Frisco, TX – Elate Orthodontics is highlighting a recent complex orthodontic case that demonstrates how modern treatment planning, patient compliance, and advanced clear aligner therapy can achieve exceptional outcomes without the use of traditional braces.
The patient presented with multiple skeletal and dental concerns, including an underbite, open bite, posterior crossbite, and dissatisfaction with chin projection and bite function. Due to the skeletal nature of the case, orthognathic (jaw) surgery was required to correct the jaw relationship. What makes this case notable is that the entire orthodontic phase, both before and after surgery, was completed exclusively with clear aligners, without the use of braces at any stage.
Total treatment time was approximately 2.5 years, and the success of the case was driven by a combination of precise planning, interdisciplinary coordination, and excellent patient compliance with aligner wear.
“This case reflects how much orthodontics has evolved,” said Dr. Kevin Baharvand, orthodontist at Elate Orthodontics. “Today, many complex cases can be treated predictably with either braces or aligners. What matters most is the diagnosis, the treatment plan, the experience of the provider, and the commitment of the patient. The question is no longer whether someone is a candidate for aligners, but rather which approach best fits the patient and the clinical goals.”
Historically, complex orthodontic and surgical cases relied heavily on fixed braces. Advances in digital planning, aligner design, and surgical coordination now allow orthodontists to manage even advanced skeletal cases with greater flexibility, often improving patient comfort and experience without compromising outcomes.
Elate Orthodontics emphasizes that appliance choice alone does not determine success. Proper bite correction, long-term stability, and functional improvement depend on careful planning and execution throughout the entire course of treatment.
“This case highlights the importance of individualized care,” Dr. Baharvand added. “Orthodontics is not simply about straightening teeth. It is about how the teeth, jaws, and facial structures work together, and how treatment decisions are made along the way.”
Elate Orthodontics is a family-owned orthodontic practice serving North Frisco, West Frisco, and The Colony, Texas. The practice focuses exclusively on orthodontic care for children, teens, and adults, offering braces, clear aligners, surgical orthodontics, and airway-focused treatment using the latest technology and evidence-based approaches.
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