Prioritizing Pre-Restorative Orthodontics for Functional Excellence

About This Case

This patient presented with pain, discomfort, and underlying airway issues — a combination that complicates any restorative plan. The first task wasn't deciding on materials or preps; it was finding a comfortable orthopedic position the restorations could be built around. This case works through the key questions: Could Invisalign get us there? How much restorative work would actually be needed? And how do we sequence ortho before restorative to set the case up right?