Question:
This patient has bilateral posterior crossbites, which extends anteriorly on the left side to involve the 22 and 23. The 13 is palatally placed outside the arch, which is very narrow and constricted. In addition, the 21 is moderately rotated. The patient would like to have her upper incisors aligned and is not too concerned with correcting the posterior or anterior crossbites. Is it possible to proceed with an Inman Aligner or is it better as a fixed orthodontic case?

Answer:
This case should have full orthodontic treatment. It is definitely not a suitable case for the Inman Aligner. Apart from the fact that the instanding tooth, if left there, will make it almost impossible to fit an Aligner, it is highly recommended that the canine should always be moved back into the arch to restore occlusal function when possible.

Tags: Crossbite, Rotation, Unsuitable Case, Orthodontic Referral