Knowledge (XXG)

Interproximal reduction

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IPR may be carried out using abrasive metal strips, diamond coated disks, or air-rotor stripping burs and abrasive coated strips. Metal strips may be more appropriate than disks for rotated teeth. Diamond disks must be used properly so as not to leave undercuts on the enamel or come into contact with
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IPR is an irreversible procedure and can be an alternative to dental extraction. Indications for the procedure include mild to moderate crowding (4–8mm), black triangles in anterior teeth, enhancing retention and stability after orthodontic treatment, and correction of the Curve of Spee. IPR is
127:. According to Sheridan, 2.5mm of space from IPR of five anterior contacts and 6.4mm of space from IPR from eight posterior contacts can be obtained. It was recommended that no more than 0.5–0.75mm should be removed from each proximal side of the anterior teeth. 58:
ends, such as to correct crowding, or reshape the contact area between neighboring teeth. After reducing the enamel, the procedure should also involve anatomic re-contouring and the protection of interproximal enamel surfaces.
172:. In a study where participants received fluoride after IPR, it was determined that this group had lesser chances of developing caries on the tooth surfaces treated with IPR than the group who did not receive any fluoride. 148:
of the tooth. Therefore, to protect pulp against potential heat damage, both Sheridan and Zachrissan recommend that water be used during IPR to reduce effects on the dental pulp. IPR has also been known to cause caries and
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contraindicated for patients with a high risk for caries, poor oral hygiene, active periodontal diseases, multiple restorations, greater than 8mm of crowding per arch, hypersensitivity to cold, and large pulp chambers.
153:. However, the association has been a topic of debate. In fact, an observational study done by Zachrisson which looked at 61 subjects who went through IPR 10 years post-operatively, found that there were no signs of 102:
Some evidence suggests that modern diets of soft and processed foods have resulted in a significant decrease in natural interproximal wear, making dental crowding more prevalent in modern populations.
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the patient's soft tissue. When using air-rotor burs, it is recommended that the tips be squared-off so that they do not leave furrows. Burs also tend to produce a rough finish on the enamel surface.
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Arman, Ayca; Cehreli, S. Burcak; Ozel, Emre; Arhun, Neslihan; Cetinşahin, Alev; Soyman, Mubin (2006-08-01). "Qualitative and quantitative evaluation of enamel after various stripping methods".
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Zachrisson, Björn U.; Nyøygaard, Lise; Mobarak, Karim (2007-02-01). "Dental health assessed more than 10 years after interproximal enamel reduction of mandibular anterior teeth".
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or expansion of teeth during orthodontic treatment. In 2004, Zachrisson stated that IPR can be used to improve the esthetics of anterior teeth. When a crowded arch is aligned, "
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Twesme, D. A.; Firestone, A. R.; Heaven, T. J.; Feagin, F. F.; Jacobson, A. (1994-02-01). "Air-rotor stripping and enamel demineralization in vitro".
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Hall, Nathan E.; Lindauer, Steven J.; Tüfekçi, Eser; Shroff, Bhavna (2007-06-01). "Predictors of variation in mandibular incisor enamel thickness".
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Lapenaite, Egle; Lopatiene, Kristina (2014-01-01). "Interproximal enamel reduction as a part of orthodontic treatment".
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in which he explained his technique. He stated that the IPR procedure could be used as an alternative to procedures of
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Lapenaite, Egle; Lapenaite, Kristina (2014). "Interproximal enamel reduction as a part of orthodontic treatment".
77:. Other authors also advocated about slenderizing the teeth for next 40 years but it was not until the 1980s when 1013: 71:
was the first to advocate for the stripping of the lower anterior teeth due to crowding in a paper published in
1424: 1107: 1089: 1552: 1053: 1038: 978: 902: 169: 1547: 1028: 882: 811: 85:(ARS) technique for interproximal reduction captured significant interest. He published two papers in the 73: 82: 1589: 1379: 769: 256: 68: 1479: 1429: 1173: 1073: 1063: 1023: 958: 922: 917: 892: 897: 1474: 1419: 1279: 1239: 1229: 1112: 963: 150: 124: 1464: 1404: 1399: 1033: 821: 618: 154: 1454: 1389: 1374: 1369: 1344: 1299: 1224: 1209: 1153: 1122: 983: 747: 739: 704: 696: 661: 653: 610: 602: 582: 564: 556: 521: 513: 487: 460: 452: 413: 372: 353:"The adaptive value of dental crowding: a consideration of the biologic basis of malocclusion" 333: 325: 298: 290: 230: 212: 433:"Dental health assessed after interproximal enamel reduction: Caries risk in posterior teeth" 1444: 1434: 1294: 1274: 1269: 1199: 1194: 1168: 1068: 1043: 1003: 731: 688: 645: 594: 548: 444: 403: 364: 220: 202: 165: 161: 92: 1439: 1414: 1394: 1384: 1234: 1148: 1143: 932: 851: 806: 1364: 1324: 1319: 1314: 1259: 1244: 1018: 953: 225: 190: 735: 1583: 1449: 1354: 1339: 1304: 1289: 1219: 1214: 1138: 968: 912: 856: 368: 622: 552: 1459: 1349: 1284: 1264: 1204: 1189: 993: 973: 927: 841: 836: 816: 792: 145: 120: 55: 51: 432: 1409: 1359: 1334: 1249: 907: 692: 649: 448: 207: 1329: 1097: 1048: 998: 988: 255:
Choudhary, A; Gautam, AK; Chouksey, A; Bhusan, M; Nigam, M; Tiwari, M (2015).
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Zachrisson, Björn U.; Minster, Line; Øgaard, Bjørn; Birkhed, Dowen (2011).
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Stomatologija / Issued by Public Institution "Odontologijos Studija" ...
585:; Jäger, A.; Zimmer, B.; Schwestka, R.; Bertzbach, F. (1989-08-01). "". 1163: 1158: 877: 598: 164:
application on the treated teeth or part-time wear of a thermoformed
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Livas, Christos; Jongsma, Albert Cornelis; Ren, Yijin (2013-10-31).
257:"Interproximal enamel reduction in orthodontic treatment: A review" 191:"Enamel Reduction Techniques in Orthodontics: A Literature Review" 765: 761: 1543:
American Journal of Orthodontics and Dentofacial Orthopedics
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American Journal of Orthodontics and Dentofacial Orthopedics
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American Journal of Orthodontics and Dentofacial Orthopedics
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American Journal of Orthodontics and Dentofacial Orthopedics
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American Journal of Orthodontics and Dentofacial Orthopedics
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Sheridan, J. J. (1987-11-01). "Air-rotor stripping update".
99:" form which can be removed with IPR of the anterior teeth. 157:
or thinning of the labial gingiva in 93% of the patients.
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It is recommended that to limit any side effects of IPR,
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Stomatologija, Baltic Dental and Maxillofacial Journal
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Sheridan, J. J. (1985-01-01). "Air-rotor stripping".
1561: 1535: 1488: 1182: 1131: 1082: 946: 865: 799: 396:Journal of Dentofacial Anomalies and Orthodontics 144:Excessive heat is known to cause damage to the 392:"Clear thinking about interproximal stripping" 264:Journal of Applied Dental and Medical Sciences 123:can be stripped without causing any dental or 777: 8: 50:) is the practice of mechanically removing 784: 770: 762: 541:Journal of the American Dental Association 1526:Society for Orthodontic Dental Technology 1521:Italian Academy of Orthodontic Technology 1009:List of orthodontic functional appliances 407: 224: 206: 181: 1511:Canadian Association of Orthodontists 1496:American Association of Orthodontists 7: 250: 248: 246: 244: 54:from between the teeth to achieve 14: 587:Fortschritte der Kieferorthopädie 357:American Journal of Orthodontics 351:Lombardi, A. V. (January 1982). 318:Journal of Clinical Orthodontics 283:Journal of Clinical Orthodontics 88:Journal of Clinical Orthodontics 553:10.14219/jada.archive.2007.0270 1501:American Board of Orthodontics 28:interproximal enamel reduction 1: 1255:Harold Chapman (Orthodontist) 938:Temperomandibular dysfunction 736:10.1016/S0889-5406(94)70110-5 847:Standard anatomical position 827:Failure of eruption of teeth 369:10.1016/0002-9416(82)90286-x 1569:Angle School of Orthodontia 1506:British Orthodontic Society 832:Little's Irregularity Index 693:10.1016/j.ajodo.2006.10.001 650:10.1016/j.ajodo.2006.01.021 449:10.1016/j.ajodo.2010.09.002 208:10.2174/1874210601307010146 1606: 1516:Indian Orthodontic Society 1310:John Hooper (Orthodontist) 195:The Open Dentistry Journal 1014:List of palatal expanders 390:Frindel, Clément (2010). 1425:Frederick Lester Stanton 1108:Intrusion (orthodontics) 1090:Anchorage (orthodontics) 1553:Journal of Orthodontics 1103:Interproximal reduction 1039:Palatal lift prosthesis 20:Interproximal reduction 1548:The Angle Orthodontist 1029:Orthodontic technology 903:Bimaxillary Protrusion 812:Cephalometric analysis 119:About 50% of proximal 74:The Angle Orthodontist 1380:Frederick Bogue Noyes 409:10.1051/odfen/2010208 16:Orthodontic treatment 1430:Earl Emanuel Shepard 1183:Notable contributors 1094:Cantilever mechanics 1074:Twin Block Appliance 1064:Self-ligating braces 923:Condylar hyperplasia 918:Maxillary hypoplasia 125:periodontal problems 1280:John Nutting Farrar 1240:Charles J. Burstone 1230:Holly Broadbent Sr. 1113:Molar distalization 964:Activator appliance 151:periodontal disease 83:Air Rotor Stripping 40:air rotor stripping 1465:Robert M. Ricketts 1405:Alfred Paul Rogers 1400:Robert M. Ricketts 1034:Orthodontic spacer 822:Dentition analysis 599:10.1007/bf02164304 155:gingival recession 1577: 1576: 1455:Edmund H. Wuerpel 1390:Herbert A. Pullen 1375:Dean Harold Noyes 1370:George Northcroft 1345:James A. McNamara 1300:Charles A. Hawley 1225:Charles B. Bolton 1210:Hans Peter Bimler 1123:Serial extraction 984:Frankel appliance 69:Murray L. Ballard 1597: 1445:Charles H. Tweed 1435:Cecil C. Steiner 1295:Thomas M. Graber 1275:William B. Downs 1270:Terry Dischinger 1200:Clifford Ballard 1195:Spencer Atkinson 1069:Splint activator 1044:Palatal expander 1004:Herbst Appliance 786: 779: 772: 763: 756: 755: 719: 713: 712: 676: 670: 669: 644:(2): 131.e7–14. 633: 627: 626: 583:Radlanski, R. J. 579: 573: 572: 536: 530: 529: 502: 496: 495: 475: 469: 468: 428: 422: 421: 411: 387: 381: 380: 348: 342: 341: 313: 307: 306: 278: 272: 271: 261: 252: 239: 238: 228: 210: 186: 166:fluoride varnish 162:topical fluoride 79:John J. Sheridan 1605: 1604: 1600: 1599: 1598: 1596: 1595: 1594: 1580: 1579: 1578: 1573: 1557: 1531: 1484: 1480:C. Philip Adams 1440:David L. Turpin 1415:Everett Shapiro 1395:Earl W. Renfroe 1385:Albin Oppenheim 1235:Allan G. Brodie 1178: 1174:Dental elastics 1149:Stainless steel 1144:Nickel titanium 1127: 1078: 942: 933:Mouth breathing 893:Dental crowding 861: 852:Tooth ankylosis 807:Bolton analysis 795: 790: 760: 759: 721: 720: 716: 678: 677: 673: 635: 634: 630: 581: 580: 576: 538: 537: 533: 504: 503: 499: 477: 476: 472: 430: 429: 425: 389: 388: 384: 350: 349: 345: 324:(11): 781–788. 315: 314: 310: 280: 279: 275: 259: 254: 253: 242: 188: 187: 183: 178: 142: 133: 117: 108: 97:black triangles 65: 17: 12: 11: 5: 1603: 1601: 1593: 1592: 1582: 1581: 1575: 1574: 1572: 1571: 1565: 1563: 1559: 1558: 1556: 1555: 1550: 1545: 1539: 1537: 1533: 1532: 1530: 1529: 1523: 1518: 1513: 1508: 1503: 1498: 1492: 1490: 1486: 1485: 1483: 1482: 1477: 1472: 1467: 1462: 1457: 1452: 1447: 1442: 1437: 1432: 1427: 1422: 1417: 1412: 1407: 1402: 1397: 1392: 1387: 1382: 1377: 1372: 1367: 1365:Ravindra Nanda 1362: 1357: 1352: 1347: 1342: 1337: 1332: 1327: 1325:Albert Ketcham 1322: 1320:Harold Kesling 1317: 1315:Joseph Jarabak 1312: 1307: 1302: 1297: 1292: 1287: 1282: 1277: 1272: 1267: 1262: 1260:David Di Biase 1257: 1252: 1247: 1245:Peter Buschang 1242: 1237: 1232: 1227: 1222: 1217: 1212: 1207: 1202: 1197: 1192: 1186: 1184: 1180: 1179: 1177: 1176: 1171: 1166: 1161: 1156: 1151: 1146: 1141: 1135: 1133: 1129: 1128: 1126: 1125: 1120: 1115: 1110: 1105: 1100: 1095: 1092: 1086: 1084: 1080: 1079: 1077: 1076: 1071: 1066: 1061: 1056: 1051: 1046: 1041: 1036: 1031: 1026: 1021: 1019:Lingual braces 1016: 1011: 1006: 1001: 996: 991: 986: 981: 976: 971: 966: 961: 956: 954:ACCO appliance 950: 948: 944: 943: 941: 940: 935: 930: 925: 920: 915: 910: 905: 900: 898:Dental spacing 895: 890: 885: 880: 875: 869: 867: 863: 862: 860: 859: 854: 849: 844: 839: 834: 829: 824: 819: 814: 809: 803: 801: 797: 796: 791: 789: 788: 781: 774: 766: 758: 757: 730:(2): 142–152. 714: 687:(2): 162–169. 671: 628: 593:(4): 276–284. 574: 547:(6): 809–815. 531: 497: 470: 423: 402:(2): 187–199. 382: 343: 308: 273: 240: 180: 179: 177: 174: 141: 138: 132: 129: 116: 113: 107: 104: 64: 61: 26:, also called 15: 13: 10: 9: 6: 4: 3: 2: 1602: 1591: 1588: 1587: 1585: 1570: 1567: 1566: 1564: 1560: 1554: 1551: 1549: 1546: 1544: 1541: 1540: 1538: 1534: 1527: 1524: 1522: 1519: 1517: 1514: 1512: 1509: 1507: 1504: 1502: 1499: 1497: 1494: 1493: 1491: 1489:Organizations 1487: 1481: 1478: 1476: 1475:Häns Pancherz 1473: 1471: 1470:Kevin O'Brien 1468: 1466: 1463: 1461: 1458: 1456: 1453: 1451: 1450:Katherine Vig 1448: 1446: 1443: 1441: 1438: 1436: 1433: 1431: 1428: 1426: 1423: 1421: 1420:L. F. Andrews 1418: 1416: 1413: 1411: 1408: 1406: 1403: 1401: 1398: 1396: 1393: 1391: 1388: 1386: 1383: 1381: 1378: 1376: 1373: 1371: 1368: 1366: 1363: 1361: 1358: 1356: 1355:Robert Moyers 1353: 1351: 1348: 1346: 1343: 1341: 1340:Benno Lischer 1338: 1336: 1333: 1331: 1328: 1326: 1323: 1321: 1318: 1316: 1313: 1311: 1308: 1306: 1305:Reed Holdaway 1303: 1301: 1298: 1296: 1293: 1291: 1290:Sheldon Friel 1288: 1286: 1283: 1281: 1278: 1276: 1273: 1271: 1268: 1266: 1263: 1261: 1258: 1256: 1253: 1251: 1248: 1246: 1243: 1241: 1238: 1236: 1233: 1231: 1228: 1226: 1223: 1221: 1218: 1216: 1215:Samir Bishara 1213: 1211: 1208: 1206: 1203: 1201: 1198: 1196: 1193: 1191: 1188: 1187: 1185: 1181: 1175: 1172: 1170: 1167: 1165: 1162: 1160: 1157: 1155: 1152: 1150: 1147: 1145: 1142: 1140: 1139:Beta-titanium 1137: 1136: 1134: 1130: 1124: 1121: 1119: 1116: 1114: 1111: 1109: 1106: 1104: 1101: 1099: 1096: 1093: 1091: 1088: 1087: 1085: 1081: 1075: 1072: 1070: 1067: 1065: 1062: 1060: 1057: 1055: 1052: 1050: 1047: 1045: 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393: 386: 383: 378: 374: 370: 366: 362: 358: 354: 347: 344: 339: 335: 331: 327: 323: 319: 312: 309: 304: 300: 296: 292: 288: 284: 277: 274: 270:(3): 123–127. 269: 265: 258: 251: 249: 247: 245: 241: 236: 232: 227: 222: 218: 214: 209: 204: 200: 196: 192: 185: 182: 175: 173: 171: 167: 163: 158: 156: 152: 147: 139: 137: 130: 128: 126: 122: 114: 112: 105: 103: 100: 98: 94: 90: 89: 84: 80: 76: 75: 70: 62: 60: 57: 53: 49: 48:reproximation 45: 41: 37: 33: 29: 25: 21: 1590:Orthodontics 1460:Won-Sik Yang 1350:Birte Melsen 1285:Rolf Frankel 1265:Jean Delaire 1205:Raymond Begg 1190:Edward Angle 1102: 994:Lingual arch 974:Damon system 928:Overeruption 842:Scissor bite 837:Malocclusion 817:Cephalometry 793:Orthodontics 727: 723: 717: 684: 680: 674: 641: 637: 631: 590: 586: 577: 544: 540: 534: 512:(1): 19–24. 509: 506: 500: 486:(1): 19–24. 483: 479: 473: 443:(1): 90–98. 440: 436: 426: 399: 395: 385: 363:(1): 38–42. 360: 356: 346: 321: 317: 311: 289:(1): 43–59. 286: 282: 276: 267: 263: 198: 194: 184: 159: 143: 140:Side effects 134: 118: 109: 101: 86: 72: 66: 47: 43: 39: 35: 31: 27: 23: 19: 18: 1562:Institution 1410:Ronald Roth 1360:Hayes Nance 1335:Craven Kurz 1250:Calvin Case 908:Prognathism 201:: 146–151. 106:Application 56:orthodontic 1330:Juri Kurol 1220:Arne Björk 1098:Fiberotomy 1083:Procedures 1049:Quad helix 999:Lip bumper 989:Invisalign 947:Appliances 866:Conditions 176:References 131:Techniques 93:extraction 36:slendering 1528:(Germany) 1169:Composite 1132:Materials 1059:SureSmile 888:Crossbite 883:Open bite 800:Diagnosis 744:0889-5406 701:1097-6752 658:1097-6752 607:0015-816X 561:0002-8177 518:1822-301X 457:0889-5406 418:2110-5715 330:0022-3875 295:0022-3875 217:1874-2106 168:-infused 67:In 1944, 1584:Category 1536:Journals 1154:TiMolium 1054:Retainer 1024:Headgear 979:Elastics 959:Archwire 873:Overbite 709:17276856 666:16905055 623:24290597 569:17545271 526:24824056 492:24824056 465:21195282 235:24265652 170:retainer 1164:Ceramic 1159:Elgiloy 878:Overjet 752:8311036 615:2792988 377:6960695 338:3482080 303:3882756 226:3831306 63:History 969:Braces 750:  742:  707:  699:  664:  656:  621:  613:  605:  567:  559:  524:  516:  490:  463:  455:  416:  375:  336:  328:  301:  293:  233:  223:  215:  121:enamel 115:Amount 52:enamel 1118:SARPE 619:S2CID 260:(PDF) 46:) or 748:PMID 740:ISSN 705:PMID 697:ISSN 662:PMID 654:ISSN 611:PMID 603:ISSN 565:PMID 557:ISSN 522:PMID 514:ISSN 488:PMID 461:PMID 453:ISSN 414:ISSN 373:PMID 334:PMID 326:ISSN 299:PMID 291:ISSN 231:PMID 213:ISSN 146:pulp 732:doi 728:105 689:doi 685:131 646:doi 642:130 595:doi 549:doi 545:138 445:doi 441:139 404:doi 365:doi 221:PMC 203:doi 81:'s 44:ARS 34:), 32:IER 24:IPR 1586:: 746:. 738:. 726:. 703:. 695:. 683:. 660:. 652:. 640:. 617:. 609:. 601:. 591:50 589:. 563:. 555:. 543:. 520:. 510:16 484:16 482:. 459:. 451:. 439:. 435:. 412:. 400:13 398:. 394:. 371:. 361:81 359:. 355:. 332:. 322:21 320:. 297:. 287:19 285:. 266:. 262:. 243:^ 229:. 219:. 211:. 197:. 193:. 38:, 785:e 778:t 771:v 754:. 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Index

enamel
orthodontic
Murray L. Ballard
The Angle Orthodontist
John J. Sheridan
Air Rotor Stripping
Journal of Clinical Orthodontics
extraction
black triangles
enamel
periodontal problems
pulp
periodontal disease
gingival recession
topical fluoride
fluoride varnish
retainer
"Enamel Reduction Techniques in Orthodontics: A Literature Review"
doi
10.2174/1874210601307010146
ISSN
1874-2106
PMC
3831306
PMID
24265652



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