Correcting Multiple Spaces in Adult Patients With Precise Tooth Movement Control Using In-House Clear Aligners

Diastema or spacing in the anterior teeth is one frequent complaint of patients for undergoing orthodontic treatment. This case report presents the treatment of an adult patient with multiple spacings in the anterior teeth due to a Bolton discrepancy that was treated mostly by tipping using clear aligners. After 16 months of treatment, the patient's profile improved (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: decreased from 1.81 to 0.25 mm, Lower lip to E-line: decreased from 1.74 to 1.25 mm). Clear aligners can effectively address spacing issues in the anterior teeth of adult patients who have high aesthetic demands.