Effect of Interdental Enamel Reduction on Clinical Attachment Loss, Bleeding on Probing, and Incidence of Caries in Treating Class I Malocclusion Cases: A Retrospective Cohort Study

Overview

Journal Cureus

Specialty Biomedical Engineering

Date 2023 Mar 20

PMID 36938231

Authors

Majid Shalchi

Naghmeh Abdollahi

Elaheh Shafiei Haghshenas

Samar Khabbaz

Pooya Olyaee

Affiliations

Soon will be listed here.

Abstract

Introduction Interdental Enamel Reduction (IER) is a clinical procedure that reduces the mesiodistal size of permanent teeth by enamel removal and anatomical re-contouring. The aim of this study was to investigate the effect of IER on patients' gingival health status, including clinical attachment loss (CAL) and bleeding on probing (BOP). Furthermore, in this study, the incidence of caries after IER with or without fluoride therapy was evaluated. Methods In this retrospective cohort study, 90 patients who had started and completed their orthodontic treatment within the past two years were divided into three groups as follows: In group 1, patients had received interproximal stripping on their anterior mandibular teeth. Patients in group 2 had also received interproximal stripping on their mandibular anterior teeth and topical fluoride had been applied after IER. Patients in group 3 had only received orthodontic treatment without any interproximal stripping. Then, patients were examined for CAL, BOP, and incidence of caries. Results CAL for patients in the IER and control groups were 2.06±0.18 and 2.08±0.16, respectively. Also, BOP for patients in the IER and control groups were 3.01±0.14 and 3.05±0.19, respectively. Incidences of caries, BOP, and CAL were not significantly different between the group of patients who received IER and the control group (P>0.05). Moreover, the incidence of caries was not significantly different between the patients who received topical fluoride after IER and those who did not receive fluoride (P=0.999). Conclusion Interproximal stripping of mandibular anterior teeth before orthodontic treatment does not significantly increase the incidence of caries, BOP, and CAL. Moreover, the application of topical fluoride after IER has no significant effect on the incidence of caries.

Citing Articles

The Role of Interproximal Reduction (IPR) in Clear Aligner Therapy: A Critical Analysis of Indications, Techniques, and Outcomes.

Dahhas F, Almutairi N, Almutairi R, Alshamrani H, Alshyai H, Almazyad R Cureus. 2024; 16(3):e56644.

PMID: 38646346 PMC: 11032144. DOI: 10.7759/cureus.56644.

References

Arman A, Cehreli S, Ozel E, Arhun N, Cetinsahin A, Soyman M . Qualitative and quantitative evaluation of enamel after various stripping methods. Am J Orthod Dentofacial Orthop. 2006; 130(2):131.e7-14. DOI: 10.1016/j.ajodo.2006.01.021. View

ROGERS G, Wagner M . Protection of stripped enamel surfaces with topical fluoride applications. Am J Orthod. 1969; 56(6):551-9. DOI: 10.1016/0002-9416(69)90191-2. View

Sathe N, Chakradhar Raju R, Chandrasekhar V . Effect of three different remineralizing agents on enamel caries formation--an in vitro study. Kathmandu Univ Med J (KUMJ). 2014; 12(45):16-20. DOI: 10.3126/kumj.v12i1.13627. View

Peng Y, Qian Z, Ting Z, Jie F, Xiaomei X, Li M . The effect of resin infiltration vs. fluoride varnish in enhancing enamel surface conditions after interproximal reduction. Dent Mater J. 2016; 35(5):756-761. DOI: 10.4012/dmj.2015-398. View

Shalchi M, Mahdavi Roshan M, Imani M, Aghajani R, Khabbaz S, Shafiei Haghshenas E . Evaluation of Pain, Dietary Intake, Body Mass Index, and Periodontal Status in Patients Undergoing Fixed Orthodontic Treatment With Bite Raiser. Cureus. 2023; 14(12):e32800. PMC: 9859663. DOI: 10.7759/cureus.32800. View

Zachrisson B . Actual damage to teeth and periodontal tissues with mesiodistal enamel reduction ("stripping"). World J Orthod. 2004; 5(2):178-83. View

Gugnani N, Pandit I, Srivastava N, Gupta M, Sharma M . International Caries Detection and Assessment System (ICDAS): A New Concept. Int J Clin Pediatr Dent. 2016; 4(2):93-100. PMC: 5030492. DOI: 10.5005/jp-journals-10005-1089. View

Ben Mohimd H, Kaaouara Y, Azaroual F, Zaoui F, Bahije L, Benyahia H . Enamel protection after stripping procedures: An in vivo study. Int Orthod. 2019; 17(2):243-248. DOI: 10.1016/j.ortho.2019.03.007. View

Lapenaite E, Lopatiene K . Interproximal enamel reduction as a part of orthodontic treatment. Stomatologija. 2014; 16(1):19-24. View

10.

Grippaudo C, Cancellieri D, Grecolini M, Deli R . Comparison between different interdental stripping methods and evaluation of abrasive strips: SEM analysis. Prog Orthod. 2010; 11(2):127-37. DOI: 10.1016/j.pio.2010.08.001. View

11.

Al-Ibrahim H, Hajeer M, Alkhouri I, Zinah E . Leveling and alignment time and the periodontal status in patients with severe upper crowding treated by corticotomy-assisted self-ligating brackets in comparison with conventional or self-ligating brackets only: a 3-arm randomized controlled.... J World Fed Orthod. 2021; 11(1):3-11. DOI: 10.1016/j.ejwf.2021.09.002. View

12.

Livas C, Jongsma A, Ren Y . Enamel reduction techniques in orthodontics: a literature review. Open Dent J. 2013; 7:146-51. PMC: 3831306. DOI: 10.2174/1874210601307010146. View

13.

Zachrisson B, Nyoygaard L, Mobarak K . Dental health assessed more than 10 years after interproximal enamel reduction of mandibular anterior teeth. Am J Orthod Dentofacial Orthop. 2007; 131(2):162-9. DOI: 10.1016/j.ajodo.2006.10.001. View

14.

Rossouw P, Tortorella A . Enamel reduction procedures in orthodontic treatment. J Can Dent Assoc. 2003; 69(6):378-83. View

15.

Koretsi V, Chatzigianni A, Sidiropoulou S . Enamel roughness and incidence of caries after interproximal enamel reduction: a systematic review. Orthod Craniofac Res. 2013; 17(1):1-13. DOI: 10.1111/ocr.12030. View

16.

Pindoria J, Fleming P, Sharma P . Inter-proximal enamel reduction in contemporary orthodontics. Br Dent J. 2016; 221(12):757-763. DOI: 10.1038/sj.bdj.2016.945. View

17.

Zachrisson B . Interdental papilla reconstruction in adult orthodontics. World J Orthod. 2004; 5(1):67-73. View

18.

Danesh G, Hellak A, Lippold C, Ziebura T, Schafer E . Enamel surfaces following interproximal reduction with different methods. Angle Orthod. 2007; 77(6):1004-10. DOI: 10.2319/041806-165.1. View

19.

Rodriguez Franco N, Moral de la Rubia J, Alcazar Pizana A . Predictive Model of Clinical Attachment Loss and Oral Health-Related Quality of Life through Depressive Symptomatology, Oral Hygiene Habits, and Proinflammatory Biomarkers: A Pilot Study. Dent J (Basel). 2020; 8(1). PMC: 7148471. DOI: 10.3390/dj8010020. View

20.

Zachrisson B, Minster L, Ogaard B, Birkhed D . Dental health assessed after interproximal enamel reduction: caries risk in posterior teeth. Am J Orthod Dentofacial Orthop. 2011; 139(1):90-8. DOI: 10.1016/j.ajodo.2010.09.002. View