Historical Overview of Rubber Dam Clamps: Inventions and Patents
1. The Origin: Sanford C. Barnum (1864) The history of isolation begins with the invention of the rubber dam by Dr. Sanford Christie Barnum in 1864 in New York. While Barnum generously gave his latex sheet invention to the dental profession without patenting it, his original application method relied on wooden wedges, rubber rings, or dental floss to hold the dam in place. This approach was often painful for the patient and highly inefficient for posterior teeth, creating an immediate demand for mechanical retainers.
2. The Era of Early Innovators (1870s–1880s) The transition from painful wedges to spring-action metal clamps was driven by several visionary dentists who began designing and patenting specialized tools:
- Dr. Eleazar Parmly Brown: A prominent dentist and inventor who developed one of the earliest “universal rubber-dam clamps.” His contributions to dental mechanics were heavily patented during this era, including US Patent #175,706 in 1876 for “Improvements in Dental Rubber Dams.”
- Dr. Delos Palmer: Recognizing that teeth have highly varied and specific anatomies, Dr. Palmer designed the first comprehensive set of anatomically adapted metal clamps around 1882. The famous “Palmer Set” consisted of 32 distinct clamps—one specifically tailored for every single tooth in the permanent dentition.
- Early Pioneers: Dentists such as Dr. Stokes, Dr. Tees, Dr. Evans, and Dr. W.G.A. Bonwill contributed significantly to the early geometries of clamp jaws (beaks) and bows. Their names remain attached to classic clamp and forceps designs still sold today (e.g., Stokes forceps, Palmer forceps).
3. Commercialization and Standardization: The J.W. Ivory Legacy The mass production, patenting, and standardization of rubber dam clamps are largely attributed to the J.W. Ivory Company (which was later acquired by Kulzer).
- J.W. Ivory: The company patented numerous clamp and punch designs in the late 19th and early 20th centuries (with notable mechanical patents filed around 1920). Ivory improved the industry by simplifying Palmer’s overly complex 32-clamp system down to a more versatile, generalized set.
- The Universal Numbering System: Ivory established the numbering system that remains the global standard in dentistry today (e.g., Clamp #8 for general molars, #9 for anterior teeth, #14 and #14A for partially erupted or broken-down teeth). Ivory set the manufacturing benchmark by creating clamps that were die-cut, heat-treated, and individually hand-set to retain their “spring memory.”
4. Modern Evolution and Corporate Patents (Mid-20th Century to Present) As restorative dentistry and endodontics evolved, dental manufacturers began patenting specialized modifications for complex clinical scenarios:
- Dr. Walser Dental (Germany): Founded in 1948 by Dr. J. Walser, this company introduced and patented numerous innovative matrix systems and specialized rubber dam forceps that revolutionized how clamps and matrices were handled simultaneously.
- Garrison Dental Solutions & Hu-Friedy: In recent decades, patents have focused on ergonomics and multi-functionality. Garrison Dental Solutions holds patents (such as US Patent #7,165,970) for instruments uniquely designed to place both rubber dam clamps and sectional matrix retaining rings. Hu-Friedy has innovated with surface treatments, such as their “Black Line” clamps, which feature a matte black coating to reduce eye-fatiguing glare from operatory lights and improve visual contrast against the tooth.




