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Patients with dental Class II bimaxillary dentoalveolar protrusion are generally treated byextracting all four first premolars or two first and two second premolars, and retracting the anterior teeth.This case report describes the treatment of an adult female patient aged 21-year-old with bimaxillaryprotrusion, a Class II canine and class II molar relationship along with lip protrusion.Materials and Methods: In this patient, the lower right and left mandibular first molar i.e., (3-6) and (4-6)had to be extracted due to extensive caries, also extraction was performed for maxillary 1st right and leftbicuspids i.e., (1-4) and (2-4).Mini-implant (1.4 mm in diameter, 8 mm long) were placed in interradicular bone between the maxillarysecond bicuspids and first molars and mesial to mandibular second molar to allow en-masse retraction ofupper and lower anterior teeth.Results: Overall, miniscrews (TADs) can provide anchorage to produce a good facial profile in cases ofdental Class II bimaxillary dentoalveolar protrusion with hopeless mandibular first molars.Keywords: Miniimplant, Tooth extraction, Tooth movement.

ip indian journal of orthodontics and dentofacial research/ip indian journal of orthodontics and dentofacial research

Treatment of class II malocclusion with bimaxillary dentoalveolar protrusion and compromised mandibular first molars through anchorage miniscrews (TADS)