Limitations of orthodontic treatment: Class III camouflage

Abstract

Class III malocclusion treatment planning in the non-growing patient can represent a challenge. The options of whether to attempt orthodontic camouflage or to treat with orthognathic surgery are affected by numerous factors, including the severity of the underlying skeletal relationship, the dento-alveolar compensation already present, the facial aesthetics, the patient's concerns and expectations, and the anatomical limits of orthodontic tooth movement. Numerous studies have tried to provide guidance by looking at the differences between groups of patients to determine whether they should be treated orthodontically or surgically. However, owing to the retrospective nature of these studies and their heterogeneity, they prove less helpful than desired. In this narrative review, the authors will look at these studies to provide some guidance for the orthodontist. CPD/Clinical Relevance: Treatment planning in Class III malocclusions can be challenging owing to the numerous factors that must be considered.