Case persona
The patient started as a 13 year old male who wanted straighter teeth, and upper jaw crowding was preventing normal alignment. Treatment options were limited to strategic space creating extractions, or expansion treatment. To add further nuance to the case, the patient requested that treatment be completed prior to starting high school. This created an approximate two year window to build expansion and optimal alignment. Invisalign could have been used for a 12 month alignment strategy, but given the patient’s active lifestyle, it was determined that metal braces would ensure 24 hour per day straightening and keep the treatment on schedule.



