Therapy of skeletal anomalies using orthodontic camouflage

Medical Word 2021; 2(2): 55–60

https://doi.org/10.5937/medrec2102055K

Original Article

Abstract

Camouflage is a therapeutic procedure used to treat orthodontic anomalies after the cessation of pubertal growth acceleration. The goal of camouflage is to treat skeletal inconsistencies based on tooth extraction. In that way, good intercuspation of lateral teeth and a correct ratio of incisors are achieved, despite skeletal discrepancy.

Indications for this procedure refer to patients with moderate and mild distal bites, patients with mild mesial bites, patients who are “too old” for growth modification therapy, and patients with good vertical proportions.

Contraindications refer to patients with crowded teeth and incisions of the incisors, patients with good growth potential (it is necessary to use functional orthodontic appliances), severe skeletal discrepancies (when orthognathic surgery is performed) and patients with pronounced vertical disproportions.

The method of treatment involves placing an orthodontic appliance in the upper and lower jaw. Retention is mandatory after removing the upper and lower appliance because the teeth tend to return to their original position. Possible side effects are instability and unpredictability of therapeutic results over time (relapses), and patients are sometimes only partially satisfied with aesthetic changes.

Key words: camouflage, skeletal discrepancy, growth modification, mesial bite, distal bite

Full text

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