber dam isolation (RDI) in pediatric dental procedures.
- To evaluate the impact of DSI and RDI on vital signs, behavior, pain, and chairside time in children.
- To assess if airway patency, determined by the Modified Mallampati Classification (MMC), influences the outcomes of DSI and RDI.
Main Methods:
- A randomized clinical trial involving healthy, cooperative children requiring fissure sealants.
- Participants were classified into patent (MMC classes I-II) and non-patent (MMC classes III-IV) airway groups.
- Objective measures (vital signs) and subjective measures (pain scales, behavior scales) were recorded during videotaped dental procedures.
Main Results:
- No significant differences in vital signs were observed between DSI and RDI groups.
- DSI significantly reduced chairside time (P < 0.001) but was reported as more bothersome (P < 0.001).
- DSI demonstrated significantly better behavior (P = 0.002) and less behavioral pain (P < 0.001) compared to RDI.
Conclusions:
- DryShield isolation (DSI) is clinically superior to rubber dam isolation (RDI) for pediatric dental procedures regarding behavior, pain, and duration, irrespective of airway patency.
- Despite its advantages, DSI presents drawbacks including noise, soft tissue pressure, and increased gag reflex tendency.
- The findings suggest DSI offers benefits in pediatric dental care, but patient comfort considerations are important.
Objectives:
This randomized clinical trial aimed to evaluate the impact of DryShield isolation (DSI) and rubber dam isolation (RDI) system usage on vital signs, behavior, pain and discomfort, and chairside time required among children with different airway patencies based on the Modified Mallampati Classification (MMC).
Material And Methods:
Healthy, cooperative children who required fissure sealant in at least two contralateral, fully erupted, permanent first molars were included. Airway patency was determined by two trained and calibrated dentists using the MMC. The participants were categorized based on their MMC scores into patent airways (classes I and II) and non-patent airways (classes III and IV). The dental procedure was videotaped during treatment, and vital signs, including arterial oxygen saturation, heart rate, and blood pressure, were recorded every 3 min. The participants' subjective pain and discomfort were evaluated using a previously validated Arabic interview questionnaire and a validated Arabic version of the Wong-Baker Faces Pain Rating Scale. The participants' behavior and behavioral pain were evaluated utilizing the Frankl Behavior Scale and the face, legs, activity, cry, and consolability scales, respectively.
Results:
There were no significant differences in any of the vital signs between DSI and RDI. DSI use yielded a significant reduction in chairside time (P < 0.001) and was more bothersome (P < 0.001) than RDI use among all participants, regardless of airway patency. DSI was associated with significantly better behavior during the dental procedure (P = 0.002) and less behavioral pain (P < 0.001) among all participants, regardless of airway patency.
Conclusion:
Irrespective of airway patency, DSI outperformed RDI in terms of behavior, pain, and procedure duration; however, DSI was characterized by noise, pressure on soft tissues, and an increased tendency to induce gag reflexes.
More Related Videos
09:36Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device
Published on: September 24, 2020
06:22Surfactant Depletion Combined with Injurious Ventilation Results in a Reproducible Model of the Acute Respiratory Distress Syndrome ARDS
Published on: April 7, 2021
