BrightArk

Clear Aligner Clinical Cases

21 clear aligner orthodontic treatment cases from BrightArk Clinical Cases – English. For educational and professional exchange only.

01

Deep anterior overbite; excessive overjet

Patient
11-year-old male
Findings
Deep anterior overbite; excessive overjet
Goal
Align dentition; correct deep overbite and excessive overjet

Before

Before

Case 1 — Before — 1Case 1 — Before — 2Case 1 — Before — 3Case 1 — Before — 4
  • Skeletal Class II tendency; average-angle pattern
  • Mandibular deficiency; proclined maxillary central incisors
  • Deep overbite; excessive overjet; midline discrepancy
  • Mouth breathing

After

After

Case 1 — After — 1Case 1 — After — 2Case 1 — After — 3Case 1 — After — 4
  • Retracted maxillary anterior teeth
  • Improved overbite and overjet
  • Improved occlusion and dental midline
  • Aligned both arches

Source: BrightArk Clinical Cases – English · PDF page 2

02

Deep overbite; excessive overjet; lower-lip biting habit

Patient
10-year-old male
Findings
Deep overbite; excessive overjet; lower-lip biting habit
Goal
Relieve crowding; improve frontal and profile appearance

Before

Before

Case 2 — Before — 1Case 2 — Before — 2Case 2 — Before — 3Case 2 — Before — 4
  • Angle Class II Division 1
  • Mandibular retrusion
  • Mild crowding in both arches
  • Deep anterior overbite; excessive overjet

After

After

Case 2 — After — 1Case 2 — After — 2Case 2 — After — 3Case 2 — After — 4
  • Reduced maxillary anterior proclination
  • Improved anterior overbite and overjet
  • Reduced crowding in both arches
  • Improved profile; corrected lower-lip biting habit

Source: BrightArk Clinical Cases – English · PDF page 3

03

Dental protrusion; mouth breathing

Patient
9-year-old female
Findings
Dental protrusion; mouth breathing
Goal
Improve facial profile and align dentition

Before

Before

Case 3 — Before — 1Case 3 — Before — 2Case 3 — Before — 3Case 3 — Before — 4
  • Angle Class II
  • Mild crowding in both arches
  • Deep anterior overbite; excessive overjet
  • Convex soft-tissue profile

After

After

Case 3 — After — 1Case 3 — After — 2Case 3 — After — 3Case 3 — After — 4
  • Reduced crowding in both arches
  • Improved deep overbite and excessive overjet
  • Reduced maxillary anterior proclination
  • Corrected adverse oral habit

Source: BrightArk Clinical Cases – English · PDF page 4

04

Anterior open bite; dental crowding

Patient
8-year-old female
Findings
Anterior open bite; dental crowding
Goal
Improve profile; align dentition; correct occlusion

Before

Before

Case 4 — Before — 1Case 4 — Before — 2Case 4 — Before — 3Case 4 — Before — 4
  • Moderate anterior open bite
  • Mild mandibular crowding
  • Convex profile
  • Dental midline discrepancy

After

After

Case 4 — After — 1Case 4 — After — 2Case 4 — After — 3Case 4 — After — 4
  • Near-normal overbite and overjet
  • Corrected moderate anterior open bite
  • Aligned both arches
  • Improved facial profile

Source: BrightArk Clinical Cases – English · PDF page 5

05

Open bite; dental crowding

Patient
10-year-old male
Findings
Open bite; dental crowding
Goal
Correct open bite and align teeth

Before

Before

Case 5 — Before — 1Case 5 — Before — 2Case 5 — Before — 3Case 5 — Before — 4
  • Malocclusion
  • Moderate anterior open bite
  • Mandibular anterior crowding
  • Convex profile

After

After

Case 5 — After — 1Case 5 — After — 2Case 5 — After — 3Case 5 — After — 4
  • Established stable occlusion
  • Improved anterior open bite
  • Reduced mandibular anterior crowding
  • Improved facial profile

Source: BrightArk Clinical Cases – English · PDF page 6

06

Deep overbite; excessive overjet; crowding

Patient
17-year-old female
Findings
Deep overbite; excessive overjet; crowding
Goal
Align teeth; correct overbite and overjet; improve profile

Before

Before

Case 6 — Before — 1Case 6 — Before — 2Case 6 — Before — 3Case 6 — Before — 4
  • Angle Class II; average-angle pattern
  • Dental crowding
  • Deep overbite and excessive overjet
  • Convex profile

After

After

Case 6 — After — 1Case 6 — After — 2Case 6 — After — 3Case 6 — After — 4
  • Expanded and coordinated dental arches
  • Improved deep overbite and excessive overjet
  • Aligned anterior teeth in both arches
  • Improved facial profile

Source: BrightArk Clinical Cases – English · PDF page 7

07

Narrow arches; dental crowding

Patient
9-year-old female
Findings
Narrow arches; dental crowding
Goal
Correct overbite and overjet; expand and align arches

Before

Before

Case 7 — Before — 1Case 7 — Before — 2Case 7 — Before — 3
  • Average-angle pattern
  • Dental crowding; deep overbite
  • Positive family history
  • Convex profile

After

After

Case 7 — After — 1Case 7 — After — 2Case 7 — After — 3
  • Improved overbite and overjet
  • Reduced maxillary lateral incisor rotation
  • Improved occlusion
  • Improved facial profile

Source: BrightArk Clinical Cases – English · PDF page 8

08

Localized crowding; rotated central incisor

Patient
9-year-old male
Findings
Localized crowding; rotated central incisor
Goal
Guide eruption and occlusion; align dentition

Before

Before

Case 8 — Before — 1Case 8 — Before — 2Case 8 — Before — 3
  • Low-angle pattern
  • Wide maxillary central incisor diastema
  • Rotated maxillary left central incisor
  • Poor arch form

After

After

Case 8 — After — 1Case 8 — After — 2Case 8 — After — 3
  • Normalized anterior overbite and overjet
  • Corrected incisor rotation; closed central diastema
  • Established normal occlusion; aligned both arches
  • Improved facial profile

Source: BrightArk Clinical Cases – English · PDF page 9

09

Anterior crossbite

Patient
8-year-old female
Findings
Anterior crossbite
Goal
Correct anterior crossbite and align dentition

Before

Before

Case 9 — Before — 1Case 9 — Before — 2Case 9 — Before — 3
  • Average-angle pattern
  • Anterior crossbite
  • Mild maxillary crowding
  • Straight facial profile

After

After

Case 9 — After — 1Case 9 — After — 2Case 9 — After — 3
  • Corrected anterior crossbite
  • Opened the bite
  • Improved anterior tooth axial inclinations
  • Aligned teeth

Source: BrightArk Clinical Cases – English · PDF page 10

10

Anterior crossbite in primary dentition

Patient
4-year-old female
Findings
Anterior crossbite in primary dentition
Goal
Guide occlusal development; correct anterior crossbite

Before

Before

Case 10 — Before — 1Case 10 — Before — 2Case 10 — Before — 3
  • Primary dentition
  • Lingually inclined anterior teeth in both arches
  • Anterior crossbite

After

After

Case 10 — After — 1Case 10 — After — 2Case 10 — After — 3
  • Corrected anterior crossbite
  • Stable occlusion
  • Balanced facial profile

Source: BrightArk Clinical Cases – English · PDF page 11

11

Single-tooth crossbite; dental crowding

Patient
8-year-old female
Findings
Single-tooth crossbite; dental crowding
Goal
Correct single-tooth crossbite and align teeth

Before

Before

Case 11 — Before — 1Case 11 — Before — 2Case 11 — Before — 3
  • Mixed dentition
  • Lower anterior crowding; irregular anterior alignment
  • Single-tooth crossbite
  • Mouth breathing

After

After

Case 11 — After — 1Case 11 — After — 2Case 11 — After — 3
  • Coordinated arch form; expanded anterior arch width
  • Corrected tooth axes and occlusal curve
  • Normalized overbite and overjet
  • Corrected crossbite

Source: BrightArk Clinical Cases – English · PDF page 12

12

Single-tooth crossbite; dental crowding

Patient
33-year-old male
Findings
Single-tooth crossbite; dental crowding
Goal
Correct single-tooth crossbite and align teeth

Before

Before

Case 12 — Before — 1Case 12 — Before — 2Case 12 — Before — 3
  • Crowding in both arches
  • Single-tooth crossbite
  • Poor bilateral posterior occlusion

After

After

Case 12 — After — 1Case 12 — After — 2Case 12 — After — 3
  • Aligned both arches
  • Corrected crossbite
  • Improved posterior occlusion

Source: BrightArk Clinical Cases – English · PDF page 13

13

Dental crowding; midline discrepancy

Patient
28-year-old male
Findings
Dental crowding; midline discrepancy
Goal
Align teeth

Before

Before

Case 13 — Before — 1Case 13 — Before — 2Case 13 — Before — 3
  • Crowding in both arches
  • Dental midline discrepancy
  • Poor bilateral posterior occlusion

After

After

Case 13 — After — 1Case 13 — After — 2Case 13 — After — 3
  • Aligned both arches
  • Aligned dental midlines
  • Improved occlusion

Source: BrightArk Clinical Cases – English · PDF page 14

14

Increased overjet; dental misalignment

Patient
17-year-old female
Findings
Increased overjet; dental misalignment
Goal
Align teeth and reduce dental protrusion

Before

Before

Case 14 — Before — 1Case 14 — Before — 2Case 14 — Before — 3Case 14 — Before — 4
  • Excessive overjet
  • Anterior crowding in both arches
  • Poor occlusal relationship

After

After

Case 14 — After — 1Case 14 — After — 2Case 14 — After — 3Case 14 — After — 4
  • Reduced excessive overjet
  • Aligned both arches
  • Improved occlusion

Source: BrightArk Clinical Cases – English · PDF page 15

15

Deep overbite; misalignment in both arches

Patient
10-year-old male
Findings
Deep overbite; misalignment in both arches
Goal
Correct deep overbite

Before

Before

Case 15 — Before — 1Case 15 — Before — 2Case 15 — Before — 3Case 15 — Before — 4
  • Deep overbite
  • Dental misalignment in both arches
  • Dental midline discrepancy

After

After

Case 15 — After — 1Case 15 — After — 2Case 15 — After — 3Case 15 — After — 4
  • Improved deep overbite
  • Aligned both arches
  • Aligned dental midlines

Source: BrightArk Clinical Cases – English · PDF page 16

16

Misalignment in both arches

Patient
34-year-old female
Findings
Misalignment in both arches
Goal
Align teeth

Before

Before

Case 16 — Before — 1Case 16 — Before — 2Case 16 — Before — 3Case 16 — Before — 4
  • Severe maxillary anterior rotations
  • Mandibular anterior misalignment
  • Excessive axial inclination of right mandibular canine

After

After

Case 16 — After — 1Case 16 — After — 2Case 16 — After — 3Case 16 — After — 4
  • Aligned teeth
  • Levelled and coordinated both arches
  • Improved axial inclination of right mandibular canine

Source: BrightArk Clinical Cases – English · PDF page 17

17

Spacing in both arches

Patient
18-year-old male
Findings
Spacing in both arches
Goal
Close spaces and align teeth

Before

Before

Case 17 — Before — 1Case 17 — Before — 2Case 17 — Before — 3Case 17 — Before — 4
  • Bilateral spaces between maxillary canines and first premolars
  • Bilateral spaces between mandibular canines and first premolars
  • Mild dental misalignment in both arches
  • Poor occlusion

After

After

Case 17 — After — 1Case 17 — After — 2Case 17 — After — 3Case 17 — After — 4
  • Closed maxillary canine-first premolar spaces
  • Closed mandibular canine-first premolar spaces
  • Aligned both arches
  • Improved occlusion

Source: BrightArk Clinical Cases – English · PDF page 18

18

Crowding in both arches; midline discrepancy

Patient
26-year-old female
Findings
Crowding in both arches; midline discrepancy
Goal
Align teeth and coordinate dental midlines

Before

Before

Case 18 — Before — 1Case 18 — Before — 2Case 18 — Before — 3Case 18 — Before — 4
  • Crowding in both arches
  • Dental midline discrepancy
  • Poor bilateral posterior occlusion
  • Excessive axial inclination of mandibular canines

After

After

Case 18 — After — 1Case 18 — After — 2Case 18 — After — 3Case 18 — After — 4
  • Aligned both arches
  • Aligned dental midlines
  • Improved occlusion
  • Improved axial inclination of mandibular canines

Source: BrightArk Clinical Cases – English · PDF page 19

19

Proclined anterior teeth; mandibular crowding

Patient
32-year-old female
Findings
Proclined anterior teeth; mandibular crowding
Goal
Reduce protrusion and align mandibular teeth

Before

Before

Case 19 — Before — 1Case 19 — Before — 2Case 19 — Before — 3Case 19 — Before — 4
  • Proclined anterior teeth in both arches
  • Mandibular anterior crowding
  • Maxillary dental misalignment
  • Mandibular anterior spacing

After

After

Case 19 — After — 1Case 19 — After — 2Case 19 — After — 3Case 19 — After — 4
  • Normalized anterior tooth inclination
  • Aligned and levelled dentition
  • Normalized overjet
  • Closed dental spaces

Source: BrightArk Clinical Cases – English · PDF page 20

20

Convex profile; excessive overjet; single-tooth crossbite

Patient
13-year-old female
Findings
Convex profile; excessive overjet; single-tooth crossbite
Goal
Normalize overjet; correct single-tooth crossbite

Before

Before

Case 20 — Before — 1Case 20 — Before — 2Case 20 — Before — 3Case 20 — Before — 4
  • Excessive overjet
  • Single-tooth crossbite
  • Scattered maxillary anterior spaces
  • Mild mandibular crowding

After

After

Case 20 — After — 1Case 20 — After — 2Case 20 — After — 3Case 20 — After — 4
  • Expanded maxillary arch
  • Retracted maxillary teeth
  • Normalized overbite and overjet
  • Aligned both arches

Source: BrightArk Clinical Cases – English · PDF page 21

21

Rotated maxillary incisors; mandibular missing-tooth space

Patient
27-year-old female
Findings
Rotated maxillary incisors; mandibular missing-tooth space
Goal
Relieve maxillary crowding; close mandibular space

Before

Before

Case 21 — Before — 1Case 21 — Before — 2Case 21 — Before — 3Case 21 — Before — 4
  • Rotated maxillary anterior teeth
  • Excessive overjet
  • Left mandibular missing-tooth space
  • Dental midline discrepancy

After

After

Case 21 — After — 1Case 21 — After — 2Case 21 — After — 3Case 21 — After — 4
  • Aligned and levelled dentition; corrected midlines
  • Relieved maxillary crowding; reduced mandibular space
  • Symmetrical arches with smooth, continuous arch forms
  • Bilateral Class I molar and canine relationships

Source: BrightArk Clinical Cases – English · PDF page 22