Clear aligners can effectively treat open bites, depending on the type and severity. Clear aligners, like Oralign, can achieve controlled intrusion of maxillary molars. The integration of TADs with clear aligners increases the effectiveness of molar intrusion. Additionally, extrusion of labial segments can be achieved with clear aligners, especially when proper attachment design is followed. Box elastics can be used to extrude the labial segment with clear aligners, and buttons can be bonded to teeth through cutouts made on the aligners.