• Abdullah M Aldrees and Manal A Shamlan.
• Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, PO Box 60169, Riyadh 11545, Kingdom of Saudi Arabia. amaldrees@ksu.edu.sa
• Saudi Med J. 2010 May 1; 31 (5): 512-9.

ObjectiveTo analyze the pre-treatment cephalometric features in Saudi adults with bimaxillary protrusion and to develop cephalometric standards to clarify the overall presentation of this malocclusion for clinicians.MethodsA descriptive retrospective study was designed in which lateral cephalometric radiographs of 60 individuals with Class I skeletal and dental relationship and decreased interincisal angle were collected between June 2007 and December 2008 at the Orthodontic Clinic, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia. Radiographs were studied and compared to those of 60 individuals with similar skeletal and dental relationships, but with normal interincisal angle. The measurements were calculated electronically using Dolphin software. The data were analyzed using the t-test.ResultsSaudi individuals with bimaxillary protrusion had a vertical skeletal pattern that is similar to that of the control group, however, they demonstrated increased procumbency of the upper and lower lips. Comparing females to males with bimaxillary protrusion revealed significant increase in male lip thickness. On the other hand, no significant difference was detected in the amount of lip protrusion between males and females.ConclusionSaudi subjects with bimaxillary protrusion demonstrated distinctive soft tissue features when compared to the control group and to other ethnic groups with bimaxillary protrusion.

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