Abstract

Clear Aligner–Based Camouflage Treatment of Class II Malocclusion in Adults: Clinical Considerations and Outcomes

by D'Antò Vincenzo

Class II malocclusion in adults represents a common orthodontic challenge due to the absence of growth potential and the frequent rejection of orthognathic surgery or fixed appliance therapy. In this context, clear aligners have gained increasing acceptance as a viable option for camouflage treatment in carefully selected patients. This approach is based on dentoalveolar compensation achieved through controlled incisor proclination or retroclination, molar distalization, interproximal enamel reduction, and the judicious use of Class II elastics and skeletal anchorage. Recent advancements in digital treatment planning, and aligner material have enhanced the predictability of complex tooth movements, allowing effective management of sagittal discrepancies while preserving aesthetics and patient comfort. Although skeletal correction cannot be achieved, significant improvements in overjet, overbite, occlusal relationships, and overall facial harmony are possible when biomechanical limitations are respected.