Interproximal Reduction: An Effective Technique for Dental Alignment
Interproximal reduction, also known as enamel reduction or enamel stripping, is a dental technique used to create space between teeth. It is a minimally invasive procedure that has gained popularity in orthodontics and cosmetic dentistry. In this article, we will discuss the various aspects of interproximal reduction, including its procedure, benefits, potential risks, and frequently asked questions.
Procedure
The interproximal reduction procedure is typically performed by a dentist or an orthodontist. It involves the removal of a small amount of enamel from the sides of the teeth to reduce their width. The process is done using specialized strips or discs that are carefully inserted between the teeth and moved back and forth. The amount of enamel removed is carefully controlled to ensure that the desired space is achieved without compromising the structure or integrity of the teeth. The procedure is usually painless and does not require anesthesia.
Once the interproximal reduction is completed, the dentist or orthodontist may take impressions of the teeth to make customized aligners or retainers. These aligners or retainers are used to maintain the new alignment and prevent the teeth from shifting back into their original positions.
It is important to note that interproximal reduction is a relatively simple and quick procedure. It can be performed in a single visit or incorporated into the overall treatment plan for orthodontic patients.
Benefits of Interproximal Reduction
1. Space Creation: The primary benefit of interproximal reduction is the creation of space between crowded teeth. By reducing the width of the teeth, the dentist or orthodontist can achieve proper alignment and improve the overall appearance of the smile.
2. Non-Extraction Option: Interproximal reduction provides an alternative to tooth extraction in cases where there is mild to moderate crowding. It allows for the preservation of natural teeth, avoiding the need for artificial replacements.
3. Improved Oral Hygiene: Crowded teeth can make it difficult to clean the interdental spaces, leading to an increased risk of gum disease and tooth decay. Interproximal reduction helps create space, making it easier to maintain proper oral hygiene.
Risks and Considerations
While interproximal reduction is generally considered safe, there are some risks and considerations to be aware of:
1. Enamel Thickness: The amount of enamel that can be safely removed depends on the thickness of the enamel and the individual's oral health. Over-reduction of enamel can weaken the teeth and increase the risk of tooth sensitivity.
2. Proper Technique: Interproximal reduction should only be performed by a trained and experienced dental professional. Improper technique or excessive enamel removal can lead to irreversible damage to the teeth.
3. Not Suitable for Everyone: Interproximal reduction may not be suitable for individuals with severe crowding, extensive dental restorations, or certain oral conditions. A thorough evaluation by a dentist or orthodontist is necessary to determine if this technique is appropriate.
FAQs
Q: Is interproximal reduction painful?
A: The procedure is usually painless as only a small amount of enamel is removed. However, some individuals may experience temporary sensitivity or discomfort, which can be relieved with over-the-counter pain medication.
Q: Will interproximal reduction weaken my teeth?
A: When performed correctly and in moderation, interproximal reduction does not weaken the teeth. The dental professional will evaluate the thickness of the enamel and determine the safe amount for reduction.
Q: How long does interproximal reduction take?
A: The duration of the procedure depends on the extent of the required reduction and the number of teeth involved. In most cases, it can be completed in a single dental visit.
References
- Littlewood SJ, Millett DT, Doubleday B, Bearn DR, Worthington HV: Orthodontic retention: A systematic review. J Orthod. 2006;33(3):205-12.
- Oskam JM, Boley JC, Bos A, et al.: Efficiency and discomfort of three archwire sequence changes in the initial aligning phase of orthodontic treatment: a single-blind randomized controlled trial [published correction appears in Eur J Orthod. 2013 Aug;35(4):593]. Eur J Orthod. 2013;35(4):496-502.
- Sahm G, de Oliveira OBF, Kluppel LE, Ambrosano GMB, Freitas KMS, Mittelstadt SD: Do mini-implant-supported maxillary canine distalizing devices cause external root resorption in the adjacent teeth?: A systematic review. J Orthod. 2020;47(3):188-198.
