In some scenarios, you get presented with a client whose case is anything but straightforward – and Class III compromised camouflage cases represent this perfectly. But how do you come up with an orthodontics treatment plan for Class III cases with camouflage orthodontics? Well, today’s guide can help.
What are Camouflaged Orthodontics Cases?
First, let’s briefly clarify what a camouflaged case is. In camouflaged treatment plans, there is usually an issue with the jaw bones directly, and rather than going down the route of full jaw surgery, the patient would prefer to move the teeth instead to improve the appearance and fix the bite (without necessarily tackling the root cause of the problem).
Tackling Class III Cases with Camouflage Orthodontics
In many cases, tackling class III cases requires extracting lower 8s or lower incisors, sequential distalization, jaw surgery, or lower IPR. This decision should always be based on the bone positioning (shown with a CEPH) and the angulations of the teeth.
Depending on the nature of the case, lower sequential distalization may be effective if you need to retain the angle of the incisor. Lower IPR may also be possible in some cases.
Don’t forget, if there’s any chance the patient will continue to grow, make sure you’ve expressed this very clearly and have signed recognition from the patient of the fact that they may outgrow the treatment provided now.
It’s also vital to let the patient know that while you’re trying to fix the bite, since this is a compromised camouflaged case, it’s not the perfect solution; make sure you get the patient to sign a compromise form recognizing the limitations of this treatment, too.