A female presented in her early twenties with concerns about the movement of her upper anterior teeth and increasing crowding. The patient presented with Class II division I malocclusion on a Class II skeletal base with an increased overjet, mild upper and lower crowding and deviated upper and lower centre lines. Her oral hygiene was good, though she is a smoker and had a history of taking medication for depression (Fluoxetene).
The patient worked in a public facing role, and was therefore interested in a discreet solution that could solve the problem without being unsightly. Suitability was therefore assessed for treatment with the clear aligners.