SAFE Clinical Assistant

Complex case review

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1Case details
2Your plan
3SAFE review

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SAFE Clinical Assistant

Three viable paths. One decision to make first.

6 related cases

Your proposed partial closure can be sensible, but define the final restorative position before changing the ClinCheck. The key question is how much retraction the facial profile and final occlusion can tolerate.

Start here

Choose the spacing strategy before choosing attachments. Do not let the software make that decision for you.

  1. 1

    Full closure with retraction

    Simple in principle, but review lip support and lower incisor position. A Class III tendency may limit safe lower retraction.

  2. 2

    Close by mesialising

    Transfer residual space posteriorly when tooth proportions permit and anterior lip support should be protected.

  3. 3

    Partial closure for restoration

    Position the teeth deliberately for bonding or veneers when tooth-size discrepancy makes complete closure less aesthetic.

How this changes the ClinCheck

  • Sequence derotation before extrusion and anterior torque.
  • Use anchorage support and review Class III elastics.
  • Confirm lower IPR if restorative overjet is inadequate.
  • Set the final midline space from the restorative plan, not by eye.

Questions to resolve before approval

  • What do the profile and cephalometric records say about further retraction?
  • Is there a tooth-size discrepancy that makes restorative space the better endpoint?

Retention

Plan excellent lifelong retention for spacing: bonded retainers plus removable retainers, with the commitment explained before treatment.

Clinical check required

Confirm complete records, periodontal limits, skeletal pattern, consent and final occlusion with an appropriately qualified clinician.

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A conversational summary generated with the approved SAFE presenter via Madnion.