January 20, 2013

My Interproximal Reduction (Shaving Tooth Enamel)

How Your Dentist Determines You Need Interproximal Reduction

The process of shaving tooth enamel is called interproximal reduction. In this post I describe the process and the details of my experience. If your teeth are crowded like mine, you may need interproximal reduction as part of your Invisalign treatment. It's not always an option though. Some dentists choose to remove teeth to make room - which is far more painful and requires recovery time. If your dentist wants you to remove teeth to make room, you may want get a second opinion.

In my case, the dentist told me he'd rather avoid removing teeth and instead choose to shave the enamel of teeth on the top and bottom. Talk about dodging a bullet! My treatment currently calls for 7 reductions of .5 millimeters on the top and 7 reductions of .2 millimeters on the bottom.


What happens when you get Interproximal Reduction

I wasn't able to get pictures when I had my reductions done, but I compiled some pictures I found online to give you an idea of what happens. Different dentists will use different tools, but the process is generally the same. My dentist used diamond strips, which are ultra thin and slide between the teeth. Once the diamond strip is between your teeth, the dentist will slide it back and forth to shave the tooth. It kind of works likes a cheese grater, which sounds gross, but it's not painful at all.

Diamond strips
I highly recommend asking your dentist for a local numbing agent on your gums. Depending on how steady of a hand your dentist has (and probably how crazy the angle is they have to work at) the only thing that will hurt is getting your gums slices by the diamond strip. It kind of feels like a paper cut anywhere the strip slides over on your gums/flesh. I had minimal issues when I had the bottom done.

To ensure the correct amount has been taken off of your teeth, your dentist will slide a gauge key into the space between the teeth. The space you need created totally depends on your plan. An example is shown below, note again these are not my teeth.

Gauge set

My Interproximal Reduction

Below are the pictures showing where I've had reduction on my bottom teeth. It's not a huge difference, but you can definitely tell when you look at my before and after pictures from my progress page.

Interproximal Reduction on bottom
I can see that some of the attachment glue got shaved off on a couple of the teeth in the close up above, but it's not noticable in person. Let me know if you have questions.

Progress Weeks 27-28

These pictures reflect the interproximal reduction (teeth filing/shaving) completed to the bottom teeth on 12/15 of last year. The dentist filed between 7 spaces to remove 0.2 of a milimeter of tooth on each space. See My Treatment Overview for location of filing.

Below are Images After: Tray 14   (taken on 1/9/2013)
Remaining Trays in Treatment: 10

Lockjaw: At the beginning of tray 15, the lockjaw loosened up for a couple days, but that was temporary. The usual amount of tension (without pain) returned after a few days. This seems like a good indicator that my bite is starting to get matched up again!

Pain: This tray wasn't bad, but tray 15 had my teeth very sore (especially on the bottom) the first few days. The pain is usually most apparent right after removing the trays to eat. Still no crazy headaches.

Wear: 16-20 hours a day
Brushing: Not as much as I should during the day at work
Flossing: Not every night like I should. My awesome streak was definitely altered by the holidays.

I requested during my December appointment that the dentist try to remove staining on one of my attachments (shown below.)

11.13.2012 with stain

1.9.2013 Front View with no stain!
Top View
Bottom View
Left View
Right View
Sorry for the lack of quality on the last photo.

January 12, 2013

Progress Weeks 21-22


Images After: Tray 11    (taken on 11/27/2012)
Remaining Trays: 13

Lockjaw: Consistent. No pain
Headaches: None
Pain: Only sore first day of new tray

Wear: 16-20 hours a day
Brushing: Not as much as I should during the day at work
Flossing: Every night

Front View
Top View
Bottom View
Left View
Right View

Progress Weeks 19-20

Images After: Tray 10     (taken on 11/13/2012)
Remaining Trays: 14

Lockjaw: Consistent. No pain
Headaches: None
Pain: Only sore first day of new tray

Wear: 16-20 hours a day
Brushing: Not as much as I should during the day at work
Flossing: Every night

I've had a stain on my front bottom attachment for months. When I went to the dentist in mid-December, they were able to remove it. All I had to do was ask.

Front View
Top View
Bottom View
Left View
Right View

January 9, 2013

Catch Up and Almost Breaking a Tray

What I've Missed

Happy 2013! I just shoved on my first new trays of the year. With the Thanksgiving and Christmas holidays I've missed a few posts so I wanted to make a quick update while trays were on my mind. My last progress post included pictures of my teeth on 10/30/2012.

Here are the posts I've missed since then:
On 12/12 I had interproximal reduction (teeth shaving) done for my bottom teeth.  The dentist decided  to wait for a few more trays before doing the top so I have to go back after to have the top areas reduced. I'm going to do a full post detailing the interproximal reduction experience, so stay tuned for details.

Tray Shenanigans

Today's trays were the hardest to get on yet.  I wasn't sure if I was going to get the top tray on without breaking it part of it. The edge over the right K9 tooth folded down a bit while I was trying to get it on...unsuccessfully. I used some tweezers to fix it before trying again. Maybe I just had a bad angle or something, but I did get the tray on about 30 seconds later. They're about as tight as usual. Nothing too out of the ordinary, save for my trimus (lockjaw) on the right jaw seems to have eased up a bit instead of being worse. We'll see if it lasts. The jaw definitely feels different, but I can't yet figure out in what way or if its going to be more or less painful than before. Wish me luck!