PDF: Global Expert Consensus on Orthodontic Management of Dentofacial Protrusion (2025)



Protrusive facial deformities—which often manifest as pronounced forward positioning of the anterior teeth and lips—can significantly impair both aesthetics and function.

These conditions span a spectrum from dental (Class I) to complex skeletal (Class II or combined) malocclusions, frequently involving soft‑tissue discrepancies and perioral muscular imbalance.


The recently published Expert Consensus on Orthodontic Treatment of Protrusive Facial Deformities (Nature – International Journal of Oral Science, 2025) collates the collective clinical expertise and theoretical foundations contributed by leading oral experts across China.

This comprehensive guideline emphasizes a multidimensional diagnostic paradigm, integrating sagittal, vertical, and transverse skeletal evaluation with soft‑tissue and functional analysis to precisely tailor treatment strategies.

Central to the consensus are evidence‑based orthodontic modalities such as:

✔ Controlled jaw growth modification.
✔ Strategic anterior tooth retraction (extraction or non‑extraction).
 Vertical dimension control to optimize facial contours.

The overarching goals focus on:

 Reducing lip and tooth protrusion.
 Enhancing chin projection.
 Harmonizing the nasolabial and mentolabial relationships.

All aimed at an improved, balanced facial profile.

For severe skeletal cases, the guidelines strongly advocate combined orthodontic–orthognathic surgical intervention

By consolidating laboratory data, cephalometric analysis, and clinical outcomes, this consensus establishes a robust framework for functional and cosmetic rehabilitation.

It advances contemporary orthodontic understanding by offering a structured taxonomy of deformity types and corresponding, stage‑appropriate treatment regimens.

We warmly invite the global community of dental professionals to dive into the Full article in PDF form for a richer understanding, including classification schemas, diagnostic workflows, appliance selection, and outcome expectations.

This essential resource promises to enrich clinical decision‑making and enhance patient care across diverse orthodontic settings.

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