Orthodontic Camouflage Treatment of Class II Malocclusion in Non-growing Patient - A Case Report

Abstract

The prevalence of skeletal Class II malocclusion is high amongst Asian population. Various treatment modalities have been presented for the treatment of Class II malocclusions in adult patients. We come across many adult patients who desire a costeffective and non-surgical correction and they accept dental camouflage as a treatment option to mask skeletal discrepancy. This case report presents a 26-year-old non-growing female who had a skeletal Class II malocclusion with prognathic maxilla and retrognathic mandible with an overjet of 7 mm, severe crowding, but did not want surgical treatment. We considered the camouflage treatment by extracting upper first premolars. Following the treatment, a satisfactory result was achieved with an acceptable static and functional occlusion, facial profile, smile and lip competence with patient satisfaction.

Nonsurgical Treatment of Class III Malocclusion with Nonextraction and Extraction of Mandibular First Premolar

“…Dentoalveolar compensation, or camouflage treatment can be viable alternative for non-growing patients with milder Class III discrepancies. It should be emphasized that one should not commit to camouflage treatment in growing patients, with progressive Class III deformities [5,8,9,11].…”

“…In severe cases, surgical procedures should be performed to correct the skeletal and dental discrepancies, as well as to improve facial esthetics and harmonize the profile [2,4,5].…”

“…This is sometimes difficult to achieve due to lack of adequate anchorage since adequate and proper anchorage control is fundamental to the success of orthodontic treatment [5,6,7].…”

“…Although the surgical approach is aimed at improving their facial esthetics and correcting their skeletal and dental discrepancies, the surgical correction might not result in enough change in the facial profile of borderline patients. Camouflage treatment may not give the desired outcome [4,5,8].…”

Orthodontic Camouflage Treatment of a High-Angle Severe Skeletal Class II Discrepancy Skeletal Cla

“…If the patient is not willing to be treated with orthognathic surgery, the alternative treatment is dentoalveolar orthodontic camouflage treatment, which improves the patient's profile but in a limited way. 3 Anchorage control is an important aspect in orthodontic treatment. Miniscrew implants are often used for various purposes in orthodontic treatment, such as an anchor during the space closure phase.…”