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            <front>

                <journal-meta>
                                                                <journal-id>aydin dental journal</journal-id>
            <journal-title-group>
                                                                                    <journal-title>Aydın Dental Journal</journal-title>
            </journal-title-group>
                            <issn pub-type="ppub">2149-5572</issn>
                                        <issn pub-type="epub">2717-6835</issn>
                                                                                            <publisher>
                    <publisher-name>İstanbul Aydın Üniversitesi</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id/>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Paedodontics</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Çocuk Diş Hekimliği</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                        <trans-title-group xml:lang="tr">
                                    <trans-title>Çocuk Diş Hekimliği’nde İzolasyon Yöntemleri ve Konu Üzerine Yapılan Güncel Çalışmalar</trans-title>
                                </trans-title-group>
                                                                                                                                                                                                <article-title>Isolation Techniques in Pediatric Dentistry and Recent Studies on the Topic</article-title>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0009-0005-3870-7460</contrib-id>
                                                                <name>
                                    <surname>Mısır</surname>
                                    <given-names>Merve</given-names>
                                </name>
                                                                    <aff>İstanbul Üniversitesi Diş Hekimliği Fakültesi</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0009-0002-2977-0992</contrib-id>
                                                                <name>
                                    <surname>Tatlı</surname>
                                    <given-names>Ali Fırat</given-names>
                                </name>
                                                                    <aff>İSTANBUL ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-2077-5095</contrib-id>
                                                                <name>
                                    <surname>Koruyucu</surname>
                                    <given-names>Mine</given-names>
                                </name>
                                                                    <aff>İSTANBUL ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20260430">
                    <day>04</day>
                    <month>30</month>
                    <year>2026</year>
                </pub-date>
                                        <volume>12</volume>
                                        <issue>1</issue>
                                        <fpage>45</fpage>
                                        <lpage>56</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20251126">
                        <day>11</day>
                        <month>26</month>
                        <year>2025</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20260311">
                        <day>03</day>
                        <month>11</month>
                        <year>2026</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 2015, Aydın Dental Journal</copyright-statement>
                    <copyright-year>2015</copyright-year>
                    <copyright-holder>Aydın Dental Journal</copyright-holder>
                </permissions>
            
                                                                                                <trans-abstract xml:lang="tr">
                            <p>Pedodonti, 0–15 yaş arası bireylerin ağız ve diş sağlığını korumaya yönelik restoratif, endodontik, cerrahi ve koruyucu birçok tedaviyi kapsamaktadır. Bu tedavi işlemlerinin uzun vadeli başarısı, işlem sırasında kuru, temiz ve kontaminasyondan uzak bir çalışma alanının sağlanmasıyla doğrudan ilişkilidir. Bu nedenle, kullanılan izolasyon tekniğinin seçimi klinik başarı açısından kritik bir rol oynamaktadır. Özellikle pediatrik hastalarda seçilecek yöntemin etkinliği ve hastaya uygunluğu, tedavi sürecini doğrudan etkilemektedir. Bu anlatı derlemesi, pamuk rulolar, tükürük emiciler ve rubber dam gibi geleneksel izolasyon yöntemlerinin yanı sıra Isolite ve DryShield gibi modern sistemlerin etkinliğini değerlendirmektedir. Bu yeni nesil sistemler, entegre emme, aydınlatma ve ısırma desteği gibi fonksiyonları bir araya getirerek daha verimli ve entegre bir yaklaşım sunmaktadır. Klinik süreci hızlandırmakta, hasta konforunu artırmakta ve çocuk hastaların tedaviye uyumunu kolaylaştırmaktadır. Ayrıca, kısa dikkat süresi, artmış salivasyon ve sınırlı ağız açıklığı gibi çocuklara özgü davranışsal ve anatomik özellikler izolasyon tekniği seçiminde mutlaka dikkate alınmalıdır. Bireyselleştirilmiş ve hasta merkezli bir yaklaşım ön planda tutulmalıdır. Modern sistemlerin klinik uygulamalara entegrasyonu, pedodontik tedavilerin etkinliğini ve hasta memnuniyetini artırmada önemli katkılar sağlayabilir.</p></trans-abstract>
                                                                                                                                    <abstract><p>Pediatric dentistry involves a wide range of restorative, endodontic, surgical, and preventive treatments aimed at maintaining the oral health of individuals aged 0–15 years. The long-term success of these procedures is strongly associated with maintaining a dry, clean, and uncontaminated working field during dental interventions. For this reason, the choice of isolation technique plays a critical role in achieving optimal clinical outcomes. The effectiveness and patient compatibility of the selected isolation method directly influence the success of the treatment, especially in pediatric patients who often present unique challenges in terms of both anatomy and behavior. This narrative review focuses on evaluating commonly used traditional methods such as cotton rolls, saliva ejectors, and rubber dams, as well as modern isolation systems like Isolite and DryShield. These newer systems combine suction, lighting, and bite block functions, offering a more integrated and efficient approach. They have been shown to significantly improve clinical workflow and enhance the comfort and cooperation of pediatric patients during treatment. Furthermore, behavioral traits like short attention span, increased salivation, and limited mouth opening must be considered when selecting an isolation strategy. A personalized and patient-centered approach should be prioritized. Incorporating advanced systems can contribute to more effective, time-efficient, and stress-free pediatric dental procedures, ultimately leading to improved patient compliance and satisfaction.</p></abstract>
                                                            
            
                                                                                        <kwd-group>
                                                    <kwd>Pediatric dentistry</kwd>
                                                    <kwd>  rubber dams</kwd>
                                                    <kwd>  patient comfort</kwd>
                                            </kwd-group>
                            
                                                <kwd-group xml:lang="tr">
                                                    <kwd>Çocuk diş hekimliği</kwd>
                                                    <kwd>  rubber dam</kwd>
                                                    <kwd>  hasta konforu</kwd>
                                            </kwd-group>
                                                                                                                                    <funding-group specific-use="FundRef">
                    <award-group>
                                                    <funding-source>
                                <named-content content-type="funder_name">İstanbul University</named-content>
                            </funding-source>
                                                                    </award-group>
                </funding-group>
                                </article-meta>
    </front>
    <back>
                            <ref-list>
                                    <ref id="ref1">
                        <label>1</label>
                        <mixed-citation publication-type="journal">Gupta R, Tak JJ, Jaswanth JS. Recent advances
in isolation in dentistry. IOSR J Dent Med Sci.
2023;22(6):32-6.</mixed-citation>
                    </ref>
                                    <ref id="ref2">
                        <label>2</label>
                        <mixed-citation publication-type="journal">American Academy of Pediatric Dentistry
Council on Clinical Affairs. Policy on patient
safety. Pediatr Dent. 2022;44:80–2.</mixed-citation>
                    </ref>
                                    <ref id="ref3">
                        <label>3</label>
                        <mixed-citation publication-type="journal">Roberson TM, Heymann HO. Operative
dentistry: principles of cavity preparation. In:
Gürgan S, editor. Art and science of operative
dentistry. Ankara: Güneş Tıp Kitabevleri; 2011.
p. 463–92.</mixed-citation>
                    </ref>
                                    <ref id="ref4">
                        <label>4</label>
                        <mixed-citation publication-type="journal">Accorinte MLR, Reis A, Loguercio AD, de
Araújo VC, Muench A. Influence of rubber dam
isolation on human pulp responses after capping
with calcium hydroxide and an adhesive system.
Quintessence Int. 2006;37:205-12.</mixed-citation>
                    </ref>
                                    <ref id="ref5">
                        <label>5</label>
                        <mixed-citation publication-type="journal">Bahcall JK, Olsen FK. Clinically enhancing the
connection between endodontic and restorative
treatment for better case prognosis. Dent Today.
2007;26:98-103.</mixed-citation>
                    </ref>
                                    <ref id="ref6">
                        <label>6</label>
                        <mixed-citation publication-type="journal">Baum L, Phillips RW, Lund MR. Textbook of
operative dentistry. Philadelphia: Saunders;
1995.</mixed-citation>
                    </ref>
                                    <ref id="ref7">
                        <label>7</label>
                        <mixed-citation publication-type="journal">Tarçın B, Gümrü Tarçın B, Korkut B. Restoratif
uygulamalarda izolasyon yöntemleri ve
izolasyonun önemi. Türkiye Klinikleri J Restor
Dent. 2015;1(3):28-33.</mixed-citation>
                    </ref>
                                    <ref id="ref8">
                        <label>8</label>
                        <mixed-citation publication-type="journal">Dean JA, Avery DR, McDonald RE. Dentistry
for the child and adolescent. 9th ed. St Louis:
Mosby; 2011.</mixed-citation>
                    </ref>
                                    <ref id="ref9">
                        <label>9</label>
                        <mixed-citation publication-type="journal">Christensen GJ. Using rubber dams to boost
quality, quantity of restorative services. J Am
Dent Assoc. 1994;125(1):81–82. doi:10.14219/
jada.archive.1994.0019</mixed-citation>
                    </ref>
                                    <ref id="ref10">
                        <label>10</label>
                        <mixed-citation publication-type="journal">Cochran MA, Miller CH, Sheldrake MA.
The efficacy of the rubber dam as a barrier to
the spread of microorganisms during dental
treatment. J Am Dent Assoc. 1989;119:141-4.</mixed-citation>
                    </ref>
                                    <ref id="ref11">
                        <label>11</label>
                        <mixed-citation publication-type="journal">Barnum S. History of the discovery of the dam.
Can J Dent Sci. 1877;4:88-9.</mixed-citation>
                    </ref>
                                    <ref id="ref12">
                        <label>12</label>
                        <mixed-citation publication-type="journal">American Association of Endodontists. Use
of dental dams in endodontics [Internet].
2024 [cited 2026 Apr 14]. Available from:
https://www.aae.org/specialty/wp-content/
u p l o a d s / s i t e s / 2 / 2 0 2 4 / 0 6 / D e n t a l D a m s _
PositionStatement_updated.pdf</mixed-citation>
                    </ref>
                                    <ref id="ref13">
                        <label>13</label>
                        <mixed-citation publication-type="journal">Eskibağlar M, Eskibağlar BK, Gündoğar M,
Özyürek T. Diş hekimliği pratiğinde rubber
dam ve uygulama yöntemleri. Selcuk Dent J.
2021;8:875-80.</mixed-citation>
                    </ref>
                                    <ref id="ref14">
                        <label>14</label>
                        <mixed-citation publication-type="journal">Bhuva B, Chong BS, Patel S. Rubber dam
in clinical practice. Endod Pract Today.
2008;2(2):131-41.</mixed-citation>
                    </ref>
                                    <ref id="ref15">
                        <label>15</label>
                        <mixed-citation publication-type="journal">Ballal NV, Khandelwal D, Saraswathi MV.
Rubber dam in endodontics: an overview of
recent advances. Int J Clin Dent. 2013;6:319-30.</mixed-citation>
                    </ref>
                                    <ref id="ref16">
                        <label>16</label>
                        <mixed-citation publication-type="journal">Sikri VK. Textbook of operative dentistry. 4th
ed. New Delhi: CBS Publishers &amp; Distributors;
2016.</mixed-citation>
                    </ref>
                                    <ref id="ref17">
                        <label>17</label>
                        <mixed-citation publication-type="journal">Jamir Y, Rao D, Panwar S, Samaddar K, Remi R.
Isolation in paediatric dentistry: recent advances.
Int J Appl Dent Sci. 2023;9:518-24.</mixed-citation>
                    </ref>
                                    <ref id="ref18">
                        <label>18</label>
                        <mixed-citation publication-type="journal">Ammann P, Kolb A, Lussi A, Seemann R.
Influence of rubber dam on objective and
subjective parameters of stress during dental
treatment of children and adolescents: a
randomized controlled clinical pilot study. Int J
Paediatr Dent. 2013;23:110-5.</mixed-citation>
                    </ref>
                                    <ref id="ref19">
                        <label>19</label>
                        <mixed-citation publication-type="journal">Alhareky M. Effectiveness of the Isolite system
vs. rubber dam technique while placing pit and
fissure sealants in pediatric patients [doctoral
dissertation]. Tufts University; 2013.</mixed-citation>
                    </ref>
                                    <ref id="ref20">
                        <label>20</label>
                        <mixed-citation publication-type="journal">Shukla N, Akram Z, Kumar PGN et al., Khairnar
MR, Jadhav SK, Priyadarsini S. Comparative
evaluation of pit &amp; fissure sealant retention using
cotton roll &amp; rubber dam isolation techniques - a
systematic review &amp; meta-analysis. Evid Based
Dent. 2025 Jun;26(2):112.</mixed-citation>
                    </ref>
                                    <ref id="ref21">
                        <label>21</label>
                        <mixed-citation publication-type="journal">Sharma D, Choudhari S, Vanza H, Mittal S,
Ahuja V, et al. The impact of rubber dam
association with physiological stress parameters
on children aged 7–10 years undergoing pit
and fissure sealant treatment: an in vivo study.
Cureus. 2024;16:e58615.</mixed-citation>
                    </ref>
                                    <ref id="ref22">
                        <label>22</label>
                        <mixed-citation publication-type="journal">Saha A, Kamatham R, Mallineni SK, Nuvvula S.
A cross-sectional survey on children perception
of isolation methods for restorative procedures
and influence of cognitive development. SRM J
Res Dent Sci. 2016;7:219-21.</mixed-citation>
                    </ref>
                                    <ref id="ref23">
                        <label>23</label>
                        <mixed-citation publication-type="journal">Rahul S, Saikiran KV, Elicherla NR et al.,
Anchala K, Singaraju A, et al. Evaluation of
child’s behavior during pit and fissure sealant
administration using rubber dam and MiniDam:
a randomized clinical trial. J Indian Soc Pedod Prev Dent. 2024;42:119-25.</mixed-citation>
                    </ref>
                                    <ref id="ref24">
                        <label>24</label>
                        <mixed-citation publication-type="journal">Bagher SM, Sabbagh HJ. A literature review of clinical efficiency, patient satisfaction, and  future preference of Isolite and DryShield dental isolation systems among pediatric patients. J Clin Pediatr Dent. 2023;47.</mixed-citation>
                    </ref>
                                    <ref id="ref25">
                        <label>25</label>
                        <mixed-citation publication-type="journal">Lyman T, Viswanathan K, McWhorter A. Isolite
vs cotton roll isolation in the placement of dental
sealants. Pediatr Dent. 2013;35:95E–99E.</mixed-citation>
                    </ref>
                                    <ref id="ref26">
                        <label>26</label>
                        <mixed-citation publication-type="journal">Collette J, Wilson S, Sullivan D. A study of the Isolite system during sealant placement: efficacy and patient acceptance. Pediatr Dent. 2010;32:146-50.</mixed-citation>
                    </ref>
                                    <ref id="ref27">
                        <label>27</label>
                        <mixed-citation publication-type="journal">Alhareky MS, Mermelstein D, Finkelman M,
Alhumaid J, Loo C. Efficiency and patient
satisfaction with the Isolite system versus rubber
dam for sealant placement in pediatric patients.
Pediatr Dent. 2014;36:400-4.</mixed-citation>
                    </ref>
                                    <ref id="ref28">
                        <label>28</label>
                        <mixed-citation publication-type="journal">Bagher SM, Allaf H, Khogeer LN, Felemban O.
Patient satisfaction and preference with DryShield
vs rubber dam isolation among pediatric patients.
J Res Med Dent Sci. 2021;9:82–90.</mixed-citation>
                    </ref>
                                    <ref id="ref29">
                        <label>29</label>
                        <mixed-citation publication-type="journal">Mattar RE, Sulimany AM, Binsaleh SS, Al-Majed IM. Comparison of fissure sealant chair time and patients’ preference using three different isolation techniques. Children (Basel). 2021;8:444.</mixed-citation>
                    </ref>
                                    <ref id="ref30">
                        <label>30</label>
                        <mixed-citation publication-type="journal">Siddalingappa D, Reddy V, Nayak AS, Urala AS, Pentapati KC. Efficiency and Patient-reported Outcomes for Isolite System: A Systematic Review of Randomized Controlled Trials. Int J Clin Pediatr Dent 2025; 18: 331-338.</mixed-citation>
                    </ref>
                                    <ref id="ref31">
                        <label>31</label>
                        <mixed-citation publication-type="journal">Mahima S, Karuna YM, Shenoy R, Sudha K, Maimoona TM, et al. Evaluation of Anxiety Levels in Children While Using Rubber Dam and OptraDam Isolation Techniques. Int J Clin Pediatr Dent 2023; 16: 287-291.</mixed-citation>
                    </ref>
                            </ref-list>
                    </back>
    </article>
