In orthodontic treatment with dental aligners, stripping (or interproximal reduction) is a crucial technique for creating space without extracting teeth. creating space without extracting teeth. This method removes a thin layer of enamel between the teeth, enabling better alignment.
For practitioners wishing to offer dental aligners to their patients, it is essential to master the instruments and the stripping protocol for these treatments. Voici un guide détaillé pour vous aider à intégrer cette pratique dans votre cabinet.
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Which stripping instruments should be used for aligners?
To achieve effective and precise stripping, it’s crucial to have the right instruments. Here is an overview of the main tools used for this technique, each with specific applications depending on the areas treated and the degree of precision required:
The stripping cutter
Mainly used in the posterior areaThe stripping burr is used to remove a precise amount of enamel. Diamond burs are often preferred for their efficiency and precision.
The manual abrasive strip
Ideal for freeing contact points between teeth, especially in anterior areas. Hand-held, this strip offers a perfect greater control and is less invasive.
Strip on contra-angle
This motorized device facilitates the stripping process, especially in hard-to-reach areas. hard-to-reach areas. Il combine la précision du strip manuel avec la puissance d’un instrument motorisé.
The stripping disc
Effective for larger areas of enamel to be removedThe stripping disc is particularly useful in cases requiring significant enamel reduction.
What are the stripping protocols for successful alignment treatments?
The dental stripping procedure is a delicate process that requires precision and care. Here are the key steps for safe and effective dental stripping in aligner treatment.
1. Initial assessment
Before beginning the stripping procedure, it is essential to carry out a complete dental dental examination. This includes a thorough assessment of occlusion, crowding and enamel health, to determine whether the patient is a good candidate for stripping.
In addition radiographs are often required to assess enamel thickness and proximity to tooth roots. These images ensure that stripping can be carried out safely, avoiding the risk of complications.
Finally, based on the results of the examination and X-rays, a detailed treatment plan is drawn up. Ce plan définit avec précision les dents à traiter et la quantité d’émail à enlever, assurant ainsi une approche ciblée et efficace pour optimiser les résultats du traitement.
2. Stripping
To ensure effective pain management during dental stripping, it’s important to note that, although this procedure is generally painless, some patients may experience sensitivity. For example, gentle techniques are recommended and, if necessary, local anesthetics to improve their comfort. In addition, explaining the procedure in detail can help reduce their anxiety.
Next, the selection of the appropriate technique will depend on the treatment plan. You can choose between stripping burs, manual abrasive strips or discs, depending on your specific needs. For example, it is advisable to start by freeing the contact point with a manual strip, then use the milling cutter for the posterior area and abrasive strips for the anterior area.
What’s more, the technique must be applied gradually to avoid damage. By removing the enamel and regularly checking the space created, risks are minimized. At the same time, the use of thickness gauges makes it possible to precisely control the space between teethensuring that enamel removal is adequate without excess.
3. Finishing and polishing
After stripping, it is crucial to smooth tooth surfaces to avoid tongue and cheek irritation, and to prevent plaque build-up. This step is essential to ensure patient comfort, reducing the risk of post-procedure discomfort.
A final polish is then applied to restore the enamel’s smooth surface and minimize the risk of cavities. Polishing not only helps protect freshly exposed enamel, but also maintains good oral health after stripping, facilitating effective cleaning and limiting the risk of complications.
Dental stripping: when not to use it?
Although dental stripping is a safe technique when applied correctly, there are certain situations in which it is not recommended:
- Low enamel thickness In patients with reduced enamel thickness, stripping may increase the risk of tooth sensitivity and caries. It is essential to assess enamel thickness before proceeding with this technique to avoid potential complications.
- Advanced periodontal disease Patients with severe periodontal disease and significant bone loss are generally not good candidates for dental stripping. Interproximal reduction can worsen the periodontal condition by reducing already compromised bone support.
- Severe dental anomalies In cases of severe dental malformations or severe misalignments, other treatment methods, such as extractions or fixed braces, may be more appropriate. Stripping may not be sufficient to correct these complex anomalies.
- Poor oral hygiene Patients with poor oral hygiene may be at increased risk of post-stripping complications such as caries or tooth sensitivity. Ensuring that patients have good oral hygiene before stripping is crucial to minimizing these risks.
To conclude
Stripping is an essential technique in dental aligner treatment. Mastery of the various instruments and adherence to a precise protocol will ensure effective, safe treatment for your patients. En intégrant ces pratiques dans votre cabinet, vous pourrez offrir des solutions orthodontiques de qualité, répondant aux besoins spécifiques de chaque patient.
Don’t forget to continue training and keep up to date with the latest advances in the field to ensure the best possible results. We offer free training courses for our partner dentists to help them master the latest techniques and continually improve their skills.
