A Comparison of Long-Term Stability and Satisfaction in Moderate Skeletal Class III Patients Treated with Orthodontic Camouflage versus Orthognathic Surgery

Abstract

Objective- The aim of this study was to compare the long-term stability and satisfaction of orthodontic camouflage and orthognathic surgery in the treatment of adults with moderate skeletal Class III. Methodology-A total of 25 adult females treated with orthodontic camouflage for Class III malocclusions were contacted at least three years after treatment to assess treatment stability and satisfaction. The results were compared to long-term outcomes in 21 patients who had bimaxillary surgical correction for the same Class III problems. Results-Small mean improvements in skeletal landmark locations occurred in the camouflage patients over time, but the changes were much smaller than in the surgery patients. The surgery group's dental improvements were more serious than the camouflage group's. Patients who received camouflage had less functional or temporomandibular joint problems than those who had surgery. Both groups expressed equal levels of overall treatment satisfaction. Conclusion-The findings indicate that in moderate skeletal Class III adults, both camouflage and surgical care can provide adequate results and long-term stability. Camouflage therapy can be an appropriate alternative treatment if patients are unable to accept surgery due to possible surgical complications or financial difficulties.