Some rubber dam tips

Hi, just some tips for placing rubber dam that come to mind. Not sure if this is a repeat from the past. Rubber dam is the best and most reliable way to isolate teeth. I do believe that it will improve outcomes of any treatment it is used in. It is essential in endodontics. Imagine a sharp endo probe or caustic sodium hypochlorite going down the patient's throat. Ouch.

-I have been using No 7 Hygienic clamps for molars, 2A clamps for premolars, anterior clamps for anteriors. This seems to fit most purposes.
-Do be cautious of clamps on heavily broken down or root filled teeth.  There is a lot of force from those prongs
-When you are applying topical to the injection site, place some on the gingiva around where the clamp will go. it will make it much easier to tolerate the clamp
-You can apply the remaining topical to the underside of the dam in the interproximal area as a lubricant to slide down between the contacts
-This video pretty much shows how I use floss ligatures
https://www.youtube.com/watch?v=-eZ2tiJ1mio
This double loop design keeps the tightness a lot better than the single loop design. It can be tightened by pulling the tag with one hand as compared to the single loop design where you need two hands to pull the tags in opposite directions. When tying a floss ligature down--> place the loop around the tooth, hold the tag in your left hand and manouver a flat plastic to hold the floss down on the palatal. Pull the loop closed with your left hand.
-Roeke flexi dam is a very stretchy dam. You can place the clamp first and stretch the dam over in place.
-Before any interproximal restorative, stretch the dam down between the teeth and prewedge. I have found the plastic V3 wedges very good for this purpose as it inverts the dam into the sulcus. This will retract the gingiva and protect the dam. If the dam tears during prep what is the point of the dam in the first place? The gingiva will bleed and leak saliva into the restorative space