Case Presentation 1 A 12-year-old patient with a Class I dental occlusion presented with moderate upper and lower crowding (3mm), 30 percent overbite, 2mm overjet, fluorosis stains on teeth #24 and #26 facial, and lower midline shifted 1mm to the right (Fig. 1). Treatment was initiated with Invisalign and VPro5 to establish an ideal functional alignment. After constructing a ClinCheck to achieve arch expansion (1-2mm) and anterior alignment, her final number of aligners were 23 upper and 23 lower. The first aligner was delivered with the Invisalign patient cooperation and instruction acknowledgement contract and an in-house form, and the patient was instructed to wear the first aligner for two weeks. Fig. 1 orthotown.com \\ OCTOBER 2016 57http://www.orthotown.com