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Interproximal reduction in orthodontics why where how much to remove

Even more conservatively, it is very common that Invisalign treatments are planned by the treating clinician to utilise a mere 0.2mm IPR at most interproximal sites which is typically a reduction of 0.1mm enamel per proximal surface What is interproximal reduction? Interproximal reduction is the mechanical removal of some of the outer tooth surface, called enamel, between teeth. It is possible to reduce the width of certain teeth by up to ½ mm. The space created by interdental reduction can then be used to straighten the teeth. Why do I need interproximal reduction Simply put it is the removal of interproximal enamel to reduce the mesial-distal size of teeth. Interproximal reduction became popular over the past years with the advent of bonding brackets on teeth which exposed the interproximal surfaces and created the option to gain space by modifying the enamel with slenderizing techniques Noar JH, et al. The Ethics of Interproximal Reduction. Pindoria J, et al. Inter-proximal enamel reduction in contemporary orthodontics. Proffit WR, et al. Contemporary Orthodontics. Chapter: Retention. Zachrisson B, et al. Dental health assessed more than 10 years after interproximal enamel reduction of mandibular anterior teeth

The term interproximal reduction (IPR)is used to describe the removal of minuscule amounts of tooth enamel, typically from the sides of the teeth that touch each other. Its purpose is to alleviate crowding or reshape the contact area between neighboring teeth Stripping is an orthodontic procedure that consists of reducing the size of the tooth to gain a minimum amount of space during orthodontic treatment. Stripping is a very common technique that is also known as interproximal enamel reduction (IPR) , although this method is not used in all cases of orthodontic treatments Your dentist or orthodontist will use a smoothing strip or handpiece to remove a small amount of enamel (0.2mm - 0.5mm) from between your teeth. With some other brands of aligners you may be told that you have 3.5mm of over tooth crowding on your lower teeth, you might be recommend 1mm of IPR (0.2mm removed between your 5 front teeth) to. Interproximal reduction is the mechanical removal of some of the outer tooth surface, called enamel, between teeth. It is possible to reduce the width of certain teeth by up to ½ mm. the space created by interdental reduction can then be used to straighten teeth

Interproximal Reduction (IPR)for Dummies - Oral Health Grou

Thanks to A2A Are you seeking an orthodontic treatment? Well, if your orthodontist chose one of the 2 options that is his/ her judgement. He/she will be the one to work on your case. For sure your dentist judgement will benefit the both you, less. Interproximal reduction (IPR) involves the selective removal of enamel proximally to create space for tooth Movement. 3. Stripping is commonly used in cases requiring additional space to align the teeth where there is moderate crowding and to correct tooth size discrepancies, as well Depending on a number of factors, we may be able to reduce or even eliminate black triangles. The simplest solution is called interproximal reduction (IPR). IPR is routinely performed in orthodontics and is a strategy to help resolve crowding. By taking a thin piece of sandpaper, it allows recontouring the sides of teeth, making them less. Interproximal reduction ( IPR) is the removal of small amounts of outer enamel tooth surface between two adjacent teeth. It is a mean to acquire additional space to create ideal tooth alignment. This orthodontic procedure is also known as stripping, slenderizing and reproximation

Interproximal reduction (IPR, teeth shaving) - A to Z

I'm a specialist orthodontist at lover and and Lawrence Orthodontics and today we're gonna be be talking to you interproximal reduction. What is it and why has your specialist orthodontist? recommended it for your particular type of situation? so let's jump straight into it interproximal reduction It may also be known 6. You might need interproximal reduction. As much as possible, dentists wouldn't like to remove good teeth just to provide room for the crooked ones to properly align with the others. That's the reason why interproximal reduction might be necessary

IPR gauges (such as the ones sold by ClearCorrect) are commonly used. Some dentists use the thickness of the IPR strip as a gauge, knowing that it is 0.1 mm thick. If you fold the strip over, it produces a thickness of 0.2 mm and one more fold results in 0.3 mm. Some dentists use the width of the disc in the same manner Invisalign is a great option for those who don't want to go with the traditional metal bracket and wire braces. Invisalign and Invisalign Teen is less painful and more convenient, making it easy to take out your treatment, in order to eat and brush your teeth, something that is absolutely impossible with traditional braces. It is still an orthodontic treatment, however, and to get the most. Indirect Bonding (IDB) is a method of applying orthodontic brackets to the teeth in a manner that an entire set of braces can be applied in less than one hour. Traditionally, braces are place on individual teeth, one at a time. Interproximal Reduction (IPR) IPR stands for interproximal reduction Interproximal reduction (IPR) is the conservative removal of some of the outer tooth surface, called enamel. Usually only about .1-.25mm of enamel, a miniscule amount, is removed on each surface. This technique has been used in orthodontics since the 1940s

Interproximal reduction (stripping) n Best to do majority before tooth movement in conjunction with incisal edge reshaping § Avoids over -expansion (round trip) § Eliminates difficult step of matching computer interproximal reduction § Requires night time clear retainer to maintain tooth position until Invisalign treatment begin January 20, 2016. Answer: IPR. In order to make room for the teeth to move (assuming they are crowded over the teeth are overly forward positioned), sanding or Interproximal Reduction (IPR) is needed to create some room to align the teeth. This technique is commonly used in both Invisalign and traditional orthodontic treatment with metal braces Enamel is a living tissue constantly subjected to wear and tear, interproximal abrasion in the contact area,20, 23 and remineralization from saliva. 24 This explains why enamel surfaces in adolescent, adult, and elderly patients have completely different SEM appearances.23, 25, 26 The term untouched or untreated enamel in any study.

Interproximal reduction and orthodontics treatment

  1. imum harmful effects 24-27, 28-32 from interproximal enamel reduction; and it would have offered much better occlusion and a quicker, less traumatic conclusion
  2. Interproximal Reduction (IPR) When used for IPR during orthodontic procedures, use QwikStrip™ Single-Sided, Curved, and Double-Sided Abrasive Strips. For spaces from .07mm to .2mm, use the Single-Sided QwikStrip™ Abrasive Strips (straight or curved); For spaces from .2mm up to .5mm, use the Double-Sided QwikStrip™ Abrasive Strips
  3. Permanent retainers cost from $150 to $500 for one, and you can double that for a set. The cost is the same if you need to get your lingual retainer removed, replaced or fixed. If your retainer breaks you should see your orthodontist and find out whether they advise its removal or replacement
  4. If your teeth are straight, but none of your teeth on the right side are in contact, it may seem that your orthodontist treatment is not done. Go back to your orthodontist and ask him if your case will finish like this or more time needs for fi..
  5. IPR stands for interproximal reduction and involves removing small amounts of your tooth enamel to make your teeth narrower. With some cases of crooked or crowded teeth, it is necessary to create the space required to fix issues with your bite and straighten your teeth. It can also remove the need to take teeth out where there is overcrowding.

Interproximal enamel reduction (IER): is understood to be the clinical act of removing part of the dental enamel from the interproximal contact area www.indiandentalacademy.com 3. The aim of this reduction is to create space for orthodontic treatment and to give teeth a suitable shape whenever problems of shape or size require attention www. - the father of modern orthodontics the establishment of normal occlusion of the teeth should be the highest aim of the orthodontist - believed in a NON-EXTRACTION treatment philosophy (similar to the Damon system today) - he developed the first prefabricated orthodontic appliance - his classification of malocclusion was created in the 1890 How do orthodontic treatments work together with IPR (interproximal reduction) to address dental crowding problems? 467 Views. Health A-Z. Coronavirus Disease 2019 Acne & Scars Aesthetic Medicine Children's Health Deep Brain Stimulation. Show more. Ask a Question Standard metal braces can cost anywhere from $2,500 to $7,500, and if you opt for ceramic (clear in color and more discreet) or lingual (brackets attach to the backs of your teeth for lower visibility), you can tack another $1,000 or so on to that price.. For many adults and older teens, the first choice is Invisalign because it can treat up to 90% of orthodontic cases and because they aren't.

6. You might need interproximal reduction. As much as possible, dentists wouldn't like to remove good teeth just to provide room for the crooked ones to properly align with the others. That's the reason why interproximal reduction might be necessary Interproximal Reduction, known as IPR, is a quick and easy procedure that changes the size or shape of the teeth. The tooth enamel is slightly reduced to create space between the teeth. This allows the orthodontic treatment to be successful in producing the best possible smile -interproximal reduction-space maintenance. interproximal reduction-removal of interproximal enamel-can be performed anteriorly, posteriorly and both-has been show NOT to crease increased caries or periodontal disease how much?-50% of interproximal enamel can be removed orthodontic treatment does not cure nor cause TMJ problems. IPR or Interproximal Reduction is an additional procedure that may be required in some cases of orthodontic treatment. If your teeth are crowded and there's not enough space for tooth movement, your dentist may need to remove a small amount of enamel from between certain teeth at various stages of Invisalign treatment Introduction: Interproximal reduction (IPR), slenderization, or reproximation is utilized in orthodontic treatment to gain space to relieve mild-to-moderate dental crowding and to adjust from the Bolton Discrepancy [1]. IPR is the mechanical removal and recontouring of interproximal enamel surfaces

Tooth Stripping and Orthodontics【What, When, How

Interproximal Stripping Reciprocating Kit is a safe, precise, and reliable method to achieve an accurate interproximal strip.. In addition, orthodontic use is for anatomic shaping and stripping of interproximal contacts for teeth that are rotated and will be orthodontically aligned.. The Reciprocating movement of 1.6mm makes 4:1 Reduction Handpiece the most practical solution in most cases Palatal expansion is a procedure using a palatal expanding device by orthodontists to widen the upper jaw so that the bottom and upper teeth will fit together perfectly. This is a common orthodontic problem procedure. More details can be read online on Wikipedia. A major benefit of receiving orthodontic treatment in childhood is that it's. 1.4 Interproximal Enamel Reduction • Indications and Contraindications • Steps Involved in Interproximal Reduction • Techniques for Enamel Reduction 1.5 Derotation of Posterior Teeth 1.6 Uprighting of Tilted Posterior Teeth 1.7 Proclination of Anterior Teeth 1.8 Arch Expansion 1.9 Molar Distalization • Upper Molar Positio

The double-sided strips (which come in all the grits) are particularly well-suited for IPR (interproximal reduction) for Six Month Smiles short term orthodontic cases. For those doing ortho, the strips range in thickness from .15-mm (fine) to .40-mm (extra coarse). I really like this product for IPR Interproximal reduction removes a fraction of a millimeter of enamel to create sufficient space between your teeth. The spaces will help to move your teeth to their desired position or alignment. After preparing your teeth, the dentist will then provide you with detailed instructions on how to use and take care of your clear aligners before. While interproximal reduction is common when doing Invisalign, this is normally discussed in advance of treatment. Patients often feel that ANY removal of tooth structure is extreme, it is likely that very little has been removed. The space should close up as treatment progresses IPR (otherwise known as interproximal reduction) is a classic dental technique used commonly by orthodontists and dental professionals since the 1940s ( source) as a way to help achieve treatment goals. Just to confuse you, it's also known as 'interdental enamel reduction', 'selective enamel reduction,' and 'enamel reproximation. Optimal oral hygiene is always a struggle with orthodontic appliances or braces. They braces make it much more difficult to access the areas of the tooth adjacent to the gums. This can result in plaque accumulation which in turn can lead to gingival inflammation and even decalcification or white spots on the teeth

Interproximal reduction is the technique of using a sanding disk in between some of the teeth to make the teeth slightly narrower. Typically, this reduced the width of the teeth by a few tenths of a millimeter per contact. This reduction stays well within the enamel of the teeth and patients do not have any sensitivity afterwards In all, this could take from six months to 1-1/2 years, depending on the severity of your condition. You might also need an interproximal reduction which removes teeth enamel to ensure you have enough space. Excessive crowding may require additional procedures before braces or Invisalign treatments can begin

Lingual braces. Because lingual braces are on the inside of the teeth, they can be more difficult to clean effectively with regular brushing and flossing. Problems removing plaque. If you find that you are brushing and flossing regularly, but still have plaque build-up around your braces, give water flossing a try

Braces. Dental braces can be used to correct a variety of mouth concerns like too much/too little spacing in between teeth, overjet teeth, under/overbites, and jaw issues. However, their main purpose is to correct unaligned teeth and improve the appearance of your smile. It is common to wear braces for between two and four years Interproximal reduction (IPR) (also called interproximal enamel reduction / slendering, air rotor stripping (ARS) or reproximation) is the practice of mechanically removing enamel from between the teeth to achieve orthodontic ends, such as to correct crowding, or reshape the contact area between neighboring teeth Interproximal reduction - IPR, also known as interproximal enamel reduction, air rotor stripping or reproximation or slendering is an orthodontic practice that implies to mechanically remove small layers of enamel from between the teeth to create supplementary space. This intervention is usually done to help create the necessary space for teeth. 1) Wear your aligners full time. With any good habit, it takes time to adopt and adjust to changes in your daily routine. Fortunately, many of our patients tell us that after only a week or two of full-time wear, they are actually more comfortable with the aligners in than out. Full-time wear means wearing your aligners for at least 22 hours a day Unlike braces, you can remove the braces to eat and drink so food won't get trapped under the wires and brackets. They're easy to remove and clean and less time is needed for dental appointments. The meaning of Invisalign IPR is 'interproximal reduction'

That's why you have special toothbrushes, flosses, and interproximal brushes to get rid of food particles that stick around after you eat. And, while any food can get caught in your braces, sugared gum, because it is so sticky, can stick to appliances much more easily and much more thoroughly than even sugar-free gum Miller Orthodontics > NEWS / BLOG > News Accolades > Accelerated Teen Invisalign™ and Clear Braces to Straighten Teeth on Teens and Adults Posted on January 22, 2015 May 21, 2021 If you want to learn more about accelerated teen Invisalign™ and clear braces in Park City, this is the place to be Intended Use/Discipline: Interproximal Reduction, IPR, Orthodontics, Dentistry. Disk Diameter: Ø22mm. ContactEZ SupraDisc is a diamond disc that are used for interproximal reduction. The disc uniqueness lies in the special technology of its coating with diamond particles. It leaves the edges of the disk uncoated and non-abrasive

IPR: why you won't need it with these clear aligner

discuss the goals of interdisciplinary orthodontic treatment. understand why some orthodontists do not share the same goals as comprehensive restorative dentists. In cases with dark triangles, the contact points can be lengthened by interproximal reduction, followed by space closure. Removal of teeth in the appropriate patient allows. Besides often being the least expensive of the bracketing options, treatment with metal braces does not require the discipline of having to wear and maintain an aligner as you would with the Invisalign treatment and may allow you to minimize potential tooth stripping (interproximal reduction) that can be needed with Sacramento Invisalign. Tubal factors have been reported to account for 25% to 30% cases of infertility. [6]Partial or complete occlusion of fallopian tubes is one of the major etiological factors in infertility. 6.2 In the present study, 60 cases attending Gyneac OPD in Department of Obstetrics & Gynaecology at Base Hospital were studied Interproximal Disking (Interproximal Reduction) Removal of a small amount of enamel (typically 0.1 to 0.4mm) between the teeth to create room to straighten teeth or to correct the bite. Enamel is typically approximately 2 mm thick on teeth and removal of a small amount of this enamel will not weaken the tooth, make it prone to cavities or make.

A Guide on Interproximal Reduction in Invisalign Ascent

The term interproximal reduction (IPR)is used to describe the removal of minuscule amounts of tooth enamel,... The Goals of Orthodontic treatment Upper and lower teeth are meant to fit in a certain way with their counterparts in the opposite jaw. The.. An interproximal reduction is commonly referred to as teeth shaving. This procedure often becomes necessary for individuals with overcrowded teeth. This generally eliminates the need for the orthodontist to remove any teeth. When the orthodontist believes there may be an overcrowding issue, an X-ray is used to measure all of the teeth. This. Also known as tooth stripping, interproximal reduction or IPR involves removing small amounts of outer enamel tooth surface between two adjacent tooth. This technique may be beneficial when you need to get rid of a small amount of crowding and it's not a good idea to remove your adult teeth or expand your dental arches

This procedure goes by many names: enamel stripping; interproximal reduction; slenderizing; reproximation and selective reduction. The goal is to remove some of the outer tooth surface (enamel) to acquire more space for your teeth. The procedure has been used in orthodontic treatment since the 1940s and has been shown to be safe and effective The importance of plaque removal for the prevention of dental and systemic disease is becoming better understood by the general community. However, daily habits such as interproximal plaque removal have yet to be established by many people. Effective removal and disruption of plaque within the oral cavity is not achieved by simply brushing Because periodontal diseases more frequently affect interproximal areas, interdental mechanical plaque removal is necessary for most patients. Dental floss is the most common means of interdental cleaning, although a much smaller proportion of the population use floss compared with brushing. 39 Other devices for interdental cleaning are. In the illustrated case it was felt that interproximal polishing offered the better choice because of the larger than optimal posterior overjet the removal of an incisor would produce. Once a decision is made regarding the diagnosis and treatment plan, the orthodontist can implement this plan with a high level of confidence ( Fig. 16 )

b. Consider whether extractions or interproximal reduction may be indicated to upright mandibular incisors where proclination is excessive. 2. Consider skeletal maturation and growth potential of the patient. In non-growing patients, dental alveolar treatment effects should be expected. Chapter Adam explains Interproximal Reduction; smoothing between the teeth. Adam: Something that we talked about was smoothing between the teeth. When you've got crooked teeth, there's not enough room for all the teeth to fit in, so you do a bit of smoothing between them (The clinical term is IPR which is short for Interproximal reduction) Interproximal reduction (IPR), also known as tooth stripping, is a procedure that is sometimes undertaken as part of the Invisalign treatment process, which is a well-known form of invisible braces. This is because in some cases there is not enough space available to move teeth into the desired position when using Invisalign, and so instead of. Remember to remove the plaque from the sides of the teeth, not to attack the gums. If flossing does not work, then I refer my patients to a periodontist to address the gum problems (they are dentistry's gum specialists). You can ask your orthodontist if Interproximal Reduction will help.-Dr. V. Reply. Anonymous

Interproximal reduction (IPR) Although it's much rarer than other orthodontic treatments, orthognathic surgery can be used as a last resort for some patients. Traditional whitening pastes are more abrasive than necessary, and their stain removal can leave your teeth unevenly white during orthodontic treatment You can also use this system for performing interproximal reduction in conjunction with traditional orthodontics or Invisalign. One feature that sets FitStrip apart from other products is the optional handle that improves access to difficult-to-reach areas If the uppers are slanted like this -- \ -- too much or the lowers like this -- / -- too much, then the only way to get them back is to either remove teeth behind them (ick) or do some of the interproximal reduction (sandpaper between the teeth) to allow them to be leaned in. The angles of \ and / are actually about the correct angle

Intrproximal reduction as part of orthodontic treatmen

Lingual braces are like regular braces except they are attached to the inside of the teeth. They are good at closing openbites, but they are not as good at closing spaces. They would do a reasonable job of closing the tiny spaces created by interproximal reduction, but you should not plan on your profile changing much by closing those small spaces Welcome to PureSmile Orthodontics and Dentistry in Shanghai PureSmile provides exemplary dental care and treatment in a comfortable and friendly environment. Combining the highest level of clinical training with the most advanced dental and orthodontic technology, we are committed to distinctive dentistry for you and your family. We keep up to date with recent technological

Interproximal reduction consists of removing a very thin layer of the tooth's enamel. Find out more If you have wondered why more adults are turning to orthodontic procedures and feel treatment could be beneficial for you, book in for a consultation at Revitalise today Keep in mind, if the bite is okay in the back and just the front teeth are crowded, braces on the top teeth only will create an overbite. Sometimes we can lessen this upper arch flaring by reducing the size of the upper teeth with what is known as air rotor stripping (ARS) or interproximal reduction (IPR). Be aware that not everyone is a good. What is IPR (interproximal reduction)? To create space we will need to remove some enamel between your teeth with a small disc. This does not hurt. Typically we remove between 0.1 and 0.5 mm in selected areas. Not everyone needs IPR and not every tooth needs IPR. Pregnancy and Dental Health. Why are my gums bleeding more now that I am pregnant That's why we recommend brushing for two minutes at least twice a day, and flossing at least once a day. When you wear braces or aligners, brushing more often is a good idea. Food collecting around braces or inside aligners is a feast for plaque! Ask Drs. Cassinelli and Shanker for suggestions for your best brushing schedule

Orthodontic therapy. is a wonderful career. Sara Mohammed Saed, Simon J. Littlewood and Trevor Hodge describe the background to the introduction of orthodontic therapists and explain why this is a. That's why you have special toothbrushes, flosses, and interproximal brushes to get rid of food particles that stick around after you eat. And, while any food can get caught in your braces, sugared gum, because it is so sticky, can stick to appliances much more easily and much more thoroughly than even sugar-free gum

Interproximal enamel reduction can be done at anytime, before, during or after braces. Also, space creation with braces is done in a variety of ways. We can expand the bone with the arch wire and auxillaries, like compressing an open coil spring. So interproximal reduction is not the only way space is created According to Carestream Dental, what makes this latest version of CS Model+ unique is its ability to automate much of the case, reducing manual input from the clinician. For example, if interproximal reduction (IPR) below 0.2 mm per side is indicated at the beginning of treatment, the software automatically manages the first step Interproximal Reduction Removal of a small amount of enamel from the sides of a tooth, used to gain space to relieve crowding or to compensate for a tooth size/arch size discrepancy. Reproximation and interproximal enamelplasty are synonymous terms that refer to the same procedure as reproximation

Interproximal Reduction; Tooth Stripping Slenderize

August 17, 2020. August 13, 2020 by Agustin Drubi. Whether you're new to Invisalign teeth aligners or you've already had experience with a good old-fashioned set of braces, you'll be happy to know that yes, you can drink any sort of liquid you'd normally drink. That said, there are some considerations you should keep in mind (Interproximal reduction) is also known as filing, sanding, slenderization, and enameloplasty. Whatever the name, it refers to the reduction of tooth enamel from the interproximal surfaces of the teeth to create sufficient space for tooth movement and/or to aid in the removal of black triangles at the gumline One of the many benefits of your clear aligners is that you can remove them to eat. You should brush after every meal, just like you would with traditional braces, but cleaning your teeth is much easier without having to work around and between brackets and wires

How to Remove Braces at Home and Why You Shouldn't Do I

Patients are finding that braces are more affordable today than ever. The cost of orthodontic treatment will depend on many factors, including the severity of the problem, its complexity and the length of treatment. Your orthodontist will be glad to discuss the cost with you before treatment begins Digital scanners Interproximal reduction Brackets and wires 2. Contact us on 0800 032 7970. 6. 14 16. Elastics 18. Whitening 24. General Orthodontics Composite bonding Anthos A5 Ortho dental chair. During your initial exam, Dr. Durbin will discuss the cost of Acceledent and/or VPro5 and determine how long you will need to wear Invisalign. Attachments and IPR (interproximal reduction polishing/smoothing) technologies are a key to best practices treatment results This avoids the need to remove gum and bone tissue coverage which would: 1) expose adjacent teeth as well; 2) create a taller crown, and less favourable crown to root ratio. Improving Periodontal Health Through Orthodontics. 10. dayanorthodontics.com Fractured tooth has little sound tooth exposed outside the alveolar bone Trusted Orthodontics serving Bethesda, MD. Contact us at 301-463-7076 or visit us at 4405 East West Highway, Suite 102c, Bethesda, MD 20814: Embassy Row Orthodontics

What is a better option, interproximal enamel reduction or

Orthodontics for Adults. Why Orthodontics? FAQ. What is orthodontics? What are Orthodontists? What is an Orthodontic Therapist? Who can carry out orthodontic treatment? What should I expect from my Orthodontist or Dentist? What happens at the first appointment? What does orthodontic treatment cost? Can I have treatment within the NHS as an adult Orthodontic headgear is a type of orthodontic appliance typically attached to the patient's head with a strap or number of straps around the patient's head or neck. From this, a force is transferred to the mouth/jaw(s) of the subject. Headgear is used to correct bite and support proper jaw alignment and growth This technique called interproximal reduction, is well documented in the literature, many long term studies show it is beneficial for long term periodontal or gum health. Feel free to ask Dr. Miller for a copy of these studies or a more detailed explanation

interproximal reduction of enamel as part of orthodontic

Fixed orthodontic appliances such as brackets and arch wires tend to be much more effective for younger patients. Invisalign aligners are fabricated to meet each patient's individual needs. Each progressive aligner in the series relies upon the patient to dutifully wear the previous aligner for the prescribed length of time, which typically. Definition. IPR stands for interproximal reduction. It is the process of creating very small amounts of space between pairs of teeth in order to allow the teeth to move as needed during treatment. A pink triangle on the treatment plan represents IPR, or interproximal reduction The handling of the gauges is safe and easy. Can be sterilized with dry heat, steam heat, or chemiclave. 50 Morelli NiTi Dental Orthodontic Reverse Curve Spee Archwire. 012 Upper. We believe that service speed is very important Interproximal reduction, or IPR, is essentially the process of lightly sanding the sides of specific teeth down by 1/10 of a millimeter at a time to create a little extra room around the tooth. It is only carried out in rare cases and it's not noticeable or painful, you won't even need to be numb Orthodontic Correction Lower Crowding Time Lapse Video. This video shows the treatment results on a patient that had significant crowding of the lower teeth, with a blocked out lower canine. The orthodontic treatment was done with braces on the upper and lower teeth. The results were achieved without the removal (extraction) of any teeth