Class III malocclusion: a challenging treatment using miniscrews for extra anchorage

Abstract Aims This article presents the nonsurgical orthodontic treatment of a skeletal Class III malocclusion of an adult patient. Methods Because the patient refused an orthognathic surgical procedure, the mandibular first premolars were extracted and orthodontic camouflage using miniscrew anchorage was used to correct dental asymmetries and the occlusal relationship. Results The treatment strategy was successful and provided an acceptable aesthetic functional occlusion. Conclusion When appropriately indicated, the orthodontic camouflage of a class III malocclusion can avoid orthognathic surgery and, through the use of mini-implants as skeletal anchorage, enhance the results.