Managing a pediatric unilateral posterior Brodie bite and arch constriction with clear aligner therapy in the mixed dentition. This case explores how a pediatric-specific clear aligner system was used to successfully manage a patient presenting with a complete buccal (Brodie) crossbite on the left side and closing upper anterior spacing—two issues that, if left untreated, could have significant long-term consequences for arch and growth development and occlusal function.

Dr. Jenny Zhu - Multi-Location Practice Growth, Angel Aligner Techniques and Treatment Planning Strategies. "I'm more about depth than scale so we are growing slowly but deepening our relationships... Our orthodontists work in pairs; not alone so we are always talking about our 5 pillars which are..."

Dr. Willy Dayan - Aligner Pearls, Compliance Strategies and Practice Philosophies. "...with respect to rapid curve of speed, to me aligners is a continuous arch force system, like a single wire that we put into the mouth. But if you take were to take your aligner setup, and create that movement which represents the forces to teeth and copy that suddenly your setup looks really weird..."

Phase I orthodontic treatment has long been a foundational part of the specialty, a critical window to intercept developing malocclusions, guide growth, and simplify future comprehensive care. For decades, the tools for this work were familiar and tangible: metal expanders, partial braces, and functional appliances. But a significant shift is underway. Clear aligners, once reserved for older teens and adults, have decisively entered the early treatment space, offering a digital-first alternative that is reshaping clinical workflows, patient experiences, and practice dynamics.

After successfully treating many Angel Aligner cases in both teens and adults, I wanted to explore whether Angel Aligner KiD could provide a new standard of care for my younger patients, especially those needing customized, gentle solutions. Unlike other Phase 1 appliances I’ve used, Angel Aligner KiD was built for adaptability. It incorporates unique features like curved turbos, eruption guides, and specialized trimlines that help guide developing dentition while respecting the nuances of a child’s oral environment.

Drs Peter Ngan and Madison Smith present, "Hooked on Progress: Maxillary expansion and protraction treated with Angel Aligners to correct anterior crossbite and normalize anteroposterior jaw relationship"

Dr. Isaak Yelizar illustrates how he used Angel Aligner treatment plans with angelButtons to simplify complex cases. Angel Aligner with integrated angelButtons have transformed my approach to demanding cases. The angelButtons can be positioned on four to eight points on any tooth (Figure 1). With traditional hooks and bonded buttons, multidirectional movement is limited, and force is concentrated on the specific tooth to which the elastic is engaged.