Orthodontic treatement or smile redesigning

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Your preferred treatment modality for this case

Pls vote as to what will be better for this patient . Orthodontic treartment or smile redesigning.

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  • Smile redesigning
  • Orthodontic treatment

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    Registered On: 02/09/2011
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    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

    Frontal View20240808_205936SANDHYA NAIR LATERAL CEPHALOGRAM 2.8.24_01_01Lower after scalingSANDHYA NAIR OPG 2.8.24_01

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