Surgical camouflage has become an increasingly valuable treatment option for managing borderline skeletal Class II and Class III malocclusions—particularly in adult patients seeking improved esthetics without the risks, costs, or downtime of orthognathic surgery. In this lecture, Dr. Neal Kravitz will present a modern, case-based approach to surgical camouflage, highlighting when to treat versus refer, how to leverage skeletal anchorage, and what realistic outcomes can be achieved. The presentation will cover extraction strategies, occlusal and profile considerations, and aligner versus fixed appliance planning in cases where full orthognathic correction is declined or unnecessary. Attendees will gain practical guidelines for identifying appropriate camouflage candidates, planning treatment efficiently, and communicating expectations clearly to patients.


Learning Objectives
After this lecture, you will be able to understand the diagnostic criteria for selecting surgical camouflage over orthognathic surgery in borderline Class II and III patients.
After this lecture, you will be able to review biomechanical strategies—including extractions, anchorage devices, and incisor positioning—for effective skeletal compensation.
After this lecture, you will be able to learn how to set realistic expectations with patients regarding esthetic outcomes, treatment limitations, and long-term stability.