This clinical case demonstrates how Elencia Aligners successfully corrected dental crowding by gradually moving misaligned teeth into their ideal positions.
Adult orthodontic treatment often requires balancing ideal treatment objectives with the patient’s preferences. This case demonstrates how Elencia Aligners successfully managed proclined maxillary anterior teeth and lip incompetence using an extraction-based treatment approach, resulting in improved dental alignment, facial harmony, and smile aesthetics while respecting the patient’s treatment goals.
A 34-year-old female presented with proclined maxillary anterior teeth, an end-on molar relationship, and a Class II Division 1 malocclusion. Clinical examination also revealed lip incompetence, affecting facial aesthetics and smile harmony. The patient desired an aesthetic orthodontic treatment with Elencia Aligners and did not wish to undergo comprehensive correction of the molar relationship.
A customized digital treatment plan was developed using Elencia Aligners.
Considering the patient’s chief complaint and treatment expectations, an extraction-based treatment approach was selected to facilitate anterior retraction and improve facial soft tissue balance. Since the patient did not desire comprehensive correction of the molar relationship, treatment focused on reducing maxillary incisor proclination, improving lip competence, and enhancing smile aesthetics while maintaining functional occlusion.
Treatment was completed over 19 months using 74 customized clear aligners.
Elencia Aligners Case Overview
| Case Type | Adult Orthodontic Correction |
| Treatment Duration | 19 Months |
| Total Aligners | 74 Aligners |
| Upper Arch | 38 Aligners |
| Lower Arch | 36 Aligners |
| Extractions | Yes (Extractions Case) |
| Treatment Modality | Clear Aligners |
Following completion of treatment, the patient achieved:
The treatment successfully addressed the patient’s primary concerns while respecting her treatment preferences and delivering a balanced, natural-looking smile.
This case demonstrates the flexibility of Elencia Aligners in delivering patient-centered orthodontic care. Rather than pursuing ideal occlusal correction alone, treatment was customized to address the patient’s primary concerns—proclined anterior teeth, excessive overjet, and lip incompetence. Through orthodontist-led digital treatment planning and precise aligner biomechanics, a significant improvement in facial profile and smile aesthetics was achieved while fully respecting the patient’s treatment goals.
A clinical case treated using Elencia Aligners
Bimaxillary protrusion can affect not only dental alignment but also lip competence, facial aesthetics, and a patient’s confidence while smiling.
This case involved a 36-year-old female presenting with bimaxillary protrusion and lip incompetence. Despite having Class I molar and Class I canine relationships, the prominent anterior teeth and associated lip incompetence were a major aesthetic concern.
The case was managed using an all four premolar extraction approach with Elencia Aligners.
The patient was concerned about the prominence of her teeth and her overall smile appearance.
She was hesitant to smile and avoided getting her photographs clicked, reflecting the significant impact of her dental appearance on her confidence.
A customized extraction-based clear aligner treatment plan was developed using Elencia Aligners.
To create the space required for controlled anterior retraction, all four premolars were extracted as part of the orthodontic treatment plan.
The treatment focused on controlled space closure and progressive retraction of the anterior teeth while maintaining the existing Class I molar and canine relationships.
Sequential clear aligners were digitally planned to guide tooth movement throughout the treatment.
Clear Aligner Case Overview
| Case Type | Bimaxillary Protrusion |
| Treatment Duration | 20 Months |
| Total Aligners | 76 Aligners |
| Upper Arch | 40 Aligners |
| Lower Arch | 36 Aligners |
| Extractions | All Four Premolar Extraction |
| Treatment Modality | Elencia Aligners |
The before-and-after transformation demonstrates how a carefully planned extraction approach can help manage bimaxillary protrusion while improving both dental aesthetics and the patient’s confidence.
Bimaxillary protrusion cases require more than simply aligning crowded teeth.
With Elencia Aligners, treatment can be digitally customized to plan controlled space closure and anterior retraction according to the specific clinical objectives of the case.
In this case, the extraction of all four premolars created the required space for planned tooth movement, allowing improvement in dental protrusion and lip competence while maintaining the existing Class I molar and canine relationships.
Adult orthodontic treatment should be planned not only according to the clinical diagnosis but also according to the patient’s individual treatment goals.
This case involved a 35-year-old male patient with a Class II Division 2 malocclusion who was primarily concerned about the alignment of his anterior teeth.
The patient did not wish to undergo comprehensive correction of his existing molar relationship and preferred a relatively quick treatment focused on improving anterior alignment. A customised non-extraction clear aligner approach was therefore planned around these specific treatment goals.
The patient was concerned about the irregular alignment of his anterior teeth and wanted to improve the appearance of his smile.
Being an adult patient, he preferred a focused and relatively efficient treatment approach rather than comprehensive orthodontic correction.
The patient specifically did not wish to undergo treatment aimed at correcting the existing molar relationship.
A customised non-extraction treatment plan using Elencia Aligners was developed with the primary focus on anterior alignment.
As the patient did not wish to undergo comprehensive correction of the existing molar relationship, treatment was planned specifically around his aesthetic concerns and expectations.
The clear aligner treatment focused on progressive alignment of the anterior teeth and improvement of smile aesthetics, without pursuing correction of the posterior molar relationship.
Clear Aligner Case Overview
| Case Type | Adult Orthodontics |
| Treatment Duration | 13 Months |
| Total Aligners | 46 Aligners |
| Upper Arch | 26 Aligners |
| Lower Arch | 20 Aligners |
| Extractions | Non-Extraction |
| Treatment Modality | Elencia Aligners |
The existing molar relationship was not targeted for correction, in accordance with the patient’s treatment preference.
Not every adult orthodontic patient seeks comprehensive correction of every occlusal discrepancy.
With Elencia Aligners, digital treatment planning allows clinicians to customise treatment objectives according to the individual clinical situation and the patient’s informed treatment preferences.
In this case, the treatment focused specifically on improving anterior alignment and smile aesthetics while respecting the patient’s decision not to pursue correction of the existing molar relationship.
