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.
Dental crowding during adolescence can affect smile aesthetics, tooth alignment, and oral hygiene. This case demonstrates the correction of dental crowding in a 16-year-old boy with a Class I molar relationship using a customized clear aligner treatment plan.
A 16-year-old boy presented with noticeable dental crowding and irregular alignment of the anterior teeth. The patient had a Class I molar relationship and sought an aesthetic orthodontic solution to improve his smile and dental alignment.
A customized digital treatment plan was developed using Elencia Aligners.
A non-extraction approach was selected to address the dental crowding while preserving the patient’s natural dentition. Controlled and sequential tooth movement was planned to improve alignment and create a more harmonious arch form while maintaining the existing Class I molar relationship.
Treatment was completed over 16 months using 60 customized clear aligners.
Clear Aligner Case Overview
| Case Type | Teen Crowding Correction |
| Treatment Duration | 16 Months |
| Total Aligners | 60 Aligners |
| Upper Arch | 28 Aligners |
| Lower Arch | 32 Aligners |
| Extractions | Non-Extraction |
| Treatment Modality | Elencia Aligners |
This case highlights how Elencia Aligners can effectively manage adolescent crowding through customized digital treatment planning and controlled tooth movement. By focusing on precise alignment while maintaining the patient’s existing Class I molar relationship, the treatment achieved a significant aesthetic improvement using a conservative non-extraction approach.
Bimaxillary protrusion can significantly affect both dental aesthetics and facial profile. In this case, the patient presented with proclined upper and lower anterior teeth, lip incompetence, and a Class I molar relationship.
The treatment was planned using an extraction-based clear aligner approach,extracting all 4 first premolars with the objective of improving anterior tooth position, reducing dental protrusion, and achieving better lip competence while maintaining the existing molar relationship.
The patient presented with proclined upper and lower anterior teeth associated with bimaxillary protrusion and lip incompetence.
Despite having a Class I molar relationship, the prominent anterior teeth and associated lip incompetence affected the overall facial and smile aesthetics.
A customized extraction-based treatment plan was developed using Elencia Aligners. Extraction of all 4 premolar teeth was planned.
The treatment focused on controlled space closure and retraction of the proclined anterior teeth to address bimaxillary protrusion and improve lip competence.
Sequential aligners were digitally planned to achieve controlled tooth movement throughout treatment.
Clear Aligner Case Overview
| Case Type | Bimaxillary Protrusion Correction |
| Treatment Duration | 17 Months |
| Total Aligners | 66 Aligners |
| Upper Arch | 34 Aligners |
| Lower Arch | 32 Aligners |
| Extractions | Extraction-based |
| Treatment Modality | Elencia Aligners |
The treatment demonstrates how a carefully planned extraction approach with clear aligners can be used to manage cases involving bimaxillary protrusion and lip incompetence.
Managing bimaxillary protrusion requires more than simply aligning the teeth.
With Elencia Aligners, the treatment plan can be digitally customized to control tooth movement and space closure according to the clinical objectives of the case. In this treatment, the focus was on improving anterior tooth position and lip competence while respecting the existing Class I molar relationship.
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.
A clinical case treated using Elencia Aligners
This case involved a 13-year-old girl presenting with severe dental crowding and a Class I malocclusion. A conservative non-extraction approach was planned using clear aligners.
Space was created through a combination of arch expansion followed by interproximal reduction (IPR) in both the maxillary and mandibular arches.
A customized non-extraction treatment plan was developed using Elencia Aligners.
The initial phase of treatment focused on controlled arch expansion to gain space and improve the arch form.
This was followed by interproximal reduction (IPR) in both the maxillary and mandibular arches to gain additional space required for precise tooth alignment.
The combination of expansion and IPR allowed the crowding to be managed without tooth extraction.
Clear Aligner Case Overview
| Case Type | Severe Crowding |
| Treatment Duration | 12 Months |
| Total Aligners | 46 Aligners |
| Upper Arch | 24 Aligners |
| Lower Arch | 22 Aligners |
| Extractions | Non-Extraction |
| Treatment Modality | Elencia Aligners |
The severe crowding was successfully managed using a non-extraction approach, combining controlled arch expansion with strategically planned IPR.
Severe crowding does not always mean that tooth extraction is the only treatment option.
With Elencia Aligners, digital treatment planning allows orthodontists to evaluate different methods of gaining space based on the individual clinical requirements of each case.
In this case, a combination of controlled arch expansion followed by IPR in both arches created the space required for alignment while following a non-extraction approach.
Class I correction is an orthodontic treatment used to correct problems where the upper and lower jaws have a normal relationship, but the teeth are misaligned, crowded, spaced, or rotated. The treatment aims to improve tooth alignment, bite function, smile appearance, and overall oral health while maintaining the normal jaw relationship.
When teeth shift back to their original position after previous orthodontic treatment
