Camouflage Treatment of Skeletal and Dental Class III Malocclusion in Growing Patient: Case report

Abstract

Objective: To describe a camouflage orthodontic treatment in a growing patient who had skeletal and dental Class III malocclusion with anterior crossbite, retroclination of lower incisors, severe crowding of upper and lower teeth.
Treatment plan: Four first premolars were extracted to correct severe crowding. Patient and parent were informed that this treatment was not able to correct the etiology of the malocclusion, the possibilities for the treatment were to displace the teeth which were relative to their supporting bone and to compensate for the underlying jaw discrepancy. The displacement of the teeth, as in the proclination of the upper teeth and retroclination of the lower teeth, is termed as Class III camouflage. Patient compliance was needed in using intermaxillary elastics for a satisfactory result.
Results: Class I canine and molar relationships were achieved. The lateral profile was maintained with slightly increased facial height.
Conclusions: This case report showed the outcome of orthodontic camouflage in growing patient with skeletal and dental Class III malocclusion. Evaluation of growth status, timing of camouflage orthodontic treatment and treatment plan are very important. A proper treatment plan will lead to optimal static and functional occlusion and stability, a good facial balance by accepting the skeletal discrepancy.