SAFE Clinical Assistant
Patient wanted crowding and upper incisor aesthetics addressed; the moderator limited molar expansion to protect the UR6, redistributed lower IPR distal to the 3s and 4s, and ultimately supported a scaled-back prescription that accepted the crossbite.
Flared upper centrals with bilateral posterior crossbites. Moderator advised correcting the simple tipping on the right, reassessing the left afterwards, staging box elastics per side, and controlling lower labial expansion with more IPR and anchorage.
Large UR1/UL1/UR4 rotations outside Go parameters with widespread recession from over-brushing and limited attached gingiva. Moderators pushed IPR over expansion, refined the 4STP, and the case was ultimately referred to a comprehensive provider.
Patient wanted a wider upper arch, so the case moved to comprehensive using the U7 buccal surfaces as the expansion reference. Moderator advice covered sash attachments for rotation plus extrusion, delaying IPR until true contact, and when micro-spaces add value over IPR.
Spacing case where the final restorative position should be defined before attachment selection.
Anterior intrusion and torque sequencing needed careful staging to protect the occlusion.
Unilateral expansion with cross-elastics and lower IPR to resolve arch-length discrepancy.
Spacing strategy chosen to preserve lip support while managing a Class III skeletal tendency.
Minor lower IPR and anterior alignment delivered a stable finish with minimal overjet change.
Refinement focused on posterior settling and precise occlusal stops after initial alignment.
Deliberate residual space positioned for bonded composite or porcelain lateral restorations.
Expansion and intrusion combined with myofunctional guidance for a stable open-bite closure.
Inter-proximal reduction and proportional tooth movement resolved crowding without extractions.
Upper central retroclination corrected with controlled anchorage and Class II mechanics.
Early expansion to correct posterior crossbite while managing anterior spacing for alignment.
Maxillary and mandibular incisor retraction planned around airway and lip-support limits.