Introduction: This study aims to evaluate the attitudes of third- and fourth-year dental students toward the use of rubber dam (RD) isolation, particularly among those who possess theoretical knowledge but have limited clinical experience. Although the role of RD in enhancing clinical success is well recognized, its routine implementation remains relatively low.
Methods: The study was conducted with the volunteer participants who had completed theoretical training on RD but lacked hands-on experience. Data were collected through online questionnaires administered before and after a practical training session. The surveys included closed-ended questions addressing sociodemographic characteristics and students’ attitudes and experiences related to RD use. Statistical analyses were performed using R (version 2025.05.1.513) and RStudio (version 2025.05.1) at a 0.05 significance level. Appropriate non-parametric tests, including the Wilcoxon rank sum test, Cochran-Armitage trend test, Fisher’s Exact Test and Chi-squared test, were applied according to the data type.
Results: The study was completed with 70 students. Prior to the training, 34.2% of participants believed that theoretical education alone was sufficient; this rate significantly decreased to 4.3% after the hands-on session (p<0.001). A notable increase was observed in students’ intentions to use RD, particularly in endodontic procedures. The most preferred technique for placement was the simultaneous application of the clamp and rubber sheet.
Discussion and Conclusion: The findings indicate that practical training significantly enhances student awareness. Improving knowledge and skills related to RD placement techniques may positively influence post-graduation usage rates. To ensure effective use of RD, it is essential that practical training is integrated robustly into the dental curriculum alongside theoretical instruction.
Keywords: Dental education; Endodontics; Rubber dam isolation
