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.
The patient presented with a Class II Division 2 malocclusion, characterized by retroclined upper front teeth, deep bite tendencies, and compromised smile aesthetics. The patient wanted a discreet orthodontic treatment option to improve tooth alignment, bite function, and overall smile appearance.
A customized Elencia Aligners treatment plan was developed using a non-extraction approach. Advanced digital treatment planning enabled precise correction of the Class II Division 2 malocclusion while maintaining patient comfort and aesthetics throughout treatment.
The case was successfully completed in 13 months using 46 custom clear aligners, including 26 maxillary aligners and 20 mandibular aligners. Controlled tooth movements helped improve alignment, correct the bite relationship, and create a more balanced and attractive smile.
Clear Aligner Case Overview
| Case Type | Adult Ortho Class II Division 2 |
| Treatment Duration | 13 Months |
| Total Aligners | 46 Aligners |
| Upper Arch | 26 Aligners |
| Lower Arch | 20 Aligners |
| Extractions | (Non-Extractions Case) |
| Treatment Modality | Clear Aligners |
The patient presented with moderate crowding of the upper and lower teeth, resulting in an uneven smile, improper alignment, and reduced confidence. The patient desired a discreet orthodontic solution to achieve a well-aligned, functional, and aesthetically pleasing smile.
A customized Elencia Aligners treatment plan was developed using advanced digital treatment planning. Due to the severity of crowding, extraction therapy was incorporated to create sufficient space for ideal tooth movement.
The case was successfully completed in 20 months using 79 custom clear aligners, including 40 maxillary and 39 mandibular aligners. Controlled alignment, space management, and arch expansion helped achieve a balanced bite and a naturally attractive smile.
Clear Aligner Case Overview
| Case Type | Adult Orthodontics – Crowding Correction |
| Treatment Duration | 20 Months |
| Total Aligners | 79 Aligners |
| Upper Arch | 40 Aligners |
| Lower Arch | 39 Aligners |
| Extractions | (Yes-Extractions Case) |
| Treatment Modality | Clear Aligners |
