Interproximal reduction of teeth: Differences in perspective between orthodontists and dentists

Abstract

Objective: To determine if interproximal reduction of teeth (IPR) is perceived differently by orthodontists and general dentists. Materials and Methods: A Web-based survey containing statements about IPR was developed and randomly distributed to orthodontists and general dentists. Results: The majority of orthodontists and general dentists strongly agreed that IPR is a minimally invasive procedure that poses little risk for the development of interproximal decay. However, general dentists were more likely to perform post-IPR polishing and to apply topical fluoride than are orthodontists (P , .0001). A greater percentage of orthodontists strongly believed that the esthetic and occlusal benefits of IPR outweigh the potential risk of tooth decay when IPR was performed (P , .0001). A greater percentage of general dentists were hesitant to perform IPR, despite research supporting that IPR has little negative effect on the health of teeth. Conclusions:The results of this study disproved the null hypothesis that orthodontists and general dentists share similar views regarding the use of IPR during orthodontic treatment. General dentists were more conservative in their views of IPR and were less comfortable with performing IPR as a routine procedure. General dentists felt more strongly about the importance of post-IPR polishing and application of topical fluoride. Orthodontists were more likely to have researched the long-term effects of IPR on the health of teeth and therefore felt more comfortable performing IPR during orthodontic treatment. (Angle Orthod. 2015;85:820-825.)

The effect of resin infiltration <i>vs.</i> fluoride varnish in enhancing enamel surface conditions after interproximal reduction

“…It removes about 0.5 mm outer enamel on the interproximal surfaces of teeth 2) . A recent study found that 46% of the general dentists and 67% of the orthodontists routinely performed IPR 3) . However, the IPR procedures leave various grooves and furrows on enamel leading to a significantly increased surface roughness 4,5) , and these furrows can still be clearly visible even one year later 6) .…”

Efficiency of Interproximal Reduction Technique for Correction of Anterior Crowding without Extraction: A Case Report

“…6 The advantages of IPR are decreased treatment time, prevention of interdental gingival retraction, and less tooth movement. 10 IPR can also create space for better alignment, minimize potential problems with extraction therapy, and thus allow self-retention. 6,10 IPR should not be carried out in patients with a high risk for caries and in those with poor oral hygiene to avoid the risk of development of caries.…”

<p>Koreksi crowding anterior rahang bawah dengan teknik reduksi interproksimal</p><p>Mandibular anterior crowding correction with interproximal reduction technique</p>

“…16 Beberapa metode dari prosedur ini adalah : (1) air rotor stripping menggunakan bor diamond atau bor tungsten-carbide yang halus, (2) diamond-coated stripping disk atau (3) strip abrasive yang dapat dikendalikan dengan tangan atau menggunakan mesin. 4,19 Indikasi dari perawatan reduksi interproksimal adalah untuk pasien dengan kebersihan mulut yang baik, maloklusi kelas I dengan arch-length discrepancies dengan profil ortognati, kelas II dengan crowding ringan atau pasien yang memiliki diskrepansi ukuran gigi Bolton. 14,20 Crowding pada insisif rahang bawah, untuk reshaping gigi dengan bentuk kurang baik, memperbaiki kontur gingival dengan menghilangkan ruangan berbentuk segitiga pada papilla interdental, dan untuk mengkoreksi kurva spee.…”