References

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The ethics of interproximal reduction

From Volume 42, Issue 10, December 2015 | Pages 922-924

Authors

Joseph H Noar

BDS, MSc, FDS RCSEd, FDS RCSEng, DOrth RCSEng, MOrth RCSEng, FHEA

Consultant/Hon Senior Lecturer, Orthodontic Unit, Division of Craniofacial and Development Sciences, Eastman Dental Hospital/Institute, 256 Gray's Inn Road, London WC1X 8LD, UK

Articles by Joseph H Noar

Louise C Kneafsey

BDS, MFDS(Ed), MSc(Lon), MOrth RCS(Eng), FDS RCS(Eng)

Senior Specialist Registrar Orthodontics, Orthodontic Unit, Division of Craniofacial and Development Sciences, Eastman Dental Hospital/Institute, 256 Gray's Inn Road, London WC1X 8LD, UK

Articles by Louise C Kneafsey

Abstract

Interproximal reduction (IPR) has become particularly popular with the use of removable aligners. Clinical and ethical factors concerning the use of interproximal reduction to facilitate orthodontic alignment are discussed.

CPD/Clinical Relevance: An understanding of the aetiological factors of a malocclusion is essential to enable full discussion of the risks and benefits, or the alternatives to IPR.

Article

Are you performing Interproximal Reduction (IPR)? Can you answer the following questions?:

Andrews 6 Keys: The significant characteristics shared by all of the non-orthodontic normals are as follows:

Ethics involves the application of a moral code to your clinical practice. Each patient has the right to choose his or her treatment. If you are providing the treatment you must completely understand the aetiological factors of the malocclusion so that you can fully discuss the risks and benefits, or the alternatives to it – if not, are you truly providing ethical treatment?

Sheridan1 first formally described interdental stripping, although it had been employed in orthodontics for many years. It is also known as interproximal reduction, stripping, slenderizing, selective enamel reduction, interdental enamel reduction or enamel reproximation. It is the mechanical removal of interproximal enamel that reduces the mesio-distal width of a tooth. It has become particularly popular recently, with the burgeoning use of removable aligners.

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