Orthodontic camouflage versus orthognathic surgery in the treatment of mandibular deficiency

Non-Extraction Orthodontic Camouflage for Severe Class II Malocclusion Post-TMJ Gap Arthroplasty: A Case Report

“…They embrace dental camouflage as a viable treatment option for concealing skeletal discrepancies and achieving satisfactory aesthetic and functional outcomes [5,36]. This shift in patient preference is supported by psychosocial research, which finds that many individuals are content with achieving the most significant possible improvement in dental function and aesthetics while placing less emphasis on facial change [37,38]. Furthermore, the long-term follow-up study by Mihalik et al [4] reported comparable or even superior satisfaction levels with camouflage treatment compared to surgical interventions, contributing to the growing popularity of non-surgical orthodontic approaches among patients and practitioners.…”

Non-Extraction Orthodontic Camouflage for Severe Class II Malocclusion Post-TMJ Gap Arthroplasty: A Case Report

“…They embrace dental camouflage as a viable treatment option for concealing skeletal discrepancies and achieving satisfactory aesthetic and functional outcomes [5,36]. This shift in patient preference is supported by psychosocial research, which finds that many individuals are content with achieving the most significant possible improvement in dental function and aesthetics while placing less emphasis on facial change [37,38]. Furthermore, the long-term follow-up study by Mihalik et al [4] reported comparable or even superior satisfaction levels with camouflage treatment compared to surgical interventions, contributing to the growing popularity of non-surgical orthodontic approaches among patients and practitioners.…”

Decision-making patterns among expert and novice orthodontists and oral maxillofacial surgeons in the management of adults with Class III malocclusions and moderate degree of skeletal discrepancies

“…It seems natural to consider that recommendations made by clinicians are inevitably variable and ungeneralisable (Pellegrino, 1977); however, inaccurate diagnosis and management can lead to negative consequences. Mild skeletal discrepancy being offered orthognathic surgery will result in negligible change (Thomas, 1995), while severe skeletal discrepancy being offered orthodontic camouflage will lead to side effects on the periodontium (Sperry et al, 1977b). In addition, it is also important to acknowledge the fact that patients are more likely to trust the clinician who, when asked the same question twice, provides the same answer both times and provides the same options as the other clinicians (Fahed et al, 2020).…”

Current Trends in Skeletal Borderline Patients: Surgical versus Orthodontic Treatment Decisions—What Is the Evidence?

“…Dental and facial esthetic, selfimage, and self-esteem, are major motivating factors for those seeking surgical treatment and will be likely to determine a patient's selection of a treatment option [31]. Whereas morphometric analysis is a poor indicator of a patient's treatment needs and expectations, psychological assessment before treatment could help as a discriminant parameter in treatment selection [32,33]. Patients who reported improvements in self-confidence, self-concept, and social interactions after treatment, showed higher levels of satisfaction with outcomes.…”

Non-Extraction Orthodontic Camouflage for Severe Class II Malocclusion Post-TMJ Gap Arthroplasty: A Case Report

“…They embrace dental camouflage as a viable treatment option for concealing skeletal discrepancies and achieving satisfactory aesthetic and functional outcomes [5,36]. This shift in patient preference is supported by psychosocial research, which finds that many individuals are content with achieving the most significant possible improvement in dental function and aesthetics while placing less emphasis on facial change [37,38]. Furthermore, the long-term follow-up study by Mihalik et al [4] reported comparable or even superior satisfaction levels with camouflage treatment compared to surgical interventions, contributing to the growing popularity of non-surgical orthodontic approaches among patients and practitioners.…”

Decision-making patterns among expert and novice orthodontists and oral maxillofacial surgeons in the management of adults with Class III malocclusions and moderate degree of skeletal discrepancies

“…It seems natural to consider that recommendations made by clinicians are inevitably variable and ungeneralisable (Pellegrino, 1977); however, inaccurate diagnosis and management can lead to negative consequences. Mild skeletal discrepancy being offered orthognathic surgery will result in negligible change (Thomas, 1995), while severe skeletal discrepancy being offered orthodontic camouflage will lead to side effects on the periodontium (Sperry et al, 1977b). In addition, it is also important to acknowledge the fact that patients are more likely to trust the clinician who, when asked the same question twice, provides the same answer both times and provides the same options as the other clinicians (Fahed et al, 2020).…”

Current Trends in Skeletal Borderline Patients: Surgical versus Orthodontic Treatment Decisions—What Is the Evidence?

“…Dental and facial esthetic, selfimage, and self-esteem, are major motivating factors for those seeking surgical treatment and will be likely to determine a patient's selection of a treatment option [31]. Whereas morphometric analysis is a poor indicator of a patient's treatment needs and expectations, psychological assessment before treatment could help as a discriminant parameter in treatment selection [32,33]. Patients who reported improvements in self-confidence, self-concept, and social interactions after treatment, showed higher levels of satisfaction with outcomes.…”

Non-Extraction Orthodontic Camouflage for Severe Class II Malocclusion Post-TMJ Gap Arthroplasty: A Case Report

“…They embrace dental camouflage as a viable treatment option for concealing skeletal discrepancies and achieving satisfactory aesthetic and functional outcomes [5,36]. This shift in patient preference is supported by psychosocial research, which finds that many individuals are content with achieving the most significant possible improvement in dental function and aesthetics while placing less emphasis on facial change [37,38]. Furthermore, the long-term follow-up study by Mihalik et al [4] reported comparable or even superior satisfaction levels with camouflage treatment compared to surgical interventions, contributing to the growing popularity of non-surgical orthodontic approaches among patients and practitioners.…”

Decision-making patterns among expert and novice orthodontists and oral maxillofacial surgeons in the management of adults with Class III malocclusions and moderate degree of skeletal discrepancies

“…It seems natural to consider that recommendations made by clinicians are inevitably variable and ungeneralisable (Pellegrino, 1977); however, inaccurate diagnosis and management can lead to negative consequences. Mild skeletal discrepancy being offered orthognathic surgery will result in negligible change (Thomas, 1995), while severe skeletal discrepancy being offered orthodontic camouflage will lead to side effects on the periodontium (Sperry et al, 1977b). In addition, it is also important to acknowledge the fact that patients are more likely to trust the clinician who, when asked the same question twice, provides the same answer both times and provides the same options as the other clinicians (Fahed et al, 2020).…”

Current Trends in Skeletal Borderline Patients: Surgical versus Orthodontic Treatment Decisions—What Is the Evidence?

“…Dental and facial esthetic, selfimage, and self-esteem, are major motivating factors for those seeking surgical treatment and will be likely to determine a patient's selection of a treatment option [31]. Whereas morphometric analysis is a poor indicator of a patient's treatment needs and expectations, psychological assessment before treatment could help as a discriminant parameter in treatment selection [32,33]. Patients who reported improvements in self-confidence, self-concept, and social interactions after treatment, showed higher levels of satisfaction with outcomes.…”