# Skeletal Class III Camouflage Using Carriere® Motion 3D and Clear Aligners: A Hybrid Case Report Approach

## TL;DR

This case report shows a non-surgical approach to treating a severe Class III malocclusion using a combination of a Carriere® Motion 3D appliance and clear aligners.

## Contribution

The novelty lies in combining Carriere® Motion 3D with clear aligners for skeletal Class III camouflage in adults.

## Key findings

- A stable Class I occlusion was achieved after 32 months of treatment.
- Cephalometric analysis showed satisfactory dentoalveolar compensation and mandibular rotation.

## Abstract

Background and Clinical Significance: Treating severe skeletal Class III malocclusions in adults who refuse orthognathic surgery remains challenging. Orthodontic camouflage offers a non-surgical option to improve occlusion and esthetics. Case Presentation: A 26-year-old male with a full bilateral Class III malocclusion and anterior crossbite was treated following the “Sagittal First” philosophy. The Carriere® Motion 3D Class III appliance was used for mandibular distalization, combined with active maxillary aligners and Class III elastics. After 32 months, a stable Class I occlusion with proper overjet, overbite, and improved sagittal balance was obtained. Cephalometric analysis showed clockwise mandibular rotation and satisfactory dentoalveolar compensation. Conclusions: Combining the Carriere® Motion 3D appliance with clear aligners can successfully camouflage severe skeletal Class III malocclusions in adults, providing a predictable and esthetic non-surgical alternative.