Punch a hole on the bigger side which is also the working side. Engage the clamp wings in the punched hole. Place the autoclavable stick in pre-punched holes of the dam frame. This acts as a handle to manipulate the dam while placing suction or taking Radiography
Engage the rubber dam forceps in the clamp. And carry the entire assembly to the patient mouth for final placement.
Gently expand and place the clamp on the tooth to be isolated. Disengage the forceps from the clamp. And flip over the dam from the clamp wings

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