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A 25\u2010year\u2010old female patient with skeletal class I, bilateral class II relation, increased overjet and overbite and crowding in both arches presented for orthodontic treatment. The patient refused conventional fixed multibracket treatment in favor of aligners. Pre\u2010 and post\u2010treatment records are presented. Treatment objectives were achieved in 10\u00a0months, and the patient was satisfied with the functional and esthetic outcomes. Combining aligners with appropriate attachment location and geometry is an efficacious means of resolving orthodontic issues such as class II malocclusion in a time frame comparable to that of conventional fixed orthodontics. Staging in distalization increases the predictability of movement. Furthermore, this system is associated with optimal oral hygiene and excellent esthetics.<\/jats:p>","DOI":"10.1002\/ccr3.6854","type":"journal-article","created":{"date-parts":[[2023,1,21]],"date-time":"2023-01-21T01:09:25Z","timestamp":1674263365000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Distalization using efficient attachment protocol in clear aligner therapy\u2014A case report"],"prefix":"10.1002","volume":"11","author":[{"given":"Waddah","family":"Sabouni","sequence":"first","affiliation":[{"name":"Private Practice, Invisalign Centre  Dubai United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srirengalakshmi","family":"Muthuswamy\u00a0Pandian","sequence":"additional","affiliation":[{"name":"Department of Orthodontics Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences  Chennai Tamil Nadu India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikhilesh R.","family":"Vaid","sequence":"additional","affiliation":[{"name":"Department of Orthodontics Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences  Chennai Tamil Nadu India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1431-8947","authenticated-orcid":false,"given":"Samar M.","family":"Adel","sequence":"additional","affiliation":[{"name":"Department of Orthodontics Alexandria University  Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,1,20]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1590\/2177-6709.23.6.40.e1-10.onl"},{"key":"e_1_2_11_3_1","first-page":"83","article-title":"Creative adjuncts for clear aligners, part 1: class II treatment","volume":"49","author":"Bowman SJ","year":"2015","journal-title":"J Clin Orthod"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2021.11.012"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2005.06.002"},{"key":"e_1_2_11_6_1","first-page":"263","article-title":"Clinical limitations of Invisalign","volume":"73","author":"Phan X","year":"2007","journal-title":"J Can Dent Assoc"},{"key":"e_1_2_11_7_1","first-page":"525","article-title":"Complex orthodontic treatment using a new protocol for the Invisalign appliance","volume":"41","author":"Boyd RL","year":"2007","journal-title":"J Clin Orthod"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2008.72.8.tb04570.x"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejwf.2022.10.005"},{"key":"e_1_2_11_10_1","first-page":"26","article-title":"Mandibular advancement with clear aligners in the treatment of skeletal class II. 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