INTERPROXIMAL WEAR DOES NOT INCREASE SUSCEPTIBILITY TO DENTAL CAVITY

Admin Dental Press

Edition V19N01 | Year 2014 | Editorial Orthodontics Highlights | Pages 2 to 4

Matheus Melo Pithon

During orthodontic treatment, interproximal wear is a procedure generally practiced by orthodontists. It is recommended for tooth size adjustment in case of Bolton discrepancy; obtaining space in the arch in borderline cases, being an alternative to tooth extractions; dental contours for elimination of black triangles; transformation of canines in lateral incisors when the latter are absent; among other clinical situations in which it is necessary. Despite its wide acceptance, doubts persist among patients and orthodontists. Would this procedure leave the tooth rougher and more susceptible to dental caries? In the search for an answer, German and Greek researchers developed a systematic review1 focusing on the evaluation of enamel roughness and its susceptibility to caries with and without interproximal wear. According to the authors, it was diicult to draw conclusions regarding roughness with and without interproximal wear because of the heterogeneity of the studies. As for susceptibility to caries, no scientiic evidences nor statistical diferences were found among the groups with and without interproximal wear. These results bring us comfort and enable us to convince patients when they are resistant to having this procedure performed.



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