IPR for Dummies – PDP045

Interproximal reduction (IPR) is a useful way to create space in Orthodontics, but it has to be performed carefully to make sure it looks good and is effective. If you are new to Orthodontics or have never performed IPR before - this episode is for you. I am joined by Dr Devaki Patel, specialist Orthodontist, to discuss IPR techniques and the nitty-gritty details and answer the questions you always wanted to ask about IPR...but never did! https://www.youtube.com/watch?v=v9dAcHtPiCU&ab Need to Read it? Check out the Full Episode Transcript below! GDP Orthodontics has boomed in the last 10 years. More and more of us are treating orthodontic cases and often this may be referred to as Short Term Orthodontics (STO), or Anterior Alignment Orthodontics (AAO). Protrusive Dental Pearl: If you view a ClinCheck or a similar 3D simulation, make sure that the initial bite/occlusion is set yup correctly. You will be surprised in how many cases this may be wrong and it has not been picked up! If you are starting out with Ortho cases, IPR may be something that worries you. You may have questions like: Which are the best strips? Are strips better than a bur?How should you hold/orientate your bur?How do you perform IPR when there is crowding?What are the secondary benefits of IPR?Should you place fluoride after, or is that overkill? A really great and helpful guide to IPR ipr-orthodontics-guide-dentistsDownload If you enjoyed this orthodontic episode, you may also enjoy my episode with Dr Almuzian on whether Class I molars are really that important? I appreciate you all listening - do subscribe on your preferred podcast platform so that you do not miss the latest episodes. Click below for full episode transcript: Opening Snippet: You know, 9 out of 10 patients, they'll come in saying, I don't like this. And like you said, as the teeth straightening, they spend so long looking at their teeth, they'll find other things that are like. So it's just always worth gathering this information at the beginning, you know, as much as you can. And so you can exceed the expectations rather than under deliver... Jaz's Introduction: Do you remember when you had to learn a new skill? Maybe in dentistry, you are learning a new technique, a new procedure? Maybe you were learning orthodontics? What were the things that you're most worried about back when you were starting out? Or maybe you're thinking about going into orthodontics? What is it that worries you? You know, for me at the beginning, I have to say IPR was a tricky subject, because it's not really the theory, because the theory makes sense. You know, you create some space, you move some teeth, the theories are fine. And we know evidence base suggests is pretty safe, if done well. And we'll talk about that in this episode. But it's more about the How to and How not to do it wrong. Because once you've seen the photos of when it has been done badly, then that's all haunts you. So when you're there doing your IPR, you're under doing it at the beginning, you're not doing, you're not creating enough space, and therefore you're not meeting your treatment objectives as fast enough. Or if your God forbid, removing it overzealously or your technique is such that it's leaving your teeth in a slightly suboptimal morphology. So these are all the considerations I was having when I was starting out IPR. So then I consulted some mentors and a principal who was very helpful in helping me to do the right techniques using the Bur. My principle taught me how to use it. And I'm very thankful for that. It can be a topic that can be of concern to some people, because we all want to do a fantastic job for our patients. And we all want to do it safely and effectively. So this episode will hopefully cover a lot of the nuances of interproximal reduction for orthodontics. And I hope it helps, I'm joined by Dr Devaki Patel, who is a specialist orthodontist.