Chaudhary, NKGiri, JGyawali, RPokharel, PR2025-12-282025-12-282022https://hdl.handle.net/20.500.14572/3916Chaudhary NK,1 Giri J,2 Gyawali R,2 Pokharel PR2 1Department Dental Hetauda Hospital, Hetauda, Nepal 2Department of Orthodontics B.P. Koirala Institute of Health Sciences Dharan, NepalABSTRACT Bi-maxillary protrusion is a condition with protrusive and proclined upper and lower incisors and the patient is not able to close lips without strain. The presented case reported with the chief complaint of forwardly placed teeth, with skeletal class II malocclusion, and Angle’s class I malocclusion with protrusive and forwardly placed upper and lower incisors. The treatment was performed with the extraction of all first premolars and retraction under absolute anchorage. The retraction of upper and lower lips of about 3 mm and 3.5 mm was achieved respectively and the patient was able to close lips without strain. With proper anchorage preparation, bi-maxillary protrusion can be successfully managed orthodontically. KEY WORDS Bi-maxillary protrusion, Skeletal class II malocclusion, Temporary anchorage deviceen-USBi-maxillary protrusionSkeletal class II malocclusionTemporary anchorage deviceArticle