JDSE

The Journal of Dental Sciences and Education deals with General Dentistry, Pediatric Dentistry, Restorative Dentistry, Orthodontics, Oral diagnosis and DentomaxilloFacial Radiology, Endodontics, Prosthetic Dentistry, Periodontology, Oral and Maxillofacial Surgery, Oral Implantology, Dental Education and other dentistry fields and accepts articles on these topics. Journal of Dental Science and Education publishes original research articles, review articles, case reports, editorial commentaries, letters to the editor, educational articles, and conference/meeting announcements.

EndNote Style
Index
Original Article
Enhancing clinical training through understanding patient attitudes toward rubber dam application by undergraduate dental students: a study at a university in Thailand
Aims: This study aimed to determine patient attitudes toward rubber dam use in operative dentistry and identify associated factors among patients treated by undergraduate dental students at Western University, providing evidence-based insights to enhance clinical training strategies.
Methods: This cross-sectional study was conducted from February to December 2024 at the Operative Dentistry Clinic, Faculty of Dentistry, Western University. Data were collected using a closed-ended questionnaire, which included demographic information and experiences with operative dental treatment. Patient attitudes were assessed using an 11-question, five-point Likert scale. Total attitude scores were categorized into negative (1-33), neutral (34-43), and positive (44-55) based on modified Bloom’s cut-off criteria.
Results: A total of 98 completed questionnaires consisted of 44.90% males and 55.10% females. The mean attitude score was 40.23±6.53. While most patients (79.6%) expressed a preference for future rubber dam use and recognized its benefits (95.92% for foreign body aspiration prevention; 91.84% for moisture control), their attitudes were primarily neutral (72.4%). Ordinal regression analysis showed that only the duration of the presence of the rubber dam significantly influenced patient attitude (p=0.016), with a 1-min increase associated with a 2.2% decrease in the odds of a more positive attitude (odds ratio=0.978, 95% confidence interval: 0.961-0.996). No significant association was found between gender, age, local anesthesia, prior experience, and explanation of benefits.
Conclusion: Based on the limitations of this study, the findings indicate the need for dental student training focusing on improving time management and patient comfort during rubber dam application to enhance patient satisfaction and acceptance.


1. Miao C, Yang X, Wong MC, et al. Rubber dam isolation for restorative treatment in dental patients. Cochrane Database Syst Rev. 2021;5(5):CD009858. doi:10.1002/14651858.CD009858.pub3
2. Mahn E, Rousson V, Heintze S. Meta-analysis of the influence of bonding parameters on the clinical outcome of tooth-colored cervical restorations. J Adhes Dent. 2015;17(5):391-403. doi:10.3290/j.jad.a35008
3. Peumans M, Politano G, Bazos P, Severino D, Van Meerbeek B. Effective protocol for daily high-quality direct posterior composite restorations: layering and finishing. J Adhes Dent. 2020;22(6):597-613. doi:10.3290/j.jad.a45516
4. Gilbert GH, Litaker MS, Pihlstrom DJ, Amundson CW, Gordan VV, Group DC. Rubber dam use during routine operative dentistry procedures: findings from the dental PBRN. Oper Dent. 2010;35(5):491-499. doi:10.2341/09-287C
5. Vodoriz YY, Tkachenko IM, Nazarenko ZY, Pisarenko OA, Gurzhiy OV. The prevalence of rubber dam among dentists in different countries. Wiad Lek. 2022;75(9 pt 2):2252-2255. doi:10.36740/WLek202209213
6. Caga D, Brennan AM, Eaton K. An internet-mediated investigation into the reported clinical use of rubber dam isolation by GDPs in the UK - part 1: factors influencing rubber dam use. Br Dent J. 2021. doi:10.1038/s41415-021-3083-z
7. Mala S, Lynch CD, Burke FM, Dummer PM. Attitudes of final year dental students to the use of rubber dam. Int Endod J. 2009;42(7):632-638. doi:10.1111/j.1365-2591.2009.01569.x
8. Kapitan M, Hodacova L, Jagelska J, Kaplan J, Ivancakova R, Sustova Z. The attitude of Czech dental patients to the use of rubber dam. Health Expect. 2015;18(5):1282-1290. doi:10.1111/hex.12102
9. Abin VT, Phillip P, Tan AJ, Suganthi AP, RadZa K, Suganya AR. Patient’s satisfaction and attitude towards rubber dam usage: a literature review. Acta Scient Clin Case Rep. 2022;3(4):02-08.
10. Bloom BS. Learning for Mastery. Instruction and Curriculum. Regional Education Laboratory for the Carolinas and Virginia, Topical Papers and Reprints, Number 1. 1968:1 (2):12.
11. Sullivan GM, Artino AR, Jr. Analyzing and interpreting data from likert-type scales. J Grad Med Educ. 2013;5(4):541-542. doi:10.4300/JGME-5-4-18
12. Stewardson DA, McHugh ES. Patients’ attitudes to rubber dam. Int Endod J. 2002;35(10):812-819. doi:10.1046/j.1365-2591.2002.00571.x
13. Abuzenada BM. Attitude of dental students towards the rubber dam use in operative dentistry. J Pharm Bioallied Sci. 2021;13(Suppl 1):S637-S641. doi:10.4103/jpbs.JPBS_764_20
14. Afshari E, Sabbagh S, Khorakian F, Sarraf Shirazi A, Akbarzadeh Baghban A. Reducing pain and discomfort associated with rubber dam clamp placement in children and adolescents: a systematic review and meta-analysis of effectiveness. BMC Oral Health. 2023;23(1):398. doi:10.1186/s12903-023-03115-7
15. Shah NC, Kothari MA, Patel PP, Patel JJ, Arora A. Comparative evaluation of novel customized cushees during rubber dam isolation using self-designed evaluation criteria: a randomized clinical study. J Conserv Dent. 2021;24(3):241-245. doi:10.4103/jcd.jcd_165_21
16. Cajazeira MR, De Saboia TM, Maia LC. Influence of the operatory field isolation technique on tooth-colored direct dental restorations. Am J Dent. 2014;27(3):155-159. </ol> <p>
Volume 3, Issue 4, 2025
Page : 123-128
_Footer