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Unilateral Crossbite Correction: This treatment utilises Invisalign’s correct anchorage forces and necessitates assessing the angulation versus arch expansion. A narrow arch with visible asymmetry is corrected to achieve a more aesthetically pleasing smile line.

• Patient presented with large, discoloured composite restorations.

• She desired a more attractive smile, addressing both aesthetics and tooth size discrepancies.

• Treatment involved a two-phase removal of old composites and closing the existing diastema.

• Due to her Class I bite, careful planning was essential to avoid edge-to-edge contacts or posterior open bites related to Bolton discrepancy. #

• Precise ClinCheck planning, optimal anchorage forces, and accurate IPR execution achieved a perfect bite and symmetry using auxiliary buttons and elastics.

• Successful orthodontic management eliminated the need for surgical frenectomy.

• Long-term stability is secured through Vivera and fixed retainers, reinforced by patient compliance. Question for reflection: How are you communicating the importance of retention to ensure your patients maintain these excellent results?

Worn and damaged teeth are restored by initially correcting the bite with Invisalign; once this is corrected, the teeth are restored with composite bonding.

Significant midline correction achieved through Invisalign treatment. Treatment planning was detailed, incorporating a mixture of distalization, expansion, auxiliary buttons, and elastics.

Significant crowding!! Invisalign treatment

Once Invisalign was completed, careful planning was necessary to achieve the perfect harmony between pink and white. The smile line and gum line were refined to create a flawless finish.

Composite edge bonding after Invisalign

In this case, an existing Implant on the Upper right quadrant helped us correct the bite and crowding.

CBCT planning for Open-bite