Diamond-Coated Strips for Interproximal Enamel Reduction: Performance, Wear, and Latest Insights
Interproximal enamel reduction (IER), also known as interdental stripping, is a minimally invasive orthodontic procedure used to create space, correct tooth-size discrepancies, and improve dental alignment. Among the various tools available for IER, diamond-coated strips are widely used for their precision in controlled enamel removal.
However, studies have raised concerns regarding the durability of diamond strips, their abrasive efficiency, and the surface roughness left on treated enamel. This article presents findings from key research studies and highlights solutions for optimizing IER outcomes.
Diamond-Coated Strips: Structure and Function
Diamond-coated strips consist of abrasive diamond granules bonded to a steel substrate in a fenestrated pattern. This structure allows for:
- Efficient enamel grinding.
- Void spaces that improve debris clearance during use.
The grit size of diamond particles plays a critical role in performance:
- Larger Grits (60–90 μm): Faster enamel reduction but increased surface roughness.
- Smaller Grits (15–40 μm): Smoother finishes with reduced risk of plaque retention and caries.
Key Research Findings on Strip Performance
1. SEM and Tribological Analysis
A key study evaluated the in vitro and in vivo performance of diamond-coated strips:
- In vitro Results: Strips lost 60% of their abrasive power after 300 meters of use due to diamond grain detachment and enamel debris buildup.
- In vivo Observations: Faster degradation occurred due to operator-applied forces, with significant wear observed within 5 minutes (300 seconds) of clinical use.
Overview: Diamond-coated strips provide precision but have limited durability, particularly under clinical forces.
2. Recent Insights on Enamel Roughness
Serbanoiu et al. (2024): Impact of Grit Size
- Larger Grit Strips: Left significant irregularities due to aggressive abrasion.
- Smaller Grit Strips: Reduced roughness while ensuring efficient enamel removal.
- Polishing Protocols: Essential for restoring smooth enamel surfaces and minimizing plaque retention risks.
Key Takeaway: Combining fine-grit diamond strips with effective polishing protocols ensures minimal enamel damage and long-term clinical success.
Clinical Recommendations for Optimal IER
- Tool Selection: Choose strips with appropriate grit size to balance efficiency and surface quality.
- Monitor Strip Usage: Replace strips after approximately 5 minutes of use (250–300 meters).
- Post-IER Polishing: Always polish enamel surfaces to restore smoothness and reduce plaque retention.
- Minimize Clinical Force: Avoid excessive pressure during IER to extend strip lifespan and prevent enamel damage.
MR.BUR Diamond Strips – The Recommended Choice for IER
Given the durability and abrasive efficiency challenges highlighted in recent studies, MR.BUR Diamond Stripsemerge as the most reliable and high-performance tools for interproximal enamel reduction. Their innovative design ensures precision and clinical effectiveness.
MR.BUR Diamond Strip Options:
- Double-Sided Diamond Strips with Serrated Edge: Ideal for controlled and efficient reduction in tight contact areas.
- Single-Sided Diamond Strips with Serrated Edge: Perfect for targeted enamel removal without affecting adjacent teeth.
- Single-Sided Diamond Strips with Non-Serrated Edge: Ensures smooth, consistent enamel reduction with minimal roughness.
- Double-Sided Diamond Strips with Non-Serrated Edge: Versatile for multiple interproximal contacts, offering uniform results.
Why MR.BUR Diamond Strips Stands Out:
- Durability: Advanced bonding technology extends the lifespan of diamond granules.
- Precision: Serrated and non-serrated options cater to diverse clinical needs.
- Surface Quality: Fine control minimizes enamel roughness, enhancing long-term outcomes.
By integrating MR.BUR Diamond Strips with effective polishing protocols, clinicians can achieve optimal IER results, ensuring smooth enamel surfaces, reduced procedure time, and improved patient satisfaction.
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