This young lady visited my clinic suffering from the protrusion in her front teeth in the upper and lower jaws - we usually call this a double protrusion - and in most cases, when the protrusion is severe, we resort to tooth extraction (mostly the upper and lower premolars) and this is what happened Indeed. Later, we were able to use the space resulting from tooth extraction to modify the tilt in the front teeth and move them backward. In the end, our friend could finally smile with confidence again.