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Correction of severe bimaxillary protrusion with first premolar extractions and total arch distalization with palatal
Yoon-Ah Kook1, Jae Hyun Park2, Mohamed Bayome3
1Professor, Department of Orthodontics, Seoul St. Mary's Hospital, Catholic University of Korea, Seoul, Korea.
Abstract:
Correction of a severe protrusive soft tissue profile without orthognathic surgery can be challenging. This case report describes the treatment of a young woman with a severe bimaxillary protrusion. Orthodontic treatment included extraction of her 4 first premolars and total arch distalization of both arches using a palatal plate appliance. The total treatment time was 24 months. Her occlusion and facial appearance were significantly improved.

