Dear all eminent orthodontists, Help required with this case.Female patient /Age…44 yrs / No relevant medical history
Patient came with a complaint of upper right central incisor drifting and ” slightly coming outside.” and it seems lower anteriors have also tilted labially a little. This perhaps is due to gum recession and tartar accumulation.. The images shown below are after scaling.
What is the treatment?
Will orthodontic treatment work? If yes can this case be done with aligners?
The local aligner company has suggested IPR of lower incisors and thereafter retroclination of U/L incisors. Is this possible or should I treatr the case with smile redesigning. The patient also wants other diastemas to be closed. Hope to see a lot of responses and many thanks in advance for the same.
Regards ,
Dr Veerendra Darakh





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