8 doctors weighed in:
Does treatment for bimaxillaty protrusion always require teeth extraction?
8 doctors weighed in

Dr. James Bates
Surgery - Oral & Maxillofacial
1 doctor agrees
In brief: No!
There are several methods available to avoid tooth extraction for treatment of bimaxillary protrusion.
First of all, it may not require specific treatment, since it is a normal finding in some ethnic faces. If it does require treatment, it may be orthodontics alone, or it may involve distraction osteogenesis, a surgical procedure designed to increase the arch length of the jaw without extractions.

In brief: No!
There are several methods available to avoid tooth extraction for treatment of bimaxillary protrusion.
First of all, it may not require specific treatment, since it is a normal finding in some ethnic faces. If it does require treatment, it may be orthodontics alone, or it may involve distraction osteogenesis, a surgical procedure designed to increase the arch length of the jaw without extractions.
Dr. James Bates
Dr. James Bates
Thank
1 comment
Dr. David Schleimer
While distraction osteogenesis has a solid place amongst orthodontic/surgical treatments. I see no reason to increase arch length when "extra bone" is the major reason for double protrusion. Normal 4 bicuspid extraction orthodontics is far less invasive in most bi-maxillary protrusive cases.
Dr. David Kam
ENT - Head & Neck Surgery
1 doctor agrees
In brief: NO
Orthognathic surgery may be another option but more invasive.
Extraction of bicuspids followed by orthodontic braces is the less invasive procedure to correct the problem and is commonly used by orthodontists.

In brief: NO
Orthognathic surgery may be another option but more invasive.
Extraction of bicuspids followed by orthodontic braces is the less invasive procedure to correct the problem and is commonly used by orthodontists.
Dr. David Kam
Dr. David Kam
Thank
Dr. David Schleimer
Dentistry - Orthodontics
In brief: NO
Bimaxillary protrusion: a condition where the upper and lower front teeth are forward (protrusive) is quite a common reason for orthodontics.
If space is available in the rear, then no, treatment can be done without tooth removal. It is perfectly acceptable to remove 4 teeth and treat this problem with great results. Remember not all races look good with the same profile. It may need no treatment.

In brief: NO
Bimaxillary protrusion: a condition where the upper and lower front teeth are forward (protrusive) is quite a common reason for orthodontics.
If space is available in the rear, then no, treatment can be done without tooth removal. It is perfectly acceptable to remove 4 teeth and treat this problem with great results. Remember not all races look good with the same profile. It may need no treatment.
Dr. David Schleimer
Dr. David Schleimer
Thank
Dr. Tarek Hamid
Dentistry
In brief: Not necesserly
It really depends on the distance between the upper and lower jaws(overjet) the tx.
Varies from slight filling between the teeth to creat space to extractiuons of whole teeth to creat even much larger needed spaceyour orthodontist well decide when he or she examine you

In brief: Not necesserly
It really depends on the distance between the upper and lower jaws(overjet) the tx.
Varies from slight filling between the teeth to creat space to extractiuons of whole teeth to creat even much larger needed spaceyour orthodontist well decide when he or she examine you
Dr. Tarek Hamid
Dr. Tarek Hamid
Thank
Dr. David May
Dentistry
In brief: No
Everyone needs an individual diagnosis.
I have seen people treated without extraction.

In brief: No
Everyone needs an individual diagnosis.
I have seen people treated without extraction.
Dr. David May
Dr. David May
Thank
Dr. Wayne Roccia
Surgery - Oral & Maxillofacial
In brief: Not necessarily
Bimaxillary or orthognathic surgery, like most surgical procedures are extremely patient specific.
Your local orthodontist and maxillofacial surgery will work together to develop a treatment plan that is best for you. As always, if you are not comfortable with their opinion, second opinions are very helpful.

In brief: Not necessarily
Bimaxillary or orthognathic surgery, like most surgical procedures are extremely patient specific.
Your local orthodontist and maxillofacial surgery will work together to develop a treatment plan that is best for you. As always, if you are not comfortable with their opinion, second opinions are very helpful.
Dr. Wayne Roccia
Dr. Wayne Roccia
Thank
Get help from a real doctor now
Dr. Peter Kurzweil
Board Certified,
46 years in practice
16M people helped
Continue
107,000 doctors available
Read more answers from doctors