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| CLINICAL INNOVATION |
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| Year : 2013 | Volume
: 4
| Issue : 1 | Page : 26-27 |
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A simple wire design to protect the gums during inter-proximal stripping
KC Prabhat1, Sandhya Maheshwari1, Sanjeev Kumar Verma1, Kusum Bharti2
1 Department of Orthodontics and Dental Anatomy, Aligarh Muslim University, Aligarh, India
2 Department of Pedodontics and Preventive Dentistry, CSM Medical University, Lucknow, India
| Date of Web Publication | 6-Apr-2013 |
Correspondence Address:
K C Prabhat
Department of Orthodontics and Dental Anatomy, Aligarh Muslim University, Aligarh
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/2155-8213.110178
Introduction: Protection of gingiva during the inter-proximal reduction (IPR) is very essential and it is one of the most difficult tasks during IPR. Clinical Innovation: Present innovation discusses the chair-side construction of a simple wire design and its clinical use to prevent the gingival trauma during IPR. Discussion: During the IPR interproximal, gingiva should be protected by an indicator device. This wire design protects the gingiva from interproximal strips or burs during IPR. It has advantages of ease of use and can be sterilize for reuse. Keywords: Air-rotor striping, inter proximal reduction, simple wire design
How to cite this article:
Prabhat K C, Maheshwari S, Verma SK, Bharti K. A simple wire design to protect the gums during inter-proximal stripping. Dent Hypotheses 2013;4:26-7 |
| Introduction | |  |
Inter-proximal reduction (IPR) of enamel has now been accepted over time as a valid treatment protocol to gain the space for minimal discrepancy cases. The procedure should be done judiciously and precisely. There is a risk of gingival tissue damage during IPR either by hand held find diamond strips or air-rotor stripping. [1],[2] An indicator device should be used in the inter-proximal space buccolingually below the contact points to protect the underlying gingiva and IPR should be done till the air-rotor burs or diamond strips reaches to the indicator devices. Here we describe a simple wire design as an indicator device to protect the gingiva during IPR.
| Clinical Innovation | | |
We have designed a simple wire design to protect the gums during inter-proximal stripping. Fabrication is as follows:
- Bend a 90° into the center section of 6 inch length of 0.014 inch stainless steel straight length wire [Figure 1]a.
- Make a double back bend at 10 mm distance from the center bend [Figure 1]b.
- Make a 90° bend into the center section of double bend back arm [Figure 1]c.
- Repeat this procedure again at 8 mm and at 6 mm for upper arch and at 6 mm for lower arch on both sides [Figure 1]d. At the end of each leg make a triangle with 60° angle between the two arms to hold the wire design properly in patient's mouth [Figure 1]e.
- During IPR, this wire design should be inserted between the inter-proximal spaces to protect the gums [Figure 1]f.
 | Figure 1: (a-f) Wire design to protect the gum during inter-proximal stripping
Click here to view |
| Discussion | | |
IPR requires special care to avoid excessive gingival tissue trauma from IPR devices. Hence gingiva must be carefully held out of contact from the reproximation burs or strips during IPR. This wire design protects the gingival papilla during IPR by shielding the gingiva from the reproximation strips or burs. This wire design has advantages that it is easily fabricated on chair-side; flexibility of wire design permits easy and quick insertion and removal and it can be sterilized for reuse. Hence, this device can emerge as an effective tool to protect the gingiva from trauma during IPR.
| References | | |
| 1. | Sheriden JJ. Air-rotor stripping. J Clin Orthod 1985;19:43-59. 
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| 2. | Sheridan JJ. Air-rotor stripping update. J Clin Orthod 1987;21:781-8.
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[Figure 1]
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