What is the result of punching holes too far apart in the dental dam?

When holes are punched too far apart in a dental dam, the resulting effect is that the dam fits too loosely around the teeth. This loose fit can lead to complications during procedures, as the dam may not adequately isolate the treatment area.

Bunching interproximally refers to an accumulation of the dam material between the teeth, which can occur when the holes are not aligned properly or are too spaced apart. When the dam is loose, it may slide or bunch up in the spaces between the teeth, creating gaps that compromise the effectiveness of the isolation.

In summary, correct spacing of the holes is critical to ensure a snug fit of the dental dam around the teeth, enabling effective moisture control and isolating the area being treated.