Top Dam is a light cured resin, which replaces the rubber dam (complete isolation) in some cases, where the gingival relative isolation is sufficient.
• 01 - 2 g syringe
• 03 syringe tips
• Available in 5 colors: blue, green, violet and pearl
• The product is sufficiently viscous and thixotropic to allow easy application and control over the place to be protected, without runnings.
• High adhesion isolation.
• Minimum and perfect adhesion on the gingiva.
• Easily detached and removed.
• No gingival tissue irritation.
• Variety of colors, which allows contrast of rubber sheet when used as an auxiliary of absolute isolation.
• Certified by the EC (European community).
• It is indicated to protect the gingival tissue in cases where there is a risk of irritation by contact with products used in the clinical procedure, such as for example dental bleaching with Hydrogen Peroxide at 35% and to help with the complete isolation for a better sealing of a cavity preparation or endodontic treatment.
Step by Step
- Step 1
Dry the gingival and dental areas to be protected.
- Step 2
Apply a thin layer of product (up to 1 mm) on the gums and gingival papillae in such a way to obtain complete coverage and a good field of protection for the procedure to be applied.
- Step 3
Light cure the product for 20 to 30 seconds. Proceed with the polymerization right after applying the product in order to prevent any possible irritation.
- Step 4
Verify that the product covers the entire gingiva surface and that it is completely polymerized. In order to see the rear part of the papillae and gingiva, use a clinical mirror looking from incisal to cervical. Avoid testing it by forcing it or trying to lift it as that can cause infiltration of irritating substances.
- Step 5
In order to remove the product just move it forward. It should come loose easily as a whole or in large pieces.
- Can TOP DAM substitute or complement the rubber dam?
In some cases it can. TOP DAM is a relative isolation and has advantages over the dam, since it is easier to apply, more comfortable for the patient, etc; however, it is not a good isolation against humidity.
- Is the gingival protector easy to apply?
Yes it is easy, comfortable and fast to be applied, there is no doubt it is much better than the rubber dam in several situations. Application process can be seen on “step by step”.
- Can TOP DAM really isolate?
Absolutely. TOP DAM adheres to the gingiva and blocks liquids in order to protect the area. Likewise rubber dams, TOP DAM demands full coverage of the desired area to be effective.
- Does the layer of Top Dam need to be thick while applying?
No. The layer can be thin. What matters is to cover the gingiva thoroughly to protect adjacent tissues.
- What are the advantages of TOP DAM blue color?
The color blue contrasts with the tooth, the gingiva and bleaching agents as: Whiteness HP and Whitness Super 37%
- Is the TOP DAM blue the same before and after light curing?
At first the color is not altered with light curing. What can be observed is that after the light curing it does not shine.
- How long does TOP DAM light curing last?
In cases where photo activation is done the light curing time is short (20 seconds), because light curing is complete along the bleaching process. In other cases longer light curing is recommended.
- Can laser be used to light cure TOP DAM?
Yes. The gingival protector light cures with blue light. The dentist must be careful only with power of the laser in order not to have side effects due to light intensity.
- Does TOP DAM have adhesion?
Yes. To give better adhesion power, a slight adhesion occurs on the gingiva.
- Is TOP DAM easy to remove at the end of the process?
Yes. With the aid of an instrument (ex: a probe) just detach forward, with a reasonable rigid structure to avoid fragmentation while detaching.
- Can TOP DAM detach itself while clinical procedure?
No. While light curing it sticks to the gingiva, papilla or tooth. Detaching can only happen if lifted or hit by accident.
- Does the gingival protector cause any kind of irritation or thermic sensitivity?
Usually not. The patient may feel a slight thermic sensitivity while light curing of TOP DAM, but that disappears at the end of the procedure. There may be allergic reactions to the product, but are exceptions.
- Can light curing gadgets cause thermic sensitivity?
No. Thermic sensitivity is not related to light curing gadgets.
- While isolation with TOP DAM is it necessary to cover a few millimeters of cervical teeth to be bleached?
Yes. The cervical must be covered to avoid contact with the edge of gingiva. Usually from 0,5 to 1 mm layers are enough.
- Can TOP DAM interfere in cervical bleaching?
A 0,5 to 1 mm layer is necessary, or else isolation isn’t safe. The cervical bleaching is not interfered because Peroxide penetrates in the tooth structure.
- Side Effects
• The product contains methacrylate monomers, which can cause allergic reactions or slight irritations in patients who are sensitive to these substances.
- Conservation and Storage
• Keep the product in its original packaging always close it very well.
• Keep it out of sunlight.
• Store at 5-30°C 41- 86 °F.
• Do not freeze the product.
- Precautions and Contraindications
• Avoid applying the product on inflamed gingiva, people who have undergone recent periodontal surgery.
• The incomplete polymerization of the product or excessive time can lead to a slight gingival irritation in some cases. If the patient has a stronger allergic reaction to the product, interrupt its use.