IPR Techniques – Strips vs Burs vs Discs vs Oscillating Handpiece – PDP107

Published: Feb. 16, 2022, 7:07 p.m.

Check out the TOC IPR Kit with the Intensiv Swingle - Protruserati Discount! Email TOC Dental for the discount IPR can be a tough gig - from the feeling of 'making it up as you go along', to the genuine threat of repetitive strain injury from using strips. Let me help you take guesswork out of it! By the end of this episode, you'll know exactly what instruments to use and have a step-by-step process in place. Why? Because I didn't learn this the easy way. I learned it the hard way, but now I'm going to share with you these different techniques to use that will definitely give you confidence and help you get high quality, efficient and SAFE IPR for your ortho cases. https://youtu.be/x6K2o9tS0GU Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: No matter how much IPR you think you have done, do some more. You probably haven't done enough. Don't believe me? Check out this paper below by Dr. Tony Weir. "You can avoid the random learning experience I had, and you'll be able to provide better IPR than I first did for my patients." Dr. Jaz Gulati In this audio-only episode (IPR Video on YouTube) I discussed: How I learned IPR 00:50IPR Strips 12:52IPR Burs 20:17IPR Perforated Discs 24:25Intensiv Swingle Review 28:12IPR Planning 35:21 Check out this paper as mentioned by Dr. Jaz Gulati: IPR-as-part-of-Invisalign®-treatment-in-10-orthodontic-practicesDownload Quantitative-comparison-of-3-enamel-stripping-devices-in-vitroDownload Thank you TOC Dental for the instruments I used. Show them your warmth and support, Protruserati! Email TOC Dental for the Discount! If you enjoyed this orthodontic episode, you may also enjoy my episode with Dr. Devaki Patel all about IPR for Dummies. Click below for full episode transcript: Opening Snippet: Five years ago, I went on a one-day short-term orthodontic course. And another course they talked about IPR. But very briefly, it wasn't covered in much detail at all. In fact, I remember them talking about, call it tooth slenderizeation, don't call it IPR call it to slenderization because it's more patient-friendly. So that was the main thing I remembered. And there we are, you know, they said, go ahead, and you can start doing orthodontic cases now and IPR is totally safe, don't worry. And by the way, use these strips... So that was my first experience about learning about IPR. I then did my first ortho case, which was my wife. Quite commonly, I think as dentist, we tend to treat a family member or our spouses first when we're learning a technique like orthodontics. I also find by the way that splints when people start doing anterior occlusal splints or whatnot, they also find somewhere to practice with their spouse, but it's a similar theme. Now, I actually remember being in Singapore, and my wife was in the chair, I was doing some IPR with strips and I was thinking, wow, this is really slow. What does the orthodontist in the practice use? Because we had an orthodontist at work there. And my nurse said, oh, yeah, he just use these discs. He makes it look really easy. I'm sure it'll be fine, Jaz. And so I started using this disc. And boy, that was an interesting experience, because I was using it and I was like, I was asking the nurse, I was asking LC. LC, am I doing this right? Is this correct? She said, No, no, no, he doesn't like this, like that, this kind of a stroke. And how about now? Am I doing it right? And say, yes, yes, you're doing it right now. So it's quite a laughable experience. When I think about it now. It's quite a dangerous way to learn IPR. But this is our reality. I find that so many dentists that start orthodontics, IPR is like learning from YouTube, winging it or from mentors. So for me, it was winging it. But then also, when I came back to the UK, I did the Invisalign course, which, by the way, again, didn't teach me much about IPR.