Orthodontic positioning devices, and related methods and systems, are disclosed for use with one or more orthodontic elastic members. The disclosed devices may comprise a pair of orthodontic aligners for use as part of an orthodontic treatment plan. The pair of orthodontic aligners may include an upper aligner with a first integrally formed hook and a lower aligner with a second integrally formed hook. The first integrally formed hook and the second integrally formed hook may be configured to engage with an orthodontic elastic member so as to react a force to, for example, generate orthodontic forces on the patient's teeth. Each of the first integrally formed hook and the second integrally formed hook may extend buccally from the upper aligner and the lower aligner, respectively.