Enamel Reduction Techniques in Orthodontics: A Literature Review

Dr Christos Livas, Dr Albert Cornelis Jongsma , Prof Yijin Ren*
Department of Orthodontics, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands

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© Livas et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Department of Orthodontics, University Medical Centre Groningen, University of Groningen, Hanzeplein 1, BB72, 9713GZ Groningen, The Netherlands; Tel: +31 50 361 0111; Fax: +31 50 361 9712; E-mail:


Artificial abrasion of interproximal surfaces has been described for almost seventy years as orthodontic intervention for achievement and maintenance of ideal treatment outcome. A variety of terms and approaches have been introduced throughout this period implying a growing clinicians’ interest. Nevertheless, the widespread recognition of enamel stripping technique was initiated by the advent of bonded orthodontic attachments and a 2-article series of Sheridan in the 80’s. Since then, experimental and clinical research has been focused on the investigation of instrumentation efficacy and potential iatrogenic sequelae related to interproximal stripping. This review discusses the evolution, technical aspects and trends of enamel reduction procedures as documented in the literature.

Keywords:: Interproximal Enamel Reduction, Air-Rotor Stripping, Nonextraction orrthodontic treatment, Tooth alignment, Treatment outcome stability, Anterior region esthetics.