Orthodontic Retreatment of an Adult Bimaxillary Protrusion Patient With Lingual Appliances and Premolar Extractions: A Case Report

Abstract

Orthodontic relapse and the demand for improved esthetics often necessitate retreatment in adult patients. This case report highlights the successful management of an adult female patient with bimaxillary protrusion, previously treated with a non-extraction approach. Treatment included lingual passive self-ligating appliances, premolar extractions, and mini-screws to reinforce anchorage. The patient's facial profile and dental esthetics were significantly improved after 20 months of treatment, achieving a stable occlusion and reduced bimaxillary protrusion. This case demonstrates that lingual appliances can be an effective and esthetic treatment option for complex orthodontic retreatment in adult patients. Careful biomechanical planning and attention to specific challenges, including torque control and bowing effect, are essential for successful outcomes.