10/07/2026
With all the healthy discussion around how much we can change an arch form in orthodontics, with appliances alone versus auxiliaries or surgical procedures, I think one thing is important to remember: every patient has their own anatomical limits…but also their own possibilities.
That’s the beauty of our profession. There are often different ways to successfully treat a patient, but it’s up to us to understand those possibilities and find the most efficient, predictable path to the best result for each specific person.
For this fully grown adult, we were able to transform a collapsed arch form using Invisalign clear aligners alone with no auxiliaries or surgery. Through intentional biomechanics, staging, and facially driven treatment planning, we focused not only on function, but also on improving his smile arc and how his smile looked within his face.
Most importantly, we’re happy we could give him a result he believed wasn’t possible with Invisalign only, and a smile he’s genuinely confident and happy with 🙌🏻.
