Orthognathic camouflage refers to the use of procedures other than traditional orthognathic surgery for correction of facial dysmorphology that reflects underlying skeletal discrepancy that was either not addressed on initial orthodontic evaluation or not corrected by nonsurgical treatment of the malocclusion. The authors aim to illustrate to the orthodontic community the common clinical presentation of patients who seek consultation from a surgeon citing dissatisfaction with their facial appearance secondary to orthodontic correction of the malocclusion with dental compensation but without surgical correction of the underlying skeletal discrepancy. This article summarizes the orthognathic camouflage procedures that are available as options for correction of such deformities without subjecting the patient to the potential morbidity and prolonged recovery associated with orthognathic surgery. This manuscript represents Part II of a two-part series describing a surgeon's approach to patients who present with facial skeletal disharmony after orthodontic treatment with dental compensation for malocclusions associated with an underlying skeletal discrepancy.
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http://dx.doi.org/10.1016/j.ajodo.2022.01.009 | DOI Listing |
Case Rep Dent
November 2024
Faculty Odonto-Stomatology, Can Tho University of Medicine and Pharmacy, Can Tho City, Vietnam.
Clin Oral Investig
November 2024
Department of Orthodontics, Institute of Oral Health Science, Ajou University School of Medicine, Suwon, South Korea.
Objectives: This study aimed to propose guidelines for the indications of non-extraction, extraction camouflage treatment, and orthognathic surgery by comparing the degree of soft tissue improvement effects. This comparison focused on changes in CKHA, a soft tissue indicator corresponding to the major hard tissue indicator, ANB.
Materials And Methods: Sixty-six patients, 25 males and 41 females, aged between 18 and 50 years and diagnosed with skeletal Class III malocclusion (ANB < 0°), were enrolled in the study.
Cureus
October 2024
Maxillofacial Surgery, Ministry of Health, Dhahran, SAU.
Orthognathic surgery is a procedure that allows oral and maxillofacial surgeons to resolve jaw asymmetry issues and restore function, esthetics, and balance. Orthodontics plays a major part in the pre-surgical and post-surgical phases, thus necessitating a multidisciplinary approach. Certain skeletal discrepancies may remain despite correction with routine growth modification and camouflage treatment, or they may not qualify for these treatments.
View Article and Find Full Text PDFWorld J Orthop
October 2024
Chengde Medical University, Chengde 067000, Hebei Province, China.
Background: Severe skeletal class II malocclusion is the indication for combined orthodontic and orthognathic treatment.
Case Summary: A woman with a chief complaint of a protruding chin and an inability to close her lips requested orthodontic camouflage. The treatment plan consisted of extracting the right upper third molar, right lower third molar, left lower second molar, and left upper third molar and moving the maxillary dentition distally using a convenient method involving microimplant nail anchors, push springs, long arm traction hooks, and elastic traction chains.
Cureus
September 2024
Orthodontics and Dentofacial Orthopedics, Manav Rachna Dental College, Manav Rachna International Institute of Research and Studies, Faridabad, IND.
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