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Deep bite malocclusion correction with SmartForce Aligner Activation in three adolescent patients.
Simonetta Meuli1, Valentina Ventura2, Davide Gentile1,3
1Postgraduate School of Orthodontics, Catholic University of the Sacred Heart, Largo Agostino Gemelli 8, Rome, 00168, Italy.
BMC Oral Health
|April 18, 2025
Summary
The SmartForce Aligner Activation protocol shows promise for correcting severe deep bites in adolescents using clear aligners. This innovative approach may lead to successful orthodontic management and stable results in growing patients.
Area of Science:
- Orthodontics
- Dental Biomaterials
Background:
- Deep bite is a prevalent malocclusion in adolescents and adults, often challenging to treat with conventional clear aligners due to biting forces.
- Previous clear aligner (CA) treatments for severe deep bites faced limitations, often attributed to patient biting forces.
- Align Technology developed the SmartForce Aligner Activation protocol with specific CA features to enhance treatment predictability.
Purpose of the Study:
- To evaluate the skeletal and dentoalveolar outcomes of the SmartForce Aligner Activation Invisalign G8 protocol in adolescent patients with severe deep bites.
- To assess the effectiveness of a novel clear aligner activation strategy for deep bite correction.
Main Methods:
- The study involved three adolescent patients (2 female, 1 male, aged 11-14) with severe deep bites.
- Treatment utilized clear aligners with SmartForce Aligner Activation, worn 20/22 hours daily.
- Pre- and post-treatment records included intraoral/extraoral photos, orthopantomographies, and lateral teleradiographies, with a one-year follow-up.
Main Results:
- All patients achieved a Class I molar and canine relationship and flattened Spee curves post-treatment.
- Post-treatment teleradiography indicated significant skeletal, dental, and aesthetic improvements.
- One-year follow-up demonstrated the stability of the achieved orthodontic results.
Conclusions:
- The SmartForce Aligner Activation protocol appears effective for managing severe deep bites in growing orthodontic patients.
- This protocol offers a potentially predictable and successful treatment option for deep bite malocclusions using clear aligners.

