Mild gingival trauma during rubber dam clamp application Discomfort from dental clamp pressure during isolation procedures Rubber dam clamp Pain Gingival trauma Randomized Controlled Trial Polypropylene Natural rubber
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Male or Female 2.Age over 20 years 3.Free from systemic diseases 4.No chronic or acute pain conditions 5.No local anesthesia, systemic sedatives, or painkiller medications during appointment 6.Healthy gingivae status or mild inflammation 7.Able to provide informed consent
Exclusion criteria
Exclusion criteria: 1. Psychiatric disorders, osteoporosis, or neurological diseases 2. Latex allergies 3. Those with orofacial pain 4. Fear of dental treatment 5. Currently undergoing treatment with analgesics or drugs that might affect pain perception 6. Taken analgesics within 8 hours before the study 7. History of prolonged numbness after impacted tooth removal 8. Molar that is: * Partially erupted * Exhibiting periodontal attachment loss * Having anatomical variations or misalignment preventing stable four-point contact 9. Gingival tissue that bleeds easily upon probing
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain intensity 3 minutes after clamp placement Visual Analogue Scale (VAS) | — |
Secondary
| Measure | Time frame |
|---|---|
| Gingival trauma Immediately after clamp removal Gingival trauma by Shah and Kothari criteria mild equals gingival indentation without bleeding moderate equals bleeding without laceration severe equals gingival laceration after clamp placement | — |
Countries
Thailand
Contacts
Faculty of Dentistry, Thammasat University