Class III Orthodontic Camouflage: Is the “Ideal” Treatment Always the Best Option? A Documented Case Report

Angle’s Class III is one of the most complex malocclusions to treat. In nongrowing skeletal class III malocclusions, the choice between orthognathic surgery and camouflage treatment remains a challenge to the orthodontist. In class III borderline cases, clinicians are called to find the best comprom...

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Main Authors: Lorenzo Rustico, Vincenzo Ronsivalle, Flavia Iaculli, Gianrico Spagnuolo, Gaetano Isola, Antonino Lo Giudice
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2022/9200469
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author Lorenzo Rustico
Vincenzo Ronsivalle
Flavia Iaculli
Gianrico Spagnuolo
Gaetano Isola
Antonino Lo Giudice
author_facet Lorenzo Rustico
Vincenzo Ronsivalle
Flavia Iaculli
Gianrico Spagnuolo
Gaetano Isola
Antonino Lo Giudice
author_sort Lorenzo Rustico
collection DOAJ
description Angle’s Class III is one of the most complex malocclusions to treat. In nongrowing skeletal class III malocclusions, the choice between orthognathic surgery and camouflage treatment remains a challenge to the orthodontist. In class III borderline cases, clinicians are called to find the best compromise between functional and aesthetics outcomes, with the latter which often turns in avoiding worsening of profile characteristics, which makes the treatment of these patients quite challenging. This case report describes a borderline nongrowing patient with skeletal class III malocclusion, upper incisor proclination and spacing, lower crowding, and arch width discrepancy, which has already undergone previous orthodontic treatment. The orthodontic treatment involved the mandibular first premolar extraction, resulting in class I canine relation with good overjet and overbite as well as good arch coordination. The orthodontic camouflage improved the dental relationship with normalization of upper incisor inclination without a relevant retroclination of lower incisors; the skeletal facial pattern of the patient experienced a slight improvement. The tendency to skeletal class III has remained nearly unaffected. Treatment outcomes were stable after 1-year posttreatment follow-up.
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spelling doaj-art-dd064fe96d6c4eb690629c78422edc3a2025-02-03T06:04:49ZengWileyCase Reports in Dentistry2090-64552022-01-01202210.1155/2022/9200469Class III Orthodontic Camouflage: Is the “Ideal” Treatment Always the Best Option? A Documented Case ReportLorenzo Rustico0Vincenzo Ronsivalle1Flavia Iaculli2Gianrico Spagnuolo3Gaetano Isola4Antonino Lo Giudice5Department of Medical-Surgical SpecialtiesDepartment of Medical-Surgical SpecialtiesDepartment of NeurosciencesDepartment of NeurosciencesDepartment of Medical-Surgical SpecialtiesDepartment of Medical-Surgical SpecialtiesAngle’s Class III is one of the most complex malocclusions to treat. In nongrowing skeletal class III malocclusions, the choice between orthognathic surgery and camouflage treatment remains a challenge to the orthodontist. In class III borderline cases, clinicians are called to find the best compromise between functional and aesthetics outcomes, with the latter which often turns in avoiding worsening of profile characteristics, which makes the treatment of these patients quite challenging. This case report describes a borderline nongrowing patient with skeletal class III malocclusion, upper incisor proclination and spacing, lower crowding, and arch width discrepancy, which has already undergone previous orthodontic treatment. The orthodontic treatment involved the mandibular first premolar extraction, resulting in class I canine relation with good overjet and overbite as well as good arch coordination. The orthodontic camouflage improved the dental relationship with normalization of upper incisor inclination without a relevant retroclination of lower incisors; the skeletal facial pattern of the patient experienced a slight improvement. The tendency to skeletal class III has remained nearly unaffected. Treatment outcomes were stable after 1-year posttreatment follow-up.http://dx.doi.org/10.1155/2022/9200469
spellingShingle Lorenzo Rustico
Vincenzo Ronsivalle
Flavia Iaculli
Gianrico Spagnuolo
Gaetano Isola
Antonino Lo Giudice
Class III Orthodontic Camouflage: Is the “Ideal” Treatment Always the Best Option? A Documented Case Report
Case Reports in Dentistry
title Class III Orthodontic Camouflage: Is the “Ideal” Treatment Always the Best Option? A Documented Case Report
title_full Class III Orthodontic Camouflage: Is the “Ideal” Treatment Always the Best Option? A Documented Case Report
title_fullStr Class III Orthodontic Camouflage: Is the “Ideal” Treatment Always the Best Option? A Documented Case Report
title_full_unstemmed Class III Orthodontic Camouflage: Is the “Ideal” Treatment Always the Best Option? A Documented Case Report
title_short Class III Orthodontic Camouflage: Is the “Ideal” Treatment Always the Best Option? A Documented Case Report
title_sort class iii orthodontic camouflage is the ideal treatment always the best option a documented case report
url http://dx.doi.org/10.1155/2022/9200469
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