Interproximal Reduction (IPR)
Interproximal reduction (IPR) is a simple way to gain more space between your teeth during orthodontic treatment. IPR is offered when the shape of your teeth, even when fully aligned, cause little gaps called black triangles. These are not only aesthetically bothersome but can also compromise the stability and function of your teeth. IPR is done by hand by the orthodontist, they will take a diamond strip (like diamond sand paper) and use it to file down the extra tooth shape, this is usually done by hand or with the aid of a specially designed handpiece. This does not compromise the enamel or tooth health in anyway.
Black Triangle Pre-Treatment
Black Triangles After Alignment
No Black Triangles After IPR
Laser For Gums
We were the first orthodontists in Marin to incorporate a soft tissue Diode Laser into our treatment plans to improve soft tissue treatment results. Sometimes there is too much gum tissue covering the tooth if it erupts into the wrong position, if someone breathes primarily through their mouth or if there is difficulty with maintaining brushing and flossing with braces on.
We can use our laser to allow placement of a bracket in the correct position, remove overgrown tissue for a healthier oral environment or to uncover the teeth so that they can be seen in the finished smile. Often, mild to moderate cases of gum overgrowth resolve on their own after the malocclusion is corrected and braces are removed.
In the case of a genetic predisposition to thick gum overgrowth, we recommend following up with a periodontist (gum specialist) for more comprehensive treatment.
These are photos of our patients where we used a diode laser to smooth away the extra gum tissue at the upper front teeth. The result is that the gums look healthier, and less puffy so the teeth look longer and more esthetic. This improved the appearance of their smile.
Laser for Esthetics
Laser for Excess Tissue
Laser for Covered Canine
Tooth & Gum Reshaping