What approach may be taken when dealing with skeletal imbalances in adolescents?

When addressing skeletal imbalances in adolescents, a comprehensive approach that includes camouflage or surgical methods can be particularly effective. Camouflage techniques may involve strategic orthodontic treatment that aligns the teeth and jaw positions to improve aesthetics and function without directly altering the underlying skeletal relationships. For example, specific orthodontic mechanics can help disguise a skeletal discrepancy, making it less noticeable.

On the other hand, surgical approaches are appropriate for more pronounced skeletal discrepancies where growth modification is no longer feasible, especially in older adolescents. Surgical treatment may involve orthognathic surgery, which corrects skeletal relationships by surgically repositioning the jawbones. This option provides a long-term solution that aligns the skeletal structure and improves function and aesthetics more effectively than orthodontic adjustments alone.

The other approaches mentioned would not sufficiently address skeletal imbalances on their own. Solely relying on orthodontic adjustments might not resolve significant skeletal discrepancies. Extraction of teeth might occasionally be necessary in certain orthodontic cases, but it would not directly treat skeletal imbalances and could even exacerbate the situation if not planned carefully. Lastly, postponement of treatment is not a proactive strategy for skeletal imbalances, especially since waiting could result in more complex issues as growth continues.

Overall, utilizing a combination of camouflage techniques and surgical intervention presents