The patient presented with significant dental crowding affecting both the upper and lower arches. The irregular tooth alignment impacted smile aesthetics and oral hygiene maintenance.
A customized Elencia Aligners treatment plan was designed to address the patient’s crowding while preserving all natural teeth.
A non-extraction approach was selected, utilizing controlled tooth movement and arch development to create the necessary space for alignment.
The treatment focused on gradual correction of rotations, alignment of crowded teeth, and improvement of overall smile harmony.
Clear Aligner Case Overview
| Case Type | Teen Crowding Correction |
| Treatment Duration | 13 Months |
| Total Aligners | 48 Aligners |
| Upper Arch | 25 Aligners |
| Lower Arch | 23 Aligners |
| Extractions | No |
| Treatment Modality | Elencia Aligners |
Following 13 months of treatment with Elencia Aligners:
The final result demonstrates how Elencia Aligners can effectively address moderate to severe crowding in growing patients while maintaining a comfortable and discreet treatment experience.
This case highlights how orthodontist-led digital treatment planning and customized clear aligner therapy can effectively correct dental crowding while preserving the natural dentition. Through a carefully planned non-extraction approach , predictable tooth movement , improved smile aesthetics , and functional occlusion were achieved in a comfortable and minimally visible treatment process.
Severe dental crowding in adolescents can significantly affect smile aesthetics, oral hygiene, and functional occlusion. This case demonstrates how Elencia Aligners successfully corrected severe crowding using a carefully planned non-extraction expansion approach, achieving excellent alignment while preserving the patient’s natural dentition.
A 15-year-old female presented with severe dental crowding associated with a Class I malocclusion. Clinical examination revealed a severely rotated mandibular left canine (33) and bilaterally highly placed maxillary canines, resulting in irregular dental alignment and compromised smile aesthetics. The patient desired an aesthetic orthodontic treatment option with clear aligners.
A customized digital treatment plan was developed using Elencia Aligners.
Considering the patient’s age, facial profile, and Class I malocclusion, a non-extraction expansion protocol was selected. Controlled arch development created the space required to align the severely rotated mandibular canine and guide the highly placed maxillary canines into their ideal positions. Sequential clear aligners enabled predictable tooth movement while maintaining patient comfort throughout treatment.
Treatment was completed over 14 months (4 months + 10 months) using 41 customized clear aligners.
Clear Aligner Case Overview
| Case Type | Severe Crowding Correction |
| Treatment Duration | 14 Months (4+10 Months) |
| Total Aligners | 41 Aligners |
| Upper Arch | 21 Aligners |
| Lower Arch | 20 Aligners |
| Extractions | Non-Extraction (Expansion) |
| Treatment Modality | Elencia Aligners |
This case showcases the ability of Elencia Aligners to manage complex adolescent orthodontic cases using a customized, orthodontist-led treatment approach. Through precise digital treatment planning and controlled aligner biomechanics, severe crowding, a markedly rotated mandibular canine, and highly placed maxillary canines were successfully corrected without extractions. The result was a predictable, aesthetic, and functionally stable outcome while preserving the patient’s natural dentition.
A 14-year-old boy presented with severe dental crowding involving both the maxillary and mandibular arches. Clinical examination revealed bilaterally highly placed maxillary canines associated with a Class I malocclusion, resulting in irregular dental alignment and compromised smile aesthetics. The patient and parents preferred an aesthetic orthodontic treatment using clear aligners.
Considering the patient’s age and existing Class I malocclusion, a non-extraction treatment approach was selected. Controlled arch development created sufficient space to align the crowded teeth and guide the highly placed maxillary canines into their ideal positions. Sequential clear aligners delivered precise and predictable tooth movement while maintaining patient comfort throughout treatment.
Treatment was completed in 13 months using 49 customized clear aligners.
Clear Aligner Case Overview
| Case Type | Teen Crowding Correction |
| Treatment Duration | 13 Months |
| Total Aligners | 49 Aligners |
| Upper Arch | 26 Aligners |
| Lower Arch | 23 Aligners |
| Extractions | Non-Extraction |
| Treatment Modality | Elencia Aligners |
This case demonstrates how Elencia Aligners can successfully manage complex adolescent crowding through orthodontist-led digital treatment planning and customized aligner biomechanics. Despite severe crowding in both arches and highly placed maxillary canines, a carefully planned non-extraction approach achieved excellent alignment, improved arch development, and a stable functional occlusion while preserving the patient’s natural dentition.
When teeth shift back to their original position after previous orthodontic treatment
