There is an increase in the number of dentists using orthodontic treatment for anterior tooth alignment. This is either combined with additive bonding or interproximal reduction; knowing "when to" and "how much" requires an understanding of the anterior ratio. This case report explains how to use the anterior ratio to help provide optimal aesthetics and function for the ortho-restorative patient. The anterior ratio is an important diagnostic tool required for both disciplines of orthodontics and restorative dentistry which is often overlooked. The case report demonstrates the use of the Invisalign orthodontic appliance and the corresponding ClinCheck software to help achieve the proposed treatment goals.