CarolinasDentist Blog

Can Invisalign Be Used to Treat Severe Malocclusion?

graphic illustration of 3 dental arches with teeth meeting at a "malocclusion meeting"

Invisalign® clear aligners are renowned for correcting various orthodontic issues, including overbites and underbites. Invisalign, a series of clear, removable aligners, offers a convenient and inconspicuous way to address malocclusion, even in severe cases.

Understanding Severe Malocclusion

Severe malocclusion refers to complex misalignments of the teeth and jaws, encompassing overbites, underbites, crossbites, and significant crowding or spacing problems. These conditions affect both appearance and oral health, leading to discomfort, chewing difficulties, and potential speech impediments.

Treatment of Malocclusion with Invisalign

Invisalign, consisting of custom-designed clear, removable aligners, effectively treats malocclusion by gradually shifting teeth into their desired positions. It has demonstrated remarkable success in resolving less complex orthodontic issues.

Treatment of Severe Malocclusion with Invisalign

The effectiveness of Invisalign in treating severe malocclusion depends on the specific case. For milder malocclusions, Invisalign is often suitable. However, more complex cases may initially require traditional braces or alternative orthodontic approaches to achieve significant teeth and jaw adjustments. Key considerations include:

  • Case Complexity: The complexity of the malocclusion influences the suitability of Invisalign. While Invisalign can handle various misalignment degrees, severe cases may necessitate a comprehensive approach.
  • Patient Compliance: Successful Invisalign treatment relies heavily on patient compliance. Aligners should be worn for 20-22 hours daily, only removed for eating and oral hygiene. In complex cases, inconsistent wear may slow treatment progress.

Discover If Invisalign Is Right for You at CarolinasDentist

If you have severe malocclusion, Invisalign may offer a solution. In some instances, a hybrid approach involving Invisalign and other orthodontic or restorative services might be optimal. CarolinasDentist’s team can assess your case and help determine the most suitable treatment. Contact us to schedule a consultation!

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Image from Authority Dental under CC 2.0

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Andrew Callender

Andrew Callender

Regional Director of Operations

Andrew Callender was born and raised in Denver, Colorado, and serves as one of our Regional Directors of Operations at CarolinasDentist, focusing on our Western NC and Charlotte regions. He joined the leadership team in 2025 and earned his degree from Western Colorado University. Andrew brings over 12 years of experience in dentistry, including more than 10 years of progressive leadership in healthcare operations and three years serving as a Regional Director of Operations. He relocated to North Carolina in 2023 and has quickly made an impact across the region.

Andrew is passionate about delivering outstanding patient care through operational excellence. He is committed to fostering an environment that aligns with CarolinasDentist’s values and culture while leveraging diverse perspectives and experiences to support team success and growth. His leadership style is rooted in collaboration, consistency, and continuous improvement.

Outside of work, Andrew enjoys spending time with his wife and their four children. He’s an avid golfer and also enjoys walking his lab, Harper—making the most of his time outdoors with family and fresh air.

Nate Bunyak

Nate Bunyak

Regional Director of Operations

Nate Bunyak brings a little bit of Pittsburgh grit and a whole lot of energy to everything he does. He is one of the Regional Director of Operations at CarolinasDentist focusing on our Triangle region, joining the team in 2026. Originally from Pittsburgh, PA, Nate graduated from Indiana University of Pennsylvania (IUP) with a degree in Marketing and Management—and has been putting both to work ever since. Three years ago, he traded in steel city winters for North Carolina sunshine—and hasn’t looked back.

When he’s not working, Nate is all about family life with his wife, Melissa, and their three kids—Bryce, Molly, and Connor. Whether cheering on their activities, exploring the outdoors, or simply embracing the joyful chaos of a busy household, he makes the most of every moment with his family.

An avid hiker and nature enthusiast, Nate loves adventures that combine fresh air, beautiful views, and lasting memories. That same adventurous, positive spirit carries into his work—he’s driven, all-in, and always ready to take on what’s next.

Jenna Holland

Jenna Holland

Regional Hygiene Director

Jenna Holland is a Fayetteville native and serves as Regional Hygiene Director, joining the leadership team in 2026. She began her career with CarolinasDentist in June 2016 as a dental hygienist in the Fayetteville office after graduating from Fayetteville Technical Community College. Over the years, she has grown within the organization, building strong relationships with both patients and team members while staying rooted in her passion for patient care.

Jenna is deeply committed to promoting overall well-being through oral health and believes in the powerful connection between a healthy smile and a healthy body. In her leadership role, she especially loves mentoring and coaching hygienists, helping them grow in confidence, strengthen their clinical skills, and develop into exceptional providers. She takes pride in supporting her team and fostering an environment of continuous learning and encouragement.

Her best advice for patients is simple: stay consistent with routine check-ups and cleanings to maintain optimal health. Outside of the office, Jenna enjoys traveling—especially to warm, tropical destinations—and is engaged to her high school sweetheart, adding a personal touch to her passion for caring for others.

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