This is a common concern for our patients. So I will answer to the reason for "sanding" or interproximal reduction(IPR) during orthodontic treatment.There are many cases for which we want to use orthodontics to fix the position of teeth. Often the problems occur because of a lack of space... for example crowding. To fix the problem we need to create space.Space is created in several ways. We can push teeth forward, thus opening space, we can sometimes move teeth backwards, we can remove/extract teeth or we can reduce the size of teeth thus making more room. The same techniques are true when we use traditional braces and when we use Invisalign aligners. The spacers in traditional orthodontics are used to create space for inserting the rings around the teeth not for resolving problems. IPR is one of the most conservative ways of managing space. For example, instead of removing a tooth we can do reduction to 6 lower teeth, the reduction is a total of 0.25mm on either side of a tooth which has on average about 1.0mm of enamel. As you can see interproximal reduction or "slenderizing" is a useful tooth we have for treating spacing issues.Hope this helps.