Clinical Research Directory

Inclusion Criteria: * Class I orthodontic cases with bimaxillary protrusion of the anterior segment of the upper jaw that need at least extraction for orthodontic treatment. * Age 14-20 years. * Good oral hygiene with healthy periodontium. * Need for an absolute skeletal anchorage. * Systemically healthy patients. Exclusion Criteria: * Patient with craniofacial anomalies (e.g, cleft lip and palate) * Presence of systemic diseases or syndromes affecting bone metabolism (e.g, osteoporosis, rickets) * Poor oral hygiene or uncooperative patients. * Extensive dental caries or untreated periodontal disease. * History of trauma or surgery affecting the maxilla or mandible.