This clinical case demonstrates how Elencia Aligners effectively corrected a deep bite and dental crowding by gradually moving misaligned teeth into proper alignment.
This case involved a 22-year-old male football player with a missing maxillary left lateral incisor (22) and a deep bite.
The patient wanted to improve the appearance of his smile but did not want an implant. The treatment was therefore planned around an aesthetic orthodontic solution using clear aligners, with the existing canine utilised as a substitute for the missing lateral incisor.
Canine recontouring was subsequently performed to modify its shape and create an appearance closer to a lateral incisor.
The patient was concerned about the appearance of his smile due to the missing upper lateral incisor (22).
As a 22-year-old football player, he wanted an aesthetic smile while avoiding implant treatment.
The treatment was planned to:
A customised non-extraction treatment plan using Elencia Aligners was developed with a primary focus on smile aesthetics.
The aligners were used to progressively improve tooth alignment and address the deep bite.
Instead of replacing the missing 22 with an implant, an aesthetic canine substitution approach was selected.
Following orthodontic alignment, the canine was recontoured to resemble the shape and proportions of a lateral incisor. This helped create a more harmonious appearance of the anterior teeth and improve the overall smile design.
Clear Aligner Case Overview
| Case Type | Smile Designing |
| Treatment Duration | 12 Months |
| Total Aligners | 39 Aligners |
| Upper Arch | 23 Aligners |
| Lower Arch | 16 Aligners |
| Extractions | Non-Extraction |
| Treatment Modality | Elencia Aligners |
The missing lateral incisor was managed through an aesthetic canine substitution approach, with canine recontouring performed to create a tooth shape closer to that of a lateral incisor.
Smile transformation sometimes requires more than simply straightening teeth.
In this case, Elencia Aligners were used to optimise tooth positioning and address the deep bite, while canine recontouring helped create the appearance of a lateral incisor.
This combination of orthodontic movement and aesthetic tooth reshaping provided an alternative approach for a young adult who specifically wanted to avoid implant treatment.
The treatment was therefore designed around both clinical objectives and the patient’s aesthetic preferences.
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.
Severe dental crowding can make the teeth difficult to clean, affect smile aesthetics and significantly influence a patient’s confidence, particularly when the smile is an important part of their professional life.
This case involved a young female singer presenting with Class I malocclusion and severe crowding in both the maxillary and mandibular arches. A highly placed canine was also present, contributing to the significant alignment challenge. Patient also had complete deep bite leading to traumatic occlusion.
The patient was apprehensive about dental extractions and strongly preferred a non-extraction treatment approach.
A customized treatment plan using arch expansion followed by progressive alignment with Elencia Aligners was therefore selected to create the required space while avoiding extractions.
The patient was a professional singer and was particularly conscious of the appearance of her smile.
Because of the severe crowding, she felt uncomfortable performing at public events and was hesitant to face large audiences. Her smile had become a significant source of self-consciousness.
She was also scared of dental extractions and wanted to explore a treatment option that could improve her smile without removing teeth.
The treatment therefore needed to address both the significant dental crowding and the patient’s strong preference for a non-extraction approach.
As a singer, she also reported concerns related to the way her teeth affected her speech and phonetics while singing.
A non-extraction treatment approach along with Mini implants was planned in accordance with the patient’s clinical requirements and her strong preference to avoid extractions.
Once adequate space was created, the treatment progressed to sequential alignment of the crowded teeth.
The highly placed canine was gradually brought into the arch through carefully staged tooth movements and retraction with two miniscrews in between maxillary second premolar and molar, while the remaining teeth were progressively coordinated.
A single labially placed miniscrew in midline in maxilla was used to achieve the desired intrusion to level maxillary arch by engaging elastics to palatally place elastic hooks in maxillary aligners.
The entire treatment was digitally planned and delivered through customized Elencia Aligners, providing an aesthetic and removable alternative to conventional fixed appliances.
Clear Aligner Case Overview
| Case Type | Class I Malocclusion with Severe Crowding |
| Treatment Duration | 13 Months |
| Total Aligners | 51 Aligners |
| Upper Arch | 26 Aligners |
| Lower Arch | 25px Aligners |
| Extractions | Non-Extraction |
| Treatment Modality | Elencia Aligners |
The severe crowding was managed through a non-extraction approach, beginning with arch expansion followed by progressive alignment and intrusion using Mini Screws.
The treatment was completed in 13 months using 51 aligners — 26 maxillary and 25 mandibular aligners.
Beyond the clinical improvement, the treatment had a significant personal impact on the patient. With her smile transformed, she developed greater confidence in appearing in front of audiences and performing at public events.
As a professional singer, she also experienced an improvement in her perception of speech and phonetics while singing, adding an important functional dimension to the aesthetic improvement.
For patients whose profession involves frequent public interaction, a smile concern can extend beyond aesthetics and directly affect confidence and self-expression.
Since she was apprehensive about extractions, a carefully planned non-extraction approach was adopted. Arch expansion was used initially to develop space, followed by progressive alignment of the crowded dentition and correction of deep bite using Mini Screws. Canine retraction was also achieved by Mini Screws.
Elencia Aligners provided an aesthetic and removable treatment option while allowing the movements to be digitally staged throughout the treatment.
The result was not only a more aligned smile but also a renewed sense of confidence that allowed the patient to feel more comfortable performing and facing an audience.
When teeth shift back to their original position after previous orthodontic treatment
