Example appliance: Fixed appliances with horizontal elastics to sequentially retract anterior teeth
Level of evidence: High
Suitable for ages: 12+ years old
Indications: Bimaxillary dentoalveolar protrusion
Contraindications: Retrusive incisors to facial profile or smile, acquired orthodontic risk factors
Treatment Objectives and Biomechanics
- Retraction of upper and lower incisors
- Achieve ideal position of incisors to the facial profile and smile
- Space generation for incisor retraction by extractions, IPR, expansion, distalisation or the use of Leeway space
Appliances
- Fixed appliances
- Clear aligners
- Headgears
- Skeletal anchorage – TADS (miniscrew and bone plates)
