Clear aligners have become a popular orthodontic treatment option, offering a discreet and convenient alternative to traditional metal braces. They gradually shift teeth into alignment using a series of custom-made, removable trays.
While clear aligners can help treat many common orthodontic issues, they are not suitable for every case. Some complex dental misalignments may require traditional braces or additional orthodontic interventions.
This guide explores which cases clear aligners can treat and how they work for specific conditions.
If you are unsure if clear aligners are right for you, you can book a complimentary appointment at our clinics. Our certified orthodontists will analyze your case.
Which cases can be treated?

Overbite
An overbite, also known as a deep bite, happens when the upper front teeth excessively overlap the lower front teeth.
A severe overbite can cause speech problems. It can also increase the risk of dental injuries. Additionally, overbites can cause jaw discomfort and lead to temporomandibular joint (TMJ) problems.
Clear aligners can gradually reposition the top and bottom teeth to reduce the severity of the overbite. They do this by applying controlled forces to move the teeth into a more balanced alignment.
In severe overbite cases that require significant jaw repositioning, traditional braces combined with orthodontic appliances may offer a more effective solution.

Crowded teeth
Clear aligners can gradually create space and move teeth into proper alignment.
Severe crowding may require tooth extractions or traditional braces.

Tooth gaps
Large gaps can impact speech and make it easier for food particles to get trapped, increasing the risk of gum disease.
Clear aligners can gradually move teeth closer together to close gaps. In some cases, additional cosmetic procedures may be needed for optimal results.

Open bite
An open bite occurs when the upper and lower front teeth do not touch when the mouth is fully closed, leaving a noticeable gap. Factors such as thumb-sucking, tongue thrusting, or an irregular jaw structure can cause this condition.
Clear aligners can help mild to moderate open bites. They apply pressure to move the teeth into the right position. They work by slowly adjusting the angle and alignment of the teeth to close the gap over time.
Severe open bite cases may require traditional braces, additional orthodontic appliances, or even jaw surgery for effective correction.

Underbite
An underbite occurs when the lower front teeth extend past the upper front teeth. It can cause difficulty in biting, chewing, and speaking. It can also lead to uneven wear on teeth and strain on the jaw joints.
Clear aligners can correct mild to moderate underbites by gradually repositioning the teeth.
Severe underbites may require traditional braces or even jaw surgery for optimal results.

Crossbite
It can cause excessive pressure on specific teeth, increasing the risk of fractures, uneven wear, and gum problems. It may also contribute to jaw pain and misalignment.
Clear aligners can shift the affected teeth into their proper position, improving alignment and preventing further dental complications.
For severe crossbites, traditional braces or additional orthodontic appliances may be necessary.
We have clinics conveniently located in the Bay Area, Sacramento, and Central Valley, for example in San Francisco – Post Street, Oakland, or San Jose Berryessa.
You can check the complete list of Image Orthodontics clinics.

What influences treatment success?
- Severity of the case: The complexity of the orthodontic issue determines whether clear aligners are a suitable option.
- Patient compliance: Wearing aligners for the recommended 20 to 22 hours per day is essential for achieving desired results.
- Age of the patient: While clear aligners work well for adults and teens, younger patients with growing jaws may require traditional braces.
- Technology and expertise: Orthodontists using advanced digital scanning, 3D treatment planning, and AI-driven monitoring can optimize results.

Clear aligners at Image Orthodontics
Innovative technology
We utilize leading-edge technology to ensure precise and effective treatments. Our clear aligners are designed using advanced digital imaging and computer-aided design, allowing for customized treatment plans that align with each patient’s unique dental structure. This technology enables us to predict tooth movements accurately and achieve optimal results in a shorter time frame.
Which brands do we work with?
- Invisalign®: A widely recognized clear aligner system known for its comfort and effectiveness in treating various orthodontic issues.
- ClearCorrect™: An innovative orthodontic treatment that uses a series of clear plastic trays to correct different types of malocclusions.
- SureSmile® Clear Aligners: These custom-fit, removable aligners gradually straighten teeth.
Their technology ensures precise tooth movement, potentially reducing treatment time by up to a third compared to traditional methods.
By offering these advanced clear aligner options, Image Orthodontics ensures that each patient receives personalized care tailored to their specific orthodontic needs.
Frequently Asked Questions
Are clear aligners appropriate for all types of malocclusions?
While aligners can treat many cases, severe jaw issues or complex dental movements may require alternative treatments like braces or surgery. Contacting a professional to determine if they are suitable for your case is advisable.
How long does it take to correct malocclusions with clear aligners?
Treatment duration varies but typically ranges from six months to two years, depending on case complexity.
Is it painful to fix malocclusions with clear aligners?
