This case involved a young female medical professional, traveller and blogger who presented with a missing incisor, generalized spacing in the mandibular arch, generalized spacing in the maxillary arch and an open bite.
A customized clear aligner treatment plan was developed using Elencia Aligners. Buttons and elastics were incorporated to assist with controlled closure of the lower arch space and management of the open bite.
The patient was a young female medical professional who was also passionate about travelling and blogging.
She presented with a missing incisor and prominent spacing in both arches, with larger generalized spaces in the mandibular arch. The presence of an open bite further affected the overall appearance of her smile.
A customized treatment plan was developed using Elencia Aligners.
Buttons and elastics were incorporated into the treatment protocol to assist with controlled closure of the lower arch space and contribute to open-bite correction.
This combination of clear aligners, buttons and elastics allowed the treatment to address both the spacing and open-bite components of the case.
Clear Aligner Case Overview
| Case Type | Generalized Spacing & Open Bite |
| Treatment Duration | 12 Months |
| Total Aligners | 42 Aligners |
| Upper Arch | 23 Aligners |
| Lower Arch | 19 Aligners |
| Extractions | Non-Extraction |
| Treatment Modality | Elencia Aligners |
In this case, Elencia Aligners were used with carefully planned staging and auxiliary mechanics to coordinate tooth movement.
The addition of buttons and elastics provided additional control during treatment, particularly for management of the lower arch space and open bite.
The result was not simply improved alignment—it was a smile that the patient felt confident sharing in her professional life, travels and everyday interactions.
Anterior open bite is a malocclusion in which the upper and lower front teeth do not achieve the desired vertical overlap when the posterior teeth are together. It can affect smile aesthetics, anterior tooth function and the overall balance of the bite.
This case involved a patient presenting with an open bite and an unaesthetic smile. A non-extraction treatment approach was selected using Elencia Aligners, with box elastics and button cutouts incorporated to assist with the planned bite correction.
Button cutouts were provided in the aligners for the specified teeth to facilitate elastic wear. The combination of customized aligners and interarch elastics helped deliver the planned orthodontic mechanics throughout treatment.
The case was completed in 10 months using 38 aligners, with a visible improvement in the patient’s smile.
The patient presented with an open bite that affected the appearance of the smile and the relationship between the upper and lower front teeth.
The treatment objective was to improve the anterior bite relationship, achieve better dental coordination and create a more harmonious smile without extractions.
The button cutouts were provided at:
The effectiveness of elastic mechanics depends on the individual diagnosis, treatment plan, appliance design and patient compliance.
Clear Aligner Case Overview
| Case Type | Open Bite Correction |
| Treatment Duration | 10 Months |
| Total Aligners | 38 Aligners |
| Upper Arch | 20 Aligners |
| Lower Arch | 18 Aligners |
| Extractions | Non-Extraction |
| Treatment Modality | Elencia Aligners |
Following treatment, the before-and-after records demonstrate a visible improvement in the patient’s smile and anterior tooth relationship.
The treatment outcome included:
The case was managed using a non-extraction approach, with box elastics and button cutouts incorporated into the aligner mechanics to support the planned correction.
The treatment was completed in 10 months with 38 aligners — 20 maxillary and 18 mandibular aligners.
The most striking aspect of the case was the visible change in the patient’s smile, demonstrating the role that carefully planned orthodontic treatment can play in improving dental aesthetics.
Open bite correction may require more than aligner movement alone. Depending on the diagnosis and treatment objectives, auxiliaries such as elastics can be incorporated to support the planned tooth movements.
In this case, button cutouts were designed into the aligners at selected upper and lower teeth to facilitate box elastic wear.
This combination allowed the treating clinician to integrate auxiliary mechanics into a removable aligner treatment plan while pursuing the desired bite correction.
The case highlights the importance of individualized treatment planning, appropriate auxiliary selection and patient compliance in managing open bite cases with clear aligners.
Explore the Elencia Aligners Treatment Process:
https://elenciaaligners.com/aligners-treatment-process/
Open bite correction is an orthodontic treatment that focuses on closing the gap between the upper and lower teeth when the mouth is closed. This condition occurs when some teeth do not come into proper contact, which can affect biting, chewing, speech, and smile aesthetics.
When teeth shift back to their original position after previous orthodontic treatment
