Question:
Is the Inman Aligner suitable for this case? The ideal arch measurement is 48.34, the combined teeth measurement is 47.15, the discrepancy is -1.19 (extra space). I am thinking of using an upper Aligner to correct the position, without any IPR and would probably finish the alignment with one or two Clear Aligners. I would review lowers after the alignment of the uppers to see if any spontaneous movements will result prior to re-measuring for a lower Aligner.

Answer:
This case is suitable, but you will still need a degree of stripping. Anchors should be used. I expect the contacts are very tight as they are, and even though you may be expanding forwards a little, you need to allow the teeth space to start to jiggle. I wouldn't be afraid of using a blue strip through the contacts a couple of times. I might also suggest using a midline Expander on the Aligner. They work well in cases like this and reduce the need for IPR. Definitely review the lowers after you are done with the uppers. I expect they would need a separate Aligner later if the patient wants them straight though. Do also warn the patient about her irregular wear. She will need contouring or bonding once the teeth derotate.

Tag: Moderate Upper Crowding, Moderate Lower Crowding, Rotation, Suitable Case, Combined Inman and Expander, Combined Upper and Lower Treatment, Composite Anchors, Differential Wear Post-Treatment