Clinical Indications

• Asymmetric arches
• Class II
• Crowding
• Deep bite
• Deepbite
• Facial/dental midline descrepancy
• Maxillary midline deviation
• Midline shift

Maxillary canines positioned outside the dental arch with anterior crowding and maxillary midline with severe deviation to the right. Insufficient arch space and constricted arch form, requiring arch expansion and space management. Lower anterior crowding and rotations observed. Arch coordination is needed to guide the canines into the arch, correct maxillary midline deviation and improve overall alignment.

Modalities

• Elastics: Class II
• Extraction
• First Premolar extraction
• Intrusion
• IPR
• Level the curve of Spee
• Leveling Curve of Spee
• Overtreatment
• Premolar extraction
• Premolar extraction space closure
• TADs

SmartStage technology helped sequence posterior anchorage, anterior alignment, canine retraction, extraction space closure, Curve of Spee leveling, and control of anterior tooth axes during maxillary midline correction in a biologically controlled manner. SmartForce features provided targeted force systems to support root control, anchorage management, and predictable canine movement into the arch. SmartTrack material delivered consistent and gentle forces throughout treatment, improving aligner fit, tracking, and treatment predictability. These innovations helped achieve coordinated arch form, improved anterior alignment, controlled vertical correction, complete space closure, and stable final occlusion.

Treatment Information