Factors associated with orthodontist's decision to indicated orthodontic camouflage or orthognathic surgery in skeletal class III malocclusions without growth.
- 1Facultad de Medicina, Universidad Católica Santo Toribio de Mogrovejo, Chiclayo, Peru.
- 2Facultad de Medicina, Universidad Privada Antenor Orrego, Trujillo, Peru.
Abstract
Background
The therapeutic decision depends on a complex set of factors related to both the patient and the professional.Aim
To determine the factors associated with the orthodontist's decision to prescribe orthodontic camouflage or orthognathic surgery in skeletal Class III malocclusions without growth.Materials and methods
An online survey was conducted with 271 orthodontists. The validity and reliability of a 16-question questionnaire were determined, and submission links were generated using SurveyMonkey software. The instrument was distributed via social media and email, achieving an 80% response rate. Pearson's chi-squared test and binomial logistic regression was used.Results
All factors evaluated were considered important in the treatment decision (p<0.001). The gonial angle was a significant risk factor (OR:5.36; 95%CI:1.53-18.72; p=0.009), as was anterior crossbite (OR:49.14; 95%CI:2.61-92.59; p=0.009). Occlusal stability (OR:0.01; 95%CI:0.00-0.29; p=0.009), third molar position and space (OR:0.14; 95%CI: 0.07-0.30; p<0.001) were protective factors. The orthodontist's experience of up to 10 years (OR:0.12; 95%CI:0.04-0.36; p<0.001), up to 40 years (OR:0.22; 95%CI:0.08-0.60; p=0.003), along with training through courses or internships (OR:0.08; 95%CI:0.04-0.18; p<0.001) or a second specialty (OR:0.37; 95%CI:0.15-0.93; p=0.035), also acted as protective factors. The proposed model has a moderately good fit (p=0.400).Conclusions
Orthodontic camouflage is the most common treatment option for Class III malocclusion. The gonial angle and anterior crossbite predispose to orthognathic surgery; while occlusal stability, the presence and spacing of the lower third molar, along with greater professional experience and surgical training, are associated with a lower likelihood of indicating surgery.
Related
- Minimally invasive orthodontic management: a paradigm shift in interceptive care. Part II - early management of oral habit-related malocclusions
- Assessing the sagittal soft-to-hard tissue change of craniofacial morphology after orthodontic or orthognathic treatment.
- Quantifying external root resorption associated with various orthodontic tooth movements in clear aligner treatment: a retrospective clinical study
- Mechanical force orchestrates inflammatory and apoptosis-associated signaling in periodontal tissues during orthodontic tooth movement using complementary in vivo and in vitro models
- Patient perspective regarding the role of social media, offline reputation, and practitioner characteristics in orthodontist selection: a cross-sectional study.
BibTeX
@article{carranzabuenano2026factors,
title = {{Factors associated with orthodontist's decision to indicated orthodontic camouflage or orthognathic surgery in skeletal class III malocclusions without growth.}},
author = {Claudia Carranza-Buenaño and Mariano Ortiz-Pizarro and Marcos Jimmy Carruitero-Honores},
journal = {Journal of clinical and experimental dentistry},
year = {2026},
month = aug,
doi = {10.4317/jced.64160},
url = {https://europepmc.org/article/MED/42894820},
note = {CC BY},
}
RIS
TY - JOUR
TI - Factors associated with orthodontist's decision to indicated orthodontic camouflage or orthognathic surgery in skeletal class III malocclusions without growth.
AU - Claudia Carranza-Buenaño
AU - Mariano Ortiz-Pizarro
AU - Marcos Jimmy Carruitero-Honores
PY - 2026
DA - 2026/08/28
JO - Journal of clinical and experimental dentistry
DO - 10.4317/jced.64160
UR - https://europepmc.org/article/MED/42894820
AB - Background The therapeutic decision depends on a complex set of factors related to both the patient and the professional.Aim To determine the factors associated with the orthodontist's decision to prescribe orthodontic camouflage or orthognathic surgery in skeletal Class III malocclusions without growth.Materials and methods An online survey was conducted with 271 orthodontists. The validity and reliability of a 16-question questionnaire were determined, and submission links were generated using SurveyMonkey software. The instrument was distributed via social media and email, achieving an 80% response rate. Pearson's chi-squared test and binomial logistic regression was used.Results All factors evaluated were considered important in the treatment decision (p<0.001). The gonial angle was a significant risk factor (OR:5.36; 95%CI:1.53-18.72; p=0.009), as was anterior crossbite (OR:49.14; 95%CI:2.61-92.59; p=0.009). Occlusal stability (OR:0.01; 95%CI:0.00-0.29; p=0.009), third molar position and space (OR:0.14; 95%CI: 0.07-0.30; p<0.001) were protective factors. The orthodontist's experience of up to 10 years (OR:0.12; 95%CI:0.04-0.36; p<0.001), up to 40 years (OR:0.22; 95%CI:0.08-0.60; p=0.003), along with training through courses or internships (OR:0.08; 95%CI:0.04-0.18; p<0.001) or a second specialty (OR:0.37; 95%CI:0.15-0.93; p=0.035), also acted as protective factors. The proposed model has a moderately good fit (p=0.400).Conclusions Orthodontic camouflage is the most common treatment option for Class III malocclusion. The gonial angle and anterior crossbite predispose to orthognathic surgery; while occlusal stability, the presence and spacing of the lower third molar, along with greater professional experience and surgical training, are associated with a lower likelihood of indicating surgery.
SN - 1989-5488
ER -