title: Satisfaction with orthognathic surgery of skeletal Class III patients.
abstract: BACKGROUND
  Class III relationships can be corrected with single-jaw or bimaxillary surgery. The purpose of this research was to assess patient satisfaction after bimaxillary surgery, compared with setback surgery alone, for Class III corrections. Identifying patients' relative levels of satisfaction will provide guidance for the selection of surgical options.
  
  
  METHODS
  The cephalometric outcomes for 25 patients who underwent 2-jaw surgery were compared with the outcomes in 40 patients who had mandibular setback. Soft and hard tissue changes were evaluated using initial and postsurgical lateral cephalograms. The patients were asked to complete self-administered questionnaires after orthognathic treatment. Correlations between cephalometric improvement and patient satisfaction were evaluated.
  
  
  RESULTS
  The patients in the 2-jaw group reported significantly higher satisfaction in the appearance of the mouth (P <0.05), smile (P <0.05), and treatment outcome (P <0.001). These item scores and the changes in ANB, ANS-M, and nasolabial angle showed strong correlations in the 2-jaw group and moderate correlations in the 1-jaw group.
  
  
  CONCLUSIONS
  ANS-M and nasolabial angle should be considered in the conventional diagnosis of skeletal Class III orthognathic surgery to obtain adequate correction of facial esthetics and patient satisfaction. Esthetic needs contribute to surgical decisions when treating patients with skeletal Class III malocclusions and dentofacial deformities such as maxillary deficiency and long facial height that causes a turned-up upper lip.
authors.affiliation: Resident, Department of Orthodontics, School of Dentistry, Nihon University, Tokyo, Japan.
authors.forename: Kaoru
authors.initials: K
authors.lastname: Asada
authors.affiliation: Associate professor, Department of Orthodontics and Division of Clinical Research, Dental Research Center, School of Dentistry, Nihon University, Tokyo, Japan. Electronic address: motoyoshi.mitsuru@nihon-u.ac.jp.
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Motoyoshi
authors.affiliation: Clinical associate professor, Department of Orthodontics and Division of Clinical Research, Dental Research Center, School of Dentistry, Nihon University, Tokyo, Japan.
authors.forename: Takahiko
authors.initials: T
authors.lastname: Tamura
authors.affiliation: Assistant professor, Department of Orthodontics and Division of Clinical Research, Dental Research Center, School of Dentistry, Nihon University, Tokyo, Japan.
authors.forename: Akira
authors.initials: A
authors.lastname: Nakajima
authors.affiliation: Assistant professor, Department of Orthodontics and Division of Clinical Research, Dental Research Center, School of Dentistry, Nihon University, Tokyo, Japan.
authors.forename: Kotoe
authors.initials: K
authors.lastname: Mayahara
authors.affiliation: Professor and chair, Department of Orthodontics and Division of Clinical Research, Dental Research Center, School of Dentistry, Nihon University, Tokyo, Japan.
authors.forename: Noriyoshi
authors.initials: N
authors.lastname: Shimizu
mesh_terms: D000293:Adolescent; D000328:Adult; D002508:Cephalometry / Q000379:methods; D063169:Dentofacial Deformities / Q000601:surgery; D004954:Esthetics; D005145:Face / Q000473:pathology; D005147:Facial Bones / Q000473:pathology; D005260:Female; D006801:Humans; D008297:Male; D008313:Malocclusion, Angle Class III / Q000601:surgery*; D008334:Mandible / Q000473:pathology / Q000601:surgery; D008437:Maxilla / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D009055:Mouth / Q000473:pathology; D009295:Nasal Bone / Q000473:pathology; D056948:Orthognathic Surgical Procedures / Q000523:psychology*; D019340:Osteotomy, Le Fort / Q000523:psychology; D059229:Osteotomy, Sagittal Split Ramus / Q000523:psychology; D017060:Patient Satisfaction; D057566:Self Report; D012904:Smiling; D016896:Treatment Outcome; D055815:Young Adult