Jane has always had problems with lower right 2nd molar. She has had multiple fillings done on 1st molar distal side because of food stuck between two molars and it causes dental decay. She came to me complaining that she keeps getting decay on 1st molar and gum bleeding issues. I always put molar alignment or bite stability first from front teeth alignment. However, without back support no front restorations last. Molars are the foundation of your teeth and smile. If you only fix front teeth, it is like building a house above sand dune. Jane got a limited orthodontic treatment with me. I up righted her 2nd molar and solved molar crowding problem.