Example: Anterior segmental osteotomy and surgical retraction of both jaws
Level of evidence: Weak
Suitable for ages: 16+ years old
Indications: Severe bimaxillary skeletal protrusion
Contraindications: Normal facial profile, mild to moderate skeletal protrusion, risks of obstructive sleep apnea, acquired surgical risks
Treatment Objectives and Biomechanics
- Retraction of anterior portions of upper and lower jaws
- Achieve ideal position of incisors to the facial profile and smile
Appliances
- Fixed appliances
- Clear aligners
