extrusion, prompting us to reposition the six upper anterior teeth in a more gingival direction (Fig. 9). This adjustment aimed to create an improved smile arc and enhance VIP/VID when smiling. Additionally, a 2-by-12-mm extraradicular miniscrew (Bioray) was added to the buccal shelf area of the lower arch. A power chain was placed from the miniscrew to the lower right canine to facilitate midline correction. It was crucial to remove the two lower intraradicular miniscrews used previously for extruding the upper front teeth before commencing midline correction with the buccal shelf screw. This precaution was necessary to prevent interference between the roots of the lower incisors and the two miniscrews, which could impede the Fig. 7 Fig. 9 Fig. 8 Fig. 10 correction process. After 12 months of treatment progress (Fig. 10), we advanced to 0.19-by-0.19-inch stainless steel Pitts Broad wires in both the upper and lower arches. These wires allow finishing bends to refine aesthetics and occlusion. Additionally, Half Horiz.indd 1 SEPTEMBER 2023 | 55 | ORTHOTOWN.COM 8/17/23 9:31 AMhttp://www.ORTHOTOWN.COM