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Updated: Jan 26, 2026

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In vivo enamel stripping: A macroscopic and microscopic analytical study.

Yassine Kaaouara1, Hajar Ben Mohind1, Mohamed Fawzi Azaroual1

  • 1Université Mohammed V à Rabat, institut, faculté de médecine dentaire, service d'orthopédie dentofaciale, centre de consultation et de traitement dentaire, avenue Allal El Fassi, Mohammed Jazouli Street, Al Irfane - BP 6212, Rabat, Morocco.

International Orthodontics
|April 15, 2019
PubMed
Summary

Interdental stripping using mechanized oscillating files resulted in a smoother enamel surface compared to manual methods, reducing risks of plaque accumulation and periodontal issues. This technique offers improved patient and practitioner comfort during orthodontic treatment.

Keywords:
Dental enamelInterproximal reductionMicroscopic studyProtocoles de strippingRéduction interproximaleStripping protocolsSurface conditionÉmail dentaireÉtat de surfaceÉtude microscopique

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Area of Science:

  • Dentistry
  • Orthodontics
  • Dental Materials

Background:

  • Interdental stripping is a common orthodontic procedure to correct tooth size discrepancies.
  • This technique poses risks to enamel integrity, potentially leading to increased plaque accumulation and periodontal problems due to surface roughness.

Purpose of the Study:

  • To evaluate and compare the enamel surface condition after interproximal stripping using various manual and mechanized instruments.
  • To observe the topography of the stripped areas on proximal tooth surfaces.

Main Methods:

  • An in vivo study involving interdental stripping on teeth undergoing orthodontic treatment or extraction.
  • Four groups were compared: conventional diamond strips, manual ContacEZ IRP Kit, ContacEZ IRP diamond discs, and the Intensiv Ortho-Strips mechanized system.

Main Results:

  • All stripping methods resulted in some enamel roughness, with striations and grooves.
  • Mechanized oscillating files (Intensiv Ortho-Strips) produced more regular and less rough enamel surfaces compared to manual instruments.
  • Manual instruments led to rougher, more irregular surfaces, increasing the risk of carious and periodontal disease.

Conclusions:

  • Mechanized instruments, specifically oscillating files, offer a more comfortable and safer enamel stripping procedure.
  • These instruments appear to create a more regular and less detrimental surface condition for teeth and the periodontium.