13 aligners estimated to correct the teeth position after braces. Most of the changes appear to be constricting the teeth to coordinate them with the upper arch. Patient 3: A combo case from the start For this 46-year-old male, we presented the only option of treatment as being lower braces and upper aligners for 4-5 months, followed by full-mouth aligner therapy. His initial crowding can be seen in Fig. 10. After five months of braces and two wires (0.013 and 0.014), we removed the braces, scanned for a refinement and placed a lower bonded 3-3 to hold the teeth until his aligners arrived. The position of the lower teeth on the day of the scan can be seen in Fig. 11. Fig. 10 Fig. 11 Discussion Using short-term braces to correct crowding and rotations and clear aligners to detail the teeth and occlusion can be an effective way to manage an adult patient's care while continuing to motivate him or her throughout treatment. Although this technique can be used reactively to treat poor compliance or difficult movements after clear aligner therapy has started, it's more efficient when done proactively, as part of a comprehensive combination treatment method. Promising 4-5 months of braces is usually an acceptable amount of time for adult patients who want the benefits of instant gratification and a clear treatment method. In fact, it has become an important and requested procedure in our office. We simply tell patients to say, "Make mine a combo." ■ orthotown.com \\ MAY 2017 39http://www.orthotown.com