Let’s be honest: when you’re organizing the sex toys in your bedside table so your favourites are close at hand, or packing a bag for a date or hookup, you're probably not reaching for the dental dams. In the absence of LGBTQ2S+ inclusive sex education, many of us got our safer sex information from queer organizations, pop culture or friends—either in person or online. (I, for example, only learned that you should use condoms with sex toys you’re using with partners from fanfiction.) But while condoms are readily available in queer, sex positive spaces, dental dams are far more elusive—and often dismissed as unpleasant or unnecessary when they do come up. Here, we’ve unpacked what you need to know about the safer sex supply everyone loves to roll their eyes at.
So what exactly is a dental dam?
Plainly put, dental dams are a safer sex tool for oral sex. Dr. Emma Chan, a U.K.-based doctor who runs Relationships and Sex Education (RSE) workshops in secondary schools, explains that they are “a thin sheet of plastic or latex you put over the vulva or anus to create a barrier between your genitals and a partner’s mouth.” They were originally designed to be used in dentistry, but in terms of sexual health dental dams work in the same way as condoms, gloves or finger cots do, creating a physical barrier to prevent fluid exchange during non-penetrative sex.
Okay, but do I really need to use one?
The risk of STI transmission is lower for oral sex than penetrative sex, but that risk isn’t zero. The CDC explains that few studies look at the rates of STI transmission from cunnilingus or anilingus, in part due to the challenge in recruiting participants who have oral sex but not penetrative sex. Gonorrhea, chlamydia, syphilis, HPV, herpes and, in very rare cases, even HIV can be transmitted via non-penetrative sex. (Aidsmap reports one review of the evidence of the probability of HIV transmission through oral sex “suggested that the figure could be somewhere between zero percent and 0.04 percent per act.”)
However, research shows that many people see oral sex as “risk free,” and therefore don’t think they need to take any safer sex precautions. And while dental dams are frequently promoted as a barrier method to prevent STI transmission during cunnilingus or rimming, we don’t actually know how well they get the job done. There’s a distinct lack of any research as to whether dental dams truly work to prevent STI transmission. Dr. Chan acknowledges that they themself don’t know if dental dams are effective—medical misogyny, along with the deprioritization of queer women’s sexual health, means the data just doesn’t exist.
While most of the (albeit limited) research into their use focuses on lesbian and bisexual cis women, dental dams aren’t only for queer women. After all, people of all genders and sexualities enjoy cunnilingus and rimming. Additionally, this research is largely cisnormative, assuming that dental dams will be the primary safer sex method used by queer women—even though some of that same research finds that more queer women use gloves and condoms more often than dental dams.
Despite this, studies still describe dental dams as “an invaluable tool” for safer sex, and Dr. Chan wants more people to know that dental dams are an option they should consider. Additionally, they believe there is even value in just talking about dental dams: “One of the reasons people don't use dental dams is because there isn't much knowledge about them, and that's only going to change if we talk more about using them.” It’s important to Dr Chan to normalize conversations about sexual health that go beyond condom use and challenge the cisheteronormative narrative that oral sex doesn’t require thinking or talking about safer sex practices.