Leveling of the Curve of Spee in Deep Overbite Cases Treated with the IncognitoTM Lingual Orthodontic Appliance System: A Cephalometric Study

An excessive curve of Spee (COS) is a common orthodontic finding, particularly in patients with a deep overbite (OB). The purpose of this analysis was to evaluate COS leveling and OB correction in patients treated with IncognitoTM, a customized lingual appliance system. Pre- and post-treatment cephalometric radiographs were compared for 34 patients with a deep OB and excessive COS treated with IncognitoTM. The mean pre- and post-treatment COS was 1.78 mm (SD: 0.36 mm) and 0.37 mm (SD: 0.41 mm) respectively, indicating a significant amount of leveling (-1.41 mm, SD: 0.49 mm, p<0.001). The mean pre- and post-treatment OB was 5.80 mm (SD: 1.26 mm) and 2.91 mm (SD: 0.86 mm) respectively, demonstrating a significant reduction in OB (-2.89 mm, SD 1.27 mm, p