Orthodontic Management of Anterior Crossbite with ClearPath Aligners

Background: Clear aligner therapy has become an increasingly popular orthodontic treatment modality due to its aesthetic appeal, comfort, and effectiveness. This case report presents the comprehensive management of a 19-year-old female patient with anterior crossbite and mild dental crowding using a combination of clear aligners, interproximal reduction (IPR), attachments, and the Elastic Button Technique (EBT). Case Presentation: The patient exhibited an anterior crossbite, Class II molar and canine relationships, and mild crowding. A digital treatment plan involving 22 stages was developed using intraoral scans and photographs. Treatment included IPR for space creation, extrusion attachments for incisor leveling, and elastic buttons to facilitate crossbite correction. Over nine months, aligners were worn 22 hours daily and changed every 10 days. Periodontal health and aligner tracking were monitored at regular intervals. Results: The treatment successfully corrected the anterior crossbite and achieved ideal overjet, overbite, and arch alignment. The patient maintained good oral hygiene, showed excellent compliance, and exhibited no signs of periodontal complications. Retention was initiated with clear retainers following completion. Conclusion: This case demonstrates the effectiveness of clear aligner therapy, enhanced by IPR, attachments, and EBT, in treating moderate malocclusions. Careful planning, patient cooperation, and periodic evaluation were key to achieving functional and aesthetic outcomes without resorting to fixed appliances or extractions.