Jamie initially presented with the chief concerns of overbite/ overjet with protrusion. She was missing 5 adult teeth (4, 13, 21, 28 &29) -(upper second premolars and lower left first premolar and both lower right premolars.) She was treated with full fixed braces with the plan to close the upper spaces from the missing teeth and close the space of two of the missing lower premolars. The lower first primary molar was maintained. Jamie was treated in approximately 40 months and finished with excellent occlusion and excellent esthetic results.