This clinical case demonstrates how orthodontic treatment successfully corrected a Class II Division 1 malocclusion by reducing the excessive overjet and aligning the 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 | Elencia 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.
Dental crowding is one of the most common orthodontic concerns among teenagers. When left untreated, crowded and rotated teeth can affect smile aesthetics, oral hygiene, and overall dental function. This case highlights how Elencia Aligners successfully corrected dental crowding, deep bite, and rotated proclined upper anterior teeth using a customized non-extraction treatment approach.
Dental crowding is one of the most common orthodontic concerns among teenagers. When left untreated, crowded and rotated teeth can affect smile aesthetics, oral hygiene, and overall dental function. This case highlights how Elencia Aligners successfully corrected dental crowding, deep bite, and rotated proclined upper anterior teeth using a non-extraction treatment approach.
Elencia Aligners Case Overview
| Case Type | Teen Crowding Correction |
| Treatment Duration | 09 Months |
| Total Aligners | 30 Aligners |
| Upper Arch | 18 Aligners |
| Lower Arch | 12 Aligners |
| Extractions | Non-Extraction |
| Treatment Modality | Elencia Aligners |
This case demonstrates that carefully planned clear aligner therapy can effectively correct rotated and proclined maxillary anterior teeth, dental crowding, and deep bite using a non-extraction approach, resulting in improved occlusal harmony and enhanced smile aesthetics.
Class II Division 2 malocclusion can present with characteristic anterior tooth positioning and bite discrepancies that require careful orthodontic planning. This case demonstrates the management of a Class II Division 2 malocclusion using a customized non-extraction clear aligner treatment.
The patient presented with irregular anterior tooth alignment and concerns regarding smile aesthetics. Clinical evaluation revealed a Class II Division 2 malocclusion, requiring a carefully planned orthodontic approach.
The treatment was planned to:
A customized digital treatment plan was developed using Elencia Aligners.
A non-extraction approach was selected based on the treatment requirements of the case. Sequential aligners were designed to deliver controlled tooth movement and progressive improvement in dental alignment.
Treatment was completed in 12 months using 40 customized clear aligners.
Elencia Aligners Case Overview
| Case Type | Class II Division 2 Correction |
| Treatment Duration | 12 Months |
| Total Aligners | 40 Aligners |
| Upper Arch | 24 Aligners |
| Lower Arch | 16 Aligners |
| Extractions | Non-Extraction |
| Treatment Modality | Elencia Aligners |
This case highlights how Elencia Aligners can be customized to manage different orthodontic presentations through precise digital treatment planning. With controlled and sequential tooth movement, the treatment focused on improving dental alignment and smile aesthetics while following a conservative non-extraction approach.
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.
A non-extraction clear aligner treatment approach was used, incorporating elastics and posterior interproximal reduction (IPR) to facilitate correction of the Class II relationships along with alignment and deep bite correction.
The patient presented with crowding and irregular alignment of the teeth, along with a Class II bite relationship and deep bite affecting the overall dental and smile aesthetics.
A customized non-extraction treatment plan was developed using Elencia Aligners.
Elastics were incorporated to assist with correction of the Class II sagittal relationship. Posterior interproximal reduction (IPR) was also used to create the additional space required to facilitate the planned occlusal correction.
Vertical tooth movement was incorporated into the aligner plan to address the deep bite.
Through the combined use of clear aligners, elastics, and posterior IPR, the Class II molar and canine relationships were corrected to Class I.
Clear Aligner Case Overview
| Case Type | Class II Division 1 & Crowding |
| Treatment Duration | 8 Months |
| Total Aligners | 30 Aligners |
| Upper Arch | 16 Aligners |
| Lower Arch | 14 Aligners |
| Extractions | Non-Extraction |
| Treatment Modality | Elencia Aligners |
Following treatment, there was a significant improvement in:
The case demonstrates successful management of crowding, sagittal discrepancy, and deep bite through a coordinated clear aligner treatment approach.
In this case, Elencia Aligners were combined with elastics and posterior IPR to address the different components of the malocclusion. This allowed simultaneous management of crowding, sagittal correction, and deep bite.
The combination resulted in correction of the initial Class II molar and canine relationships to Class I, along with improved alignment and bite.
Class II Division 1 correction is an orthodontic treatment used to correct a bite where the upper front teeth protrude significantly over the lower front teeth, often due to the upper jaw being positioned too far forward, the lower jaw being positioned too far back, or a combination of both. This condition, commonly known as an increased overjet, can affect the appearance of the smile, chewing function, and overall oral health.
When teeth shift back to their original position after previous orthodontic treatment
