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Deep Bite Correction with the Invisalign System: A Case-Series Study
Trey Spillers1, David Alexandre Cruz Walma2, Jerry Don Spillers1
1Department of Orthodontics, School of Dentistry, University of Alabama at Birmingham, Birmingham, Alabama, United States.
European Journal of Dentistry
|June 24, 2025
Summary
Invisalign effectively corrects deep bites by extruding back teeth and intruding front teeth, with minimal skeletal changes observed. This study analyzed dental and skeletal alterations in 37 adult patients undergoing treatment.
Area of Science:
- Dentistry
- Orthodontics
- Biomedical Engineering
Background:
- Deep bite malocclusion affects dental and facial aesthetics.
- Clear aligner therapy offers a less invasive alternative to traditional braces.
- Understanding treatment-induced changes is crucial for effective orthodontic care.
Purpose of the Study:
- To assess dental and skeletal changes from Invisalign treatment for deep bites.
- To evaluate the efficacy of clear aligners in correcting deep bite malocclusion.
Main Methods:
- Retrospective case series of 37 adult deep bite patients.
- Analysis of pre- and post-treatment cephalograms.
- Statistical comparison of 19 dental and skeletal variables using Wilcoxon analysis.
Main Results:
- Significant changes in 14 of 19 variables (p < 0.05).
- Key findings include decreased overjet/overbite, posterior extrusion, anterior intrusion, and lower incisor proclination.
- Minimal skeletal alterations observed, with a slight increase in the sella-nasion-mandibular plane angle.
Conclusions:
- Invisalign is effective for correcting dental deep bites via posterior extrusion and anterior intrusion.
- Clear aligner therapy results in minimal skeletal changes for deep bite correction.
- This study provides insights into expected dental and skeletal outcomes of Invisalign deep bite treatment.

