382 - Improving Behavior Using a Novel Dental Isolation System

Introduction: When employing adhesive techniques, effective isolation of the working field is a crucial requirement for better prognosis.  The Dry Shield isolation (DSI) system is a newly suction isolation system proposed alternative to rubber dam isolation (RDI) that provides retraction, suction, assists in opening the mouth and stabilizing it, retracting and isolating one side of the oral cavity simultaneously. 

Published studies indicate that suction isolation systems reduce chair time compared to RDI and are also associated with greater patient satisfaction. The purpose of this case series is to illustrate how the DSI system enhances patient behavior by reducing chair time and increasing comfort.

 Case Series:  Case 1: A 5 year old patient, Frankl-2, with allergic rhinitis,attended a dental evaluation presenting multiple caries. Initially RDI was used to resolve pulpitis in tooth 5.3 and in a subsequent session DSI was utilized. This transition allowed the patient's behavior to improve from Frank-2 to Frank-3, as breathing better was facilitated and it expedited the resolution of cavities in the other quadrants, reducing chair time. Case 2: A 8 year old patient, Frankl-2, diagnosed with severe attention deficit hyperactivity disorder (ADHD) sought dental evaluation and presented multiple caries in primary molars. The use of DSI facilitated quick caries resolution, improving the patient’s behavior from Frankl-2 to Frankl-3. 

Conclusions: In both cases the use of DSI facilitated a faster and more comfortable clinical work for the patients, showcasing how the use of new technologies can enhance children's behaviors while doing oral restorations.

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