Mastering interproximal stripping: with innovations in slenderization

A Novel and Cost-Effective Do-It-Yourself Handle for Interproximal Stripping: Design, Fabrication, and Clinical Implications

Interproximal stripping (IPS), also known as enamel reduction or slenderizing, is a widely used orthodontic technique for resolving mild-to-moderate dental crowding without the need for extractions. Among the various tools available, such as air rotor stripping (ARS), burs, and discs, metallic abrasive strips are commonly used because of their safety and efficiency. However, maneuverability challenges, particularly in the posterior region, and uneven pressure distribution during stripping necessitate the development of improved handling tools. With the surge in the use of clear aligners, IPS has become an important method of gaining space. This study introduces a simple, economical, and effective do-it-yourself (DIY) handle for IPS, designed to improve the grip, control, and accessibility of abrasive strips. The handle is fabricated using a 19-gauge stainless-steel wire, a universal plier, and a wire cutter. A step-by-step fabrication process ensures the construction of a stable ergonomic instrument that securely engages the IPS strip, providing enhanced control in both the anterior and posterior regions. The handle design minimizes operator fatigue, reduces the risk of strip slippage, and allows for precise enamel reduction. Compared to conventional IPS tools, such as oscillating strips and ARS, the DIY handle offers significant advantages. It reduces mechanical vibrations and heat generation, thereby minimizing the potential damage to the dental pulp. Additionally, it is reusable, cost-effective, and easy to sterilize, making it a sustainable option in orthodontic practice. The compatibility of the handle with both single- and double-sided abrasive strips further enhances its versatility. This innovative tool is an accessible solution for clinicians, particularly in resource-limited settings. By addressing the limitations associated with existing IPS methods, the DIY handle improves the precision and safety of enamel reduction procedures while optimizing patient comfort and treatment outcomes.

Progressive Strategy for Congenitally Missing Anteriors in Binder Syndrome: A Case Report

Binder syndrome (maxillonasal dysplasia) is an uncommon congenital craniofacial condition. It is marked by distinctive facial characteristics including a flat, vertically oriented nose, maxillary underdevelopment, malocclusion, and nasal bone irregularities. This case study introduces an inventive strategy for addressing congenitally absent anterior teeth in a patient diagnosed with Binder syndrome. Our treatment approach combined orthodontic interventions and prosthetic restorations to enhance both aesthetics and function. This report explores the diagnostic and therapeutic aspects of the case, underscoring the encountered challenges and the ultimately successful outcome. This approach provides valuable insights into managing dental anomalies linked to Binder syndrome, emphasizing the necessity of a multidisciplinary approach for comprehensive patient care. A suitable strategy for adult patients might be slow maxillary expansion. This case report is about a rare case of maxillonasal dysplasia managed with the esthetic replacement of anterior teeth.