How we think about a case, from presentation to production. These are illustrative, schematic cases that show our planning approach. Anonymised real cases are shared on request, with the treating doctor's consent.
Doctor asked Patient wants no extractions and a short treatment. Can IPR alone give me the space?
Crowded lower incisors resolved with IPR and modest expansion, keeping the upper arch changes minimal.
See the planDoctor asked Will the diastema stay closed, or do I need to plan a frenectomy first?
Generalised upper spacing closed with controlled retraction and a frenectomy referral flagged early.
See the planDoctor asked Half-cusp Class II, refuses extractions and fixed braces. Is distalisation realistic with aligners?
Half-cusp Class II corrected by distalising the upper posterior segment in sequence, with elastics from the start.
See the planDoctor asked 3 mm open bite with a tongue thrust. Can we close it without surgery?
A 3 mm open bite closed with posterior intrusion and controlled anterior extrusion, with tongue habit management.
See the planDoctor asked One lateral in crossbite behind the lower canine. Do I need a bite ramp?
An upper lateral incisor in crossbite proclined over the bite with space created by targeted IPR.
See the planDoctor asked Veneers booked in three months. Can we align first so I prep less?
Short alignment to idealise the upper anterior positions before minimal-prep veneers, planned with the restorative dentist.
See the planA real planner answers, not a bot and not a ticket queue. Describe the case in a message, send a photo of the scan, or call us. We reply within one working day.
Class II div 1, moderate upper crowding, patient refuses extractions. Is this doable with aligners?
Yes. I would stage sequential distalisation and start Class II elastics from stage 1. Send the lower scan and photos and I will build a setup you can review.
Sending now. Can we keep the lower incisors where they are?
We can limit proclination to about 2° and hold the rest with the elastics. I will show you both versions.