Bimaxillary protrusion: A literature review

Tolulase Abosede Yemitan 1, *, Tolulope Bolanle Esan 2, Ummukhaya Titilope Adebayo 2 and Oluwafolakemi Adebusola Egunjobi 2

1 Senior Lecturer/ Consultant Orthodontist, Department of Child Dental Health, Faculty of Dentistry, Lagos State University College of Medicine/Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria.
2 Resident, Department of Child Dental Health, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria.
 
Review
International Journal of Biological and Pharmaceutical Sciences Archive, 2022, 03(02), 141–146.
Article DOI: 10.53771/ijbpsa.2022.3.2.0067
Publication history: 
Received on 07 May 2022; revised on 13 June 2022; accepted on 15 June 2022
 
Abstract: 
Introduction: Bimaxillary protrusion is an occlusal feature characterized by protrusive and proclined upper and lower incisors, associated with increased flattening of the lips and greater than average degree of lip prominence. It is considered one of the malocclusion types that stimulate patients to seek orthodontic treatment to improve facial symmetry.
Objective: To conduct a literature review on bimaxillary protrusion with respect to its aetiological factors, morphological features, prevalence, diagnosis, and management.
Methods: Relevant sources of information were searched using electronic databases including Google Scholar, PubMed, Elsevier, ResearchGate, and Web of Science. A total of 28 articles were considered and included in the literature review.
Results: It was observed that bimaxillary proclination is prevalent among Asian, African, African-American, and the Caribbean regions, but less prevalent in white Caucasian populations. Treatment of patients with bimaxillary protrusion by extraction of four premolars was found to be successful in decreasing the dental and soft tissue procumbency seen in patients with bimaxillary protrusion.
Conclusion: Successful treatment of patients with bimaxillary protrusion starts with a good understanding of the patient’s concerns and sometimes, a close collaboration between an orthodontist and an oral surgeon.
 
Keywords: 
Incisor Protrusions; Malocclusion; Appliance; Orthodontic
 
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