Jayson was concerned about his teeth not meeting in the front and the narrowness and unattractiveness of his smile. Anterior open bites are easier to close with Invisalign treatment than are they with conventional braces. Tongue thrusting and anterior tongue posture are the primary causes of anterior open bites. Invisalign therapy can help reposition the tongue and both intrude the posterior teeth and erupt the anterior teeth. Jayson’s teeth are now more aligned with his smile. Treatment time was 15 months. Jayson can now more efficiently chew food. Implant pins and elastics were an important part of the Invisalign treatment. Jayson was an excellent cooperator.