Camouflage management of skeletal Class II malocclusion with severe Proclination: A case report

Skeletal Class II malocclusion with severe proclination poses both functional and esthetic challenges, requiring a well-planned orthodontic approach for effective management. While orthognathic surgery is often considered for severe skeletal discrepancies, camouflage treatment remains a viable alternative in non-growing patients with acceptable facial balance. Camouflage treatment aims to correct the dental manifestations of the skeletal discrepancy through strategic extractions, controlled tooth movement, and biomechanical techniques to optimize occlusion and facial esthetics. Extraction of premolars is commonly employed to address severe maxillary incisor proclination by providing space for retraction and improving the incisor inclination. The use of fixed orthodontic appliances, such as pre-adjusted edgewise systems, allows for precise tooth movement, correction of overjet, and establishment of a harmonious occlusal relationship. This approach enables the orthodontist to achieve functional and esthetic improvements without the need for surgical intervention. This case report discusses the principles and mechanics of camouflage treatment in a skeletal Class II patient with severe proclination, emphasizing the importance of individualized treatment planning to achieve stable and satisfactory results.