Evidence map›Paper›PMID 39962772›Full record

ArticleClinical and experimental dental research2025

Assessing Enamel Thickness to Estimate Interproximal Reduction: A CBCT-Based Study.

Enrique González-García, Nasib Balut-Chahin, Claudia Daniela Rojo-Arce, María Eugenia Jiménez Corona, Luis Pablo Cruz-Hervert, Jean Marc Retrouvey

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Article in Clinical and experimental dental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Enrique González-GarcíaDepartment of Orthodontics, Technological University of Mexico, Mexico City, Mexico.
Nasib Balut-ChahinDepartment of Orthodontics, University of Valle, Cali, Colombia.
Claudia Daniela Rojo-ArcePosgraduate and Research Studies Division, Dentistry Faculty, National Autonomous University of Mexico, México City, Mexico.
María Eugenia Jiménez CoronaPostgraduate and Research Studies Division, Dentistry Faculty, National Autonomous University of Mexico, Mexico City, Mexico.
Luis Pablo Cruz-HervertPostgraduate and Research Studies Division, Dentistry Faculty, National Autonomous University of Mexico, Mexico City, Mexico.ORCID 0000-0002-6094-958X
Jean Marc RetrouveyBaylor College of Medicine, Houston, Texas, USA.

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

objectivesThe aims of this study were to (1) estimate the mesial and distal proximal enamel thickness available (PETa), (2) estimate the proximal enamel thickness remaining (PETr) on the basis of planned IPR, and (3) assess PETr-associated risks with varying IPR amounts. MATERIALS AND

methodsA cross-sectional study was conducted using CBCT scans. PETa was estimated using on-demand software. Mesial and distal PET were measured at the middle third of the crown. The means and 95% confidence intervals (CIs) of the PETa and PETr data are reported. Differences between the mesial and distal PETa values were compared.

resultsA total of 1615 teeth were analyzed via CBCT. The mean PETa values ranged from 0.96 to 1.29 mm (mesial) and from 0.98 to 1.25 mm (distal). Differences between mesial and distal PETa were statistically significant, averaging 0.10 mm proximally (p < 0.050). In particular, these differences were observed in cuspids, including tooth 13 (1.18 ± 0.24 vs. 1.25 ± 0.28; p = 0.021), tooth 23 (1.25 ± 0.26 vs. 1.15 ± 0.28; p < 0.001), tooth 33 (1.22 ± 0.26 vs. 1.10 ± 0.23; p < 0.001), and tooth 43 (1.29 ± 0.24 vs. 1.13 ± 0.20; p < 0.001). The mean PETr values for single-site IPRs < 0.4 mm were 0.58 mm (mesial) and 0.57 mm (distal). Exceeding a single-site IPR of 0.20 mm significantly increased the proportion of interproximal sites classified as moderate or high risk, particularly in teeth with thinner enamel (< 0.7 mm).

conclusionsPETa and PETr are critical for determining safe and individualized IPR. CBCT-based PETa evaluations are strongly recommended when single-site IPRs exceeding 0.20 mm are planned to increase precision and reduce the risk of excessive enamel reduction.

Indexed as

Cone-Beam Computed TomographyDental EnamelAdolescentAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedYoung AdultCBCTenamel availabilityenamel thicknessinterproximal reductionIPRPETaPETrproximal enamel thickening

Identifiers

PMID39962772
PMCPMC11832591

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.