Open bite, protruding upper teeth

How a big open bite can be closed down while at the same time straightening all the teeth and closing gaps! Using clear fixed braces over around 18 months. Please note that the swollen gums in the after photos are what happens if a patient is not cleaning carefully enough or seeing the hygienist during treatment – after careful cleaning and hygiene treatment these gums returned to normal!

Before:                                                                                       After: