HomeAnswersOrthodontistbimaxillary protrusionWhat is the procedure to correct bimaxillary protrusion?

I am in braces for bimaxillary protrusion but the space is not getting closed. Why?


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At February 29, 2020
Reviewed AtJuly 10, 2023

Patient's Query

Hello doctor,

It has been seven months since I got my braces on. I got then to treat bimaxillary protrusion. My dentist has placed thin wires and elastics and also extracted four teeth to make space. The space has not yet completely closed and he has never changed the wires. When I asked him when he would change the wires, he replied that he would not be removing the wires. For the monthly appointments, only repairments of broken braces were done. For a few appointments, he did not even change the elastics. Should I continue with the same treatment or should I change to another orthodontist? Please reply as I am extremely worried about the situation.


Welcome to icliniq.com.

As per your description, you are having bimaxillary protrusion. Case told by you needs extraction. In the initial phase, alignment of the teeth occurs. Wire will proceed only when correction happen with previous wire till then the only religation has to be done. When there is bracket debonding or bracket broken in that case treatment gets delayed, so for that purpose you have to take care not to break or debond the bracket. To avoid bracket debonding you have to follow certain precautions in oral hygiene measure and while taking food, i.e. avoid sticky, hard food, etc. Space closure occurs on SS (stainless steel) wire that is a stiff wire. Again, I would like to see the images of your concerned area of the upper and lower arch for a detailed discussion of your problem.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Kandi Disha Yermal
Dr. Kandi Disha Yermal


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