Clear Aligner Therapy for Class II Malocclusion: Treatment Strategies and Clinical Considerations- A Narrative Review

Ayla Khanmohammadi; Fırat Oğuz

Clear Aligner Therapy for Class II Malocclusion: Treatment Strategies and Clinical Considerations- A Narrative Review

Abstract

Clear aligner therapy has become an important treatment modality in contemporary orthodontics because of its esthetic advantages, improved patient comfort, and continuous advances in digital technology. Although initially indicated for relatively simple malocclusions, its application has expanded to the management of selected Class II malocclusions. Nevertheless, the predictability and effectiveness of clear aligners for sagittal correction remain subjects of ongoing debate. This narrative review aims to provide a comprehensive overview of current treatment strategies for Class II malocclusion using clear aligners, with particular emphasis on clinical indications, treatment protocols, adjunctive mechanics, treatment effectiveness, predictability, and current limitations. The available literature indicates that successful outcomes can be achieved in appropriately selected patients, particularly when clear aligners are combined with auxiliary mechanics such as intermaxillary elastics and temporary anchorage devices. However, treatment predictability decreases as case complexity increases, particularly for complex tooth movements such as root torque, bodily tooth movement, and vertical tooth movements. Careful patient selection, individualized treatment planning, and realistic treatment objectives remain fundamental for successful clinical outcomes. Further high-quality clinical studies are needed to strengthen the current evidence and optimize treatment protocols for Class II malocclusion.

Keywords

Ethical Statement

Ethical approval was not required because this study is a narrative review based on previously published literature and did not involve human participants, animals, or identifiable personal data.

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Details

Primary Language

English

Subjects

Orthodontics and Dentofacial Orthopaedics

Journal Section

Review

Authors

Ayla Khanmohammadi ^*
0000-0002-7721-0300
Türkiye

Fırat Oğuz
0000-0001-6040-3790
Türkiye

Publication Date

August 21, 2026

Submission Date

July 13, 2026

Acceptance Date

August 4, 2026

Published in Issue

Year 2026 Volume: 1 Number: 2

IZ

https://izlik.org/JA88AW66CK

Cite

RIS / Bibtex

APA

Khanmohammadi, A., & Oğuz, F. (2026). Clear Aligner Therapy for Class II Malocclusion: Treatment Strategies and Clinical Considerations- A Narrative Review. Journal of Odonto Science, 1(2), 44-54. https://izlik.org/JA88AW66CK

AMA

1.Khanmohammadi A, Oğuz F. Clear Aligner Therapy for Class II Malocclusion: Treatment Strategies and Clinical Considerations- A Narrative Review. JODS. 2026;1(2):44-54. https://izlik.org/JA88AW66CK

Chicago

Khanmohammadi, Ayla, and Fırat Oğuz. 2026. “Clear Aligner Therapy for Class II Malocclusion: Treatment Strategies and Clinical Considerations- A Narrative Review”. Journal of Odonto Science 1 (2): 44-54. https://izlik.org/JA88AW66CK.

EndNote

Khanmohammadi A, Oğuz F (August 1, 2026) Clear Aligner Therapy for Class II Malocclusion: Treatment Strategies and Clinical Considerations- A Narrative Review. Journal of Odonto Science 1 2 44–54.

IEEE

[1]A. Khanmohammadi and F. Oğuz, “Clear Aligner Therapy for Class II Malocclusion: Treatment Strategies and Clinical Considerations- A Narrative Review”, JODS, vol. 1, no. 2, pp. 44–54, Aug. 2026, [Online]. Available: https://izlik.org/JA88AW66CK

ISNAD

Khanmohammadi, Ayla - Oğuz, Fırat. “Clear Aligner Therapy for Class II Malocclusion: Treatment Strategies and Clinical Considerations- A Narrative Review”. Journal of Odonto Science 1/2 (August 1, 2026): 44-54. https://izlik.org/JA88AW66CK.

JAMA

1.Khanmohammadi A, Oğuz F. Clear Aligner Therapy for Class II Malocclusion: Treatment Strategies and Clinical Considerations- A Narrative Review. JODS. 2026;1:44–54.

MLA

Khanmohammadi, Ayla, and Fırat Oğuz. “Clear Aligner Therapy for Class II Malocclusion: Treatment Strategies and Clinical Considerations- A Narrative Review”. Journal of Odonto Science, vol. 1, no. 2, Aug. 2026, pp. 44-54, https://izlik.org/JA88AW66CK.

Vancouver

1.Ayla Khanmohammadi, Fırat Oğuz. Clear Aligner Therapy for Class II Malocclusion: Treatment Strategies and Clinical Considerations- A Narrative Review. JODS [Internet]. 2026 Aug. 1;1(2):44-5. Available from: https://izlik.org/JA88AW66CK