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Updated: May 15, 2025

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Author Spotlight: 3D Movement Assessment of Maxillary Posterior Teeth in Clear Aligner Treatment
Published on: February 23, 2024
975
Correcting Multiple Spaces in Adult Patients With Precise Tooth Movement Control Using In-House Clear Aligners.
Nguyen Van Tam1, Trieu Thi Phuong1, Vu Thi Van Anh1
1Van Anh Dental Clinic Bac Ninh Vietnam.
Clinical Case Reports
|April 7, 2025
Summary
This case report demonstrates how clear aligners effectively treated anterior teeth spacing in an adult patient with Bolton discrepancy. The treatment improved the patient's profile and aesthetic demands.
Area of Science:
- Dentistry
- Orthodontics
Background:
- Diastema, or anterior teeth spacing, is a common orthodontic treatment complaint.
- Bolton discrepancy can cause multiple anterior teeth spacings.
Purpose of the Study:
- To present the orthodontic treatment of an adult patient with anterior teeth spacing due to Bolton discrepancy.
- To evaluate the efficacy of clear aligners in treating such cases.
Main Methods:
- Treatment of an adult patient with multiple anterior teeth spacings.
- Utilized clear aligners with a primary technique of tipping.
- Treatment duration of 16 months.
Main Results:
- Significant improvement in the patient's facial profile.
- Upper incisor inclination (U1-FH) decreased from 127° to 117.86°.
- Lower incisor inclination (IMPA) decreased from 103° to 96°.
- Upper lip to E-line improved from 1.81 mm to 0.25 mm.
- Lower lip to E-line improved from 1.74 mm to 1.25 mm.
Conclusions:
- Clear aligners are effective in treating anterior teeth spacing caused by Bolton discrepancy.
- This treatment modality meets the high aesthetic demands of adult patients.

