Adult age (not less than 18 years) | No previous orthodontic treatment |
Regular arch form with little or no crowding | Complete dentition to second molars |
No bridges or implants | Centred midlines |
No gingival recession | No joint or muscle pathologies |
No ectopic teeth | No supernumerary teeth or tooth agenesis |
At least four of Andrews’ six keys with bilateral molar and canine class I occlusion always present | Presence of minimal diastems and/or small premolar rotation or little irregularity (Little’s index less than 3) at incisors in some individuals |
Overbite and overjet within normal limits 2 mm ± 1 mm | No anterior or posterior cross-bite |
No markedly visible intra-oral or extra-oral symmetry |