A female patient had concerns about the appearance of her smile. She disliked her upper and lower crowding and was looking for a solution. A full medical history was taken and no abnormalities were found. She had undergone orthodontic treatment as a teenager but had since experienced a relapse.
As per the IAS Academy protocol, a comprehensive orthodontic assessment was conducted (Table 1). The patient’s oral hygiene was good, the gingivae were healthy and no bone loss was evident from the radiograph taken. A grade 2 gingival biotype was recorded in the lower anterior region.