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Beverly Hills Orthodontics logo by Dr. Monica Madan
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Preventing a Posterior Open Bite From Invisalign: What You Need to Know

Love Yourself, Love Your Smile

Clear aligner treatment for Invisalign and bite correction.
  • Dr. Monica Madan
  • March 12, 2026

When it comes to teeth, we all strive for straight and pearly whites. But even if you get them straight, you can still experience bite problems. In fact, posterior open bites (POB) are becoming increasingly common with the growing use of aligners. Thatโ€™s why seeing an experienced orthodontist is so important. With their wealth of expertise, they can help you get the smile you want and drastically decrease your chance of developing a posterior overbite from Invisalign.

Preventing Posterior Open Bite From Invisalign

A posterior open bite occurs when the back teeth, including the molars and premolars, do not touch when you bite down. Not only can this be painful, it can affect your ability to chew properly. There are several causes of posterior open bitesโ€”and Invisalign treatment can be one of them. The good news is that Invisalign-related POB can be prevented or minimized.

During Invisalign or other clear aligner treatments, a posterior open bite can occasionally develop because the chewing surfaces of your teeth are covered by thin layers of plastic. When you bite down throughout the day, the combination of biting pressure and the aligners themselves may cause the back molars to shift slightly, sometimes moving them further into the bone. This can create a small gap between the upper and lower back teeth, known as a posterior open bite. While this situation is relatively common with aligner therapy, experienced orthodontists often design treatment plans with specific techniques and adjustments that help prevent or minimize the likelihood of a posterior open bite developing.  

An orthodontist can prevent a posterior open bite from Invisalign by:

  • Measuring the size of your teeth and making sure your teeth are straightened to fit according to their measurements
  • Moving teeth in a way that ensures the posterior teeth remain in contact (this may involve the use of rubber bands, specific attachments, and/or polishing the teeth)
  • Moving teeth to prevent them from hitting each other
  • Monitoring for unexpected shifts or other issues that arise during the Invisalign treatment process

This is the “Art behind the Science” in orthodontic treatment and is a large foundational pillar of the BHO Method. 

Prevention is worth a pound of cure.  And the best way to prevent a posterior open bite from Invisalign is to consult with an orthodontist specializing in clear alignment treatment.  

The Value of Expert Care

From advanced training to personalized care, an orthodontist can create outstanding treatment experiences that help you look and feel your best:

  • Training: Orthodontic treatment is more than cosmetic. It improves health by correcting bite and jaw issues and can have a serious impact on comfort, functionality, and overall well-being. Orthodontists attend 3 years of extra training as part of a residency program after 4 years of dental school to develop their expertise in diagnosing, treating, and preventing jaw/teeth misalignment and creating the best outcomes for patients. This advanced training allows them to use advanced techniques to prevent problems like posterior open bite from Invisalign treatment. Just because a dentist advertises doing Invisalign does not mean they have the training to move your teeth and understand the art and the science!
  • Experience: Orthodontists who specialize in Invisalign have seen thousands of patients and know how to get the best results. In fact, orthodontists who have achieved Blue Diamond Top 1% status, are the most experienced Invisalign providers in the country.
  • Custom Care: Orthodontists draw on their wealth of expertise to create customized treatment plans for the best possible results. Whether you have only minor alignment issues or highly complex needs, they use a range of innovative tools and techniques to address your unique needs.

When you seek Invisalign treatment from an experienced orthodontist, you’re setting yourself up for success.

Start Your Treatment Journey the Right Way

At Beverly Hills Orthodontics, our team uses advanced technology and proven techniques to help patients achieve beautiful, healthy smiles with as few complications as possible. As a Blue Diamond Top 1% Invisalign provider, Dr. Monica Madan and the BHO team are recognized for their extensive experience with clear aligner treatment. That expertise goes beyond Invisalign alone. By combining careful treatment planning with modern orthodontic tools and preventive strategies, our team works to ensure each patient receives results that are not only aesthetically stunning, but also stable and healthy for the long term.

Your Smile Is More than just two rows of teeth - it's how you show your personality to the world.

Let Dr. Madan and her team help you help keep your smile looking (and feeling) better than ever.
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patient reviews

Enjoy our 5-star experience.

We are thankful for the opportunity to serve our communities with the highest quality care. Check out what our patients are saying about their 5-star experience with us!

Smiling couple with confident smiles, showcasing healthy smiles and orthodontic results.
Jenny D.
Both of my children see Dr. Madden and we are very happy with both of the results. The office is beautiful. The view is amazing and all of the stuff are lovely. My children feel so safe at this doctor‘s office.
Charlize V.
I’ve been coming here for a few years and it’s always been a great experience. Everyone here is so welcoming and friendly!
Jennifer E.
Dr. Madan and staff are absolutely wonderful and highly skilled. Attentive, responsive, efficient and an added benefit of their beautiful office. We have been with her for over 2 years and we continue to notice the difference in care and quality. Highly recommended!
Response from the owner:Thank you for your kind words about us and our staff. We work diligently day in and day out to provide the best patient experience possible, so itโ€™s wonderful to hear when we meet our goals!
Alexis C.
I’ve been coming here for years and teeth look better than ever. Everyone is knowledgeable and accommodating.
Response from the owner:Thank you for the loyalty over the years and for the kind words about our team. We appreciate you.
Ronny H.
My experience at this ortho has been great. The staff is really kind and the doctors are very professional in their work!
Response from the owner:Thank you for this. Kind and professional is exactly what we want every visit to feel like.
appolo R.
Amazing staff and doctors! Always so efficient! Irene, Meklit and Anthony are the best!
Response from the owner:Thank you for the kind words about our staff and doctors. We will be sure to pass this along to the team.
Julia
Highly recommend. I had a great experience getting Invisalign here. They are experts at what they do and so kind and professional. Beautiful, bright office with an amazing view is a bonus :)
Response from the owner:Julia, thank you! Kind, professional, expert care in a bright space with a nice view is exactly the experience we hope to give.
Jamie K.
Absolutely could not recommend BHO more. Dr Madan, Dr Sinclair, Gabriel, and the front desk are so lovely and so organized. The office is spotless and beautiful, and they are so clear about what to expect as fast as cost and treatment plan. Absolutely love them and highly recommend them!
Response from the owner:Jamie, thank you for such a glowing review! Clear answers, an organized office, and a spotless space are things we work hard at, so it means a lot to hear that Dr. Madan and the team made that impression.
Annabelle D.
This place is so awesome the people are all so sweet and good vibes and the office has such a beautiful atmosphere and view as well.
Response from the owner:Annabelle, thank you! Sweet people, good vibes, and a beautiful space with a view are a pretty great combination, and we love that you noticed.
Kimberly T.
Great Orthodontist office! They have been amazing to fix my smile!! Highly recommend!
Response from the owner:Kimberly, thank you for the recommendation! We are thrilled that you are happy with your smile.
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Related Pages:
  • open bite: before and after
  • invisalign and open bite