Fig. 5a: Treatment for lower crowding was suggested after complete restorations. Initial Fig. 5b: Lower crowding confined to the natural teeth. Fig. 5c: Excessive overjet to alleviate the crowding. Align final Initial Fig. 5d: ClinCheck text to assess possibility of treatment. Align final Fig. 5e: The first treatment plan and ClinCheck. Case 4: Aligners and no IPR Invisalign, like most other orthodontic therapy, is not ideal after complete restoration. This patient presented after restoration of all upper teeth and lower molars. After receiving an extensive dose of porcelain, she was told she needed aligners to organize her lower incisor teeth. She sought the opinion of an orthodontist because she believed something was not right. I confirmed her suspicion that Invisalign should probably have been performed before her cosmetic treatments, but a ClinCheck analysis persuaded me that we would not need to move her recently restored incisors or buccal segments. Because the lower bicuspids were inclined to the lingual and the volume added to the upper expanded the width, uprighting and noninterproximal treatment was performed. We could broaden her lower smile to match her upper. Two stages of aligners were used to complete care. The last set prescribed intruded the lateral incisors so I could equilibrate the worn edges of her lower incisor teeth, make them appear even and eliminate further ceramic treatment. Fig. 5g: Final result. Fig. 5f: Note the uprighting of the buccal segments. Initial Align final Fig. 5h: Refinement to intrude the lateral incisors. Fig. 5i: Final. orthotown.com \\ SEPTEMBER 2017 55http://www.orthotown.com