Stripping - Reduction of Dental Enamel
“Stripping” is a jargon expression and refers to the reduction of dental enamel between the teeth.
Physicians call this an AER (approximal enamel reduction). Why is the dental enamel reduced in the first place? Well, there are multiple reasons. For example, in cases of malocclusions, a slight lack of space can be solved, which positively influences the shape of the gingival papilla so that tooth movements are accelerated within the course of orthodontic treatment with a retainer.
In an AER, the dental enamel is removed with an emery element. In the video "Stripping", you see removal with polishing strips or with mechanically driven polishing disks.
In the beginning, one always starts with very rough polishing elements, as this results in optimal removal of the enamel and very little heat development. Then one should always use the finer polishing elements, because rough enamel is more vulnerable to caries; thus, smoothing it is extremely important. The loss of the dental enamel may make the tooth more vulnerable to caries. This is why very little should be taken off and why the reason for removal should be given careful consideration.
In therapy with aligners – more on that in the video titled "Tooth Aligner", there is often a lot of stripping done in a very careless manner. Although this does lead to tooth movements, the price is unfortunately dental health. But it’s not just the tooth that can be damaged by excessive stripping.
If too much of the approximal enamel (that is, the enamel between the teeth) is removed, the teeth move so close to one another that no space remains for the bone. The consequence is the recession of the bone; you may notice bleeding of the gums, and, after a number of months/years, the tooth becomes loose.
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