Camouflage treatment of skeletal Class III malocclusion in an adult cleft-palate patient using passive self-ligating system

This case report describes the successful camouflage treatment to correct a moderate skeletal Class III malocclusion in a 19-year-old male cleft-palate patient. Early closure of the palate produced palatal scar tissue that inhibited midfacial growth, causing maxillary arch deficiency, severe maxillary crowding, and anterior and posterior crossbites. Combined surgical-orthodontic therapy would have been the preferred treatment of choice; however, the patient declined this option because of surgical risks and costs. Therefore, nonextraction camouflage treatment using a passive self-ligating bracket system was used. Treatment aims including expansion of the maxillary arch and correction of the anterior and posterior crossbites were achieved without the use of an additional maxillary arch expander or other auxiliary appliances. This treatment resulted in satisfying facial esthetics and a normal dental occlusion. •This case report shows the success of camouflage treatment to correct a moderate skeletal Class III malocclusion in a 19-year-old male cleft palate patient with maxillary arch deficiency, severe maxillary crowding, and anterior and posterior crossbites.•This patient declined combined surgical-orthodontic therapy due to surgical risks and financial constraints; therefore, nonextraction camouflage treatment using a passive self-ligating system was used.•This camouflage treatment resulted in satisfying facial esthetic and normal dental occlusion without an additional maxillary arch expander and other auxiliary appliances.