Treatment Indications
Key features requiring treatment or referral:
Aesthetic concerns of protrusive incisors
- Aesthetic concerns are not necessarily linked to the severity of the problem however they can be a significant social handicap. (Jolley et al. 2010, Meyer-Marcotty et al. 2010)
Incompetent and/or protrusive lips
- Lip incompetence of more than 4mm.
- Lips anterior to a straight line from the nose tip to the chin (E-line) can be considered protrusive.
Excessive incisor proclination
- See intra-oral features for details
Aesthetic concerns of the facial appearance
- A protrusive lower third facial profile with everted lips can be aesthetic concerns to the patient
Any associated problems requiring treatment
- Spacing, crowding, anterior open bite, Class II etc.
Difficulties with speech or function
- Severe cases of bimaxillary protrusion can be associated with speech or function difficulties.
