Objective. The aim of this study was to compare the profile attractiveness between orthodontic camouflage of the Class III malocclusion and the predictive tracing simulating orthognathic surgery evaluated by dentists and laypeople. Settings and sample population. The sample consisted of 21 patients (9 male; 12 female) with Class III malocclusion treated with orthodontic camouflage and Class III intermaxillary elastics. Material and Methods. The mean initial age of the patients was 24.38 years (SD 3.32), and the mean ANB angle was −1.91° (SD 0.83°). Patients presented skeletal Class III and normal growth patterns. Initial and final lateral cephalograms of each patient were used. The initial cephalogram was used to perform the treatment simulation of orthognathic surgery, and its silhouette was compared to the silhouette obtained from the final cephalogram after Class III orthodontic camouflage. A subjective analysis of profile attractiveness was performed by 47 laypeople and 60 dentists, with scores from 1 (less attractive) to 10 (most attractive). Mann–Whitney tests were used to compare profile attractiveness between the orthodontic treatment and the predictive tracing groups and between dentists and laypeople. Results. The predictive tracing of orthognathic surgery showed to be statistically significantly more attractive (mean score 4.57, SD 2.47) than that of the Class III camouflage orthodontic treatment (mean score 4.22, SD 2.40), with a mean numerical but significant difference of 0.35 (SD 2.01) (P<0.001). Laypeople were more critical than dentists in evaluating profile attractiveness, but numerical difference between the groups was also small. Conclusion. The profile silhouette of predictive tracing simulating orthognathic surgery showed to be more attractive than that of Class III camouflage orthodontic treatment; however, differences were small but statistically significant. Laypeople showed to be more critical than dentists.

Os odontomas são os tumores benignos mais comuns, sendo considerados tumores mistos em virtude de sua origem epitelial e ectomesenquimal. Objetivo: Relatar o diagnóstico e tratamento de um caso de remoção cirúrgica sob anestesia geral de odontoma composto em um paciente com transtorno do espectro autista (TEA). Relato de caso: Paciente do gênero masculino, portador de TEA, assintomático, queixa principal de ausência de irrupção do dente 31. Após exame de imagem constatou-se presença de uma lesão com conteúdo semelhante a múltiplos dentículos, sugerindo diagnóstico de odontoma composto. Levando em consideração a idade do paciente e a condição apresentada (TEA), a criança foi encaminhada para cirurgia em âmbito hospitalar, sob anestesia geral. Foi realizada exérese cirúrgica da lesão, e após análise histopatológica se confirmou diagnóstico inicial de odontoma composto. Conclusão: O diagnóstico precoce permite a adoção de tratamento menos complexo, o que permite melhor prognóstico. Além disso, considerando que o tratamento de pacientes portadores de TEA ainda é um desafio para muitos clínicos, estar ciente da interdisciplinaridade que o tratamento desses pacientes exige é essencial.