Orthognathic Camouflage With TADs for Improving Facial Profile in Class III Malocclusion

Orthodontic camouflage treatments improve occlusion but might worsen facial profile in patients with Class III malocclusion. An innovative concept of “orthognathic camouflage” by orthodontic backward rotation of mandible to decrease chin projection, in treating either growing or adult patients with Class III malocclusion has been proposed. Mandible could be backward rotated through extrusion of maxillary and or mandibular dentition. This chapter aims to illustrate and compare the following clinical techniques: bimaxillary extrusion of upper and lower dentition without temporary anchorage devices (TADs), and single-dentition extrusion of maxillary dentition with TADs, in mandible or maxilla, to redirect the mandibular growth in two growing patients, and to reposition the mandible in one adult patient.