IPR Before or After Invisalign?

I have read that dentists are doing IPR (Interproximal Reduction) near the END of Invisalign treatment, but my dentist is proposing doing this FIRST to prepare for the Invisalign.

There are several teeth that he wants to take 0.3 mm off of before we start Invisalign trays. Is this a poor choice? Is this dentist attempting to achieve alignment with less trays by doing this? What would you do?

Doctor Answers 4

IPR can be done in any order

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Most dentists would choose to do IPR near the beginning of treatment. It may be prudent to wait until close to the end of treatment, but often in order for some teeth to move IPR must be done to free up the space. In other cases, it is easier to do the IPR after moving the teeth. If you have a question as to when it should be done, talk to the treating dentist, they will be able to give you a reason for postponing it.

Bellevue Dentist

Often it is a matter of timing

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Sometimes when teeth are crowded, IPR cannot be done conservatively due to access.  After teeth have moved, access improves and IPR can be done better.  It is not unusual to do IPR at the beginning, middle AND near the end of treatment.

Every case is different.

IPR is performed at early stages of Invisalign

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In most cases, IPR is performed at the beginning of your treatment but your dentist is following the instructions. Check the Clincheck to find out how you like the final stage of Invisalign.

Bruce Vafa, DDS
Beverly Hills Dentist

IPR is done according to your unique prescription

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Ipr is done to allow movement when teeth are crowded and not get "locked". If IPR is indicated in your Invisalign prescription, then allow your dentist to at least do minimal reduction and monitor you to make sure you are getting enough movement

Jennifer Jablow, DDS
New York Dentist

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.