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Inter-proximal enamel reduction in contemporary orthodontics
J Pindoria1, P S Fleming1, P K Sharma1
1The Royal London Dental Institute, London, E1 1BB.
British Dental Journal
|December 17, 2016
Summary
Inter-proximal enamel reduction (IPR) offers space for orthodontic alignment and contact point refinement. This review outlines IPR techniques, indications, and safe application for improved orthodontic outcomes and stability.
Area of Science:
- Dentistry
- Orthodontics
- Dental Morphology
Background:
- Inter-proximal enamel reduction (IPR) is increasingly utilized in orthodontics.
- IPR is advocated for creating space, refining contacts, and enhancing stability.
Purpose of the Study:
- To outline the indications for IPR.
- To emphasize the importance of space analysis before IPR.
- To describe safe techniques and armamentarium for IPR in labial and buccal segments.
Main Methods:
- Review of available literature and techniques for IPR.
- Discussion of various tools including abrasive strips, burs, and discs.
- Emphasis on safe application protocols.
Main Results:
- IPR provides a viable method for orthodontic space creation.
- Multiple techniques and instruments exist for performing IPR.
- Proper technique and space analysis are crucial for safe and effective IPR.
Conclusions:
- IPR is a valuable adjunct in orthodontic treatment planning.
- Formal space analysis is essential prior to undertaking IPR.
- Safe and effective IPR requires understanding of techniques and armamentarium.

