Rubber Dam Isolation during Root Canal Treatment among Dentists in Jordan - a Survey Study

Ahmad El-Ma'aita


Objectives: The isolation of teeth from the oral environment during root canal treatment (RCT) is
strongly recommended and best achieved using a rubber dam (RD). Our study aimed to investigate a)
the incidence of RD use during RCT among dentists in Jordan, and b) disincentives to its use.
Methods: A survey study was conducted on a random sample of dentists in Jordan of different sectors,
dentist classifications and geographic locations. Participants were asked to answer questions, including
demographic and background information, frequency of RD use during RCT and the major
disincentives to RD use. Responses were collected, and data were analyzed using the Chi-square test
with a significance level of 0.05.
Results: The overall response rate was 52% (N = 260). Only 19.2% of respondents frequently used
RDs. While most endodontists (95.2%) frequently used RDs, only 8.6% of general dental practitioners
did so (p < 0.001). Other factors that significantly influenced the frequency of RD use included the
practice sector and the geographic location of practice. The most commonly reported disincentives to
RD use were its unavailability and the length of time needed for application.
Conclusion: The frequency of RD use during RCT in Jordan is low and should be improved by efforts
such as creating continuing professional development programs for dentists, improving public
awareness of the issue and creating strict regulations.


Endodontics, Root canal treatment, Rubber dam, Survey

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