Retreatment of a transfer patient with bialveolar protrusion with mini bone-plate anchorage

• Treating a transfer patient requires tact.
• The transferring and the accepting orthodontists should focus on the facts and the patient's well-being.
• Select the treatment option that best meets the hierarchy of care.
• When major esthetic changes are contemplated, patient preferences are paramount.

A 40-year-old black woman, with pretorqued, preangulated appliances on the maxillary teeth, transferred with chief concerns of missing teeth and her orthodontic progress. She had bialveolar protrusion and edentulous areas in both the maxilla and the mandible. After records were made and her desires assessed, she was retreated with the extraction of 3 premolars. Her protrusion was reduced and all edentulous spaces were closed. The facial change was evident due to the reduction of the protrusion.