A common mistake in orthodontics, is to plan a treatment of an orthodontic case that has a skeletal malocclusion in sagittal, vertical or transverse plane by camouflaging; and if it fails then the patient is referred to the Orthognathic department. This will result in a complete failure of the orthodontic case in terms of space closure, crown inclination, torque and a long-term retention of the treatment.

There are reference points and landmarks on the patient profile and on his cephalometric X-ray that can aid in determining whether the patient is going to have orthodontic treatment or orthognathic surgery.

There are significant protocols, orthodontist should have in consideration during treatment planning, if the final decision is to avoid orthognathic surgery, and the camouflaging treatment will be considered, then we have to make compensation for the final result; or if orthognathic surgery has been planned then sometimes, we need to make a decompensation in our treatment.

Methods of review: Case study of class II and Class III patients in need for orthognathic surgeries but their decision was to avoid it, and to be treated orthodontically

I graduated from MIU university, Egypt in 2013. I started my journey in Orthodontics and Surgeries as resident in both departments of MIU University. I completed my master’s degree in Orthodontics from Donau University, Austria in 2017.  Through these years I had the opportunity to lecture for specialized orthodontic programs in Egypt under the supervision of Cairo Dental Syndicate and in Kurdistan Erbil dental association. Since 2017 I have established the Orthodontic Center STRAIGHT TEETH CLUB, a specialized orthodontic team providing high quality orthodontic treatments