This case report evaluates the management of bimaxillary dentoalveolar
protrusion in a female patient with a Class II malocclusion with TipEdge bracket system. The case required extraction of 1st premolars
for correction of the proclined and forwardly placed upper and lower
front teeth and also for correction of crowding in upper and lower front
teeth. Clinical and cephalometric evaluation revealed skeletal Class II
malocclusion with crowding and a convex facial profile, an average
to vertical growth pattern, potentially incompetent lips, a posterior
divergent face, increased overjet and average overbite. Following fixed
orthodontic treatment by removal of 1st premolars in the upper and
lower arch with retraction of anterior segment, a marked improvement
in patient’s smile, facial profile and occlusion was achieved and there
was a remarkable increase in the patient’s confidence and quality of
life. The profile changes and treatment results were demonstrated with
proper case selection and good patient cooperation with fixed appliance
therapy.