However, when associated with severe bimaxillary (double) protrusion, the complexity of diagnosis and treatment planning increases significantly.
The article “CLASS I MALOCCLUSION with severe double protrusion treated with first premolars extraction” presents a comprehensive clinical approach to managing this challenging presentation through strategic extraction therapy.
Severe double protrusion is characterized by excessive proclination of both maxillary and mandibular incisors, resulting in compromised facial profile, lip incompetence, and dentoalveolar protrusion.
► DENTAL BOOK: Orthodontics - Diagnosis and Management of Malocclusion and Dentofacial Deformities - Om Prakash Kharbanda
In such cases, orthodontic camouflage through first premolar extractions remains a well-established and evidence-based treatment modality, allowing for controlled incisor retraction, improved soft tissue balance, and long-term occlusal stability.
This case-based article highlights the diagnostic rationale, biomechanical considerations, and treatment progression involved in addressing dentoalveolar protrusion within a Class I skeletal pattern.
Emphasis is placed on space management, anchorage control, and profile enhancement — critical components when aiming for both functional correction and facial esthetic improvement.
► PDF: The Piston Elastic: An Innovative Orthodontic Solution for Entrapped Ectopic Permanent Molars
For orthodontists, residents, and clinicians seeking to refine their decision-making process in extraction cases, this report provides valuable clinical insights into balancing esthetics, biomechanics, and stability in complex Class I malocclusion scenarios.
📥 We invite you to read the complete article in PDF format to explore the full clinical case, treatment mechanics, and final outcomes in detail.
