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BIOMECHANICS

Open bite + Aligners = Gold standard?

By Dr. Shaun Weng

Published June 2026

10 min read

Clinical Summary

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Content

Open bite cases an be dental, skeletal or both.

Treatment can either include habit correction, extrude/retract anterior teeth, intrude posterior teeth or surgery


Advent of TAD’s in combination with aligners allow for intrusion of the molars that can result in a forward and upward movement from mandibular autorotation.


Molar intrusion by aligners is mainly due to the “bite-block effect” caused by two layers of aligner material between teeth.


Author utilised a combination of incisor extrusion (pure and relative), molar intrusion and consequent counterclockwise rotation of the jaw to help close the anterior open bite.

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