Evaluation of long-term satisfaction with orthodontic treatment for skeletal class III individuals

The aim of this study was to investigate the long-term satisfaction rate among skeletal class III patients following orthodontic treatment. Questionnaires were sent to 315 post-retention (between 5 to 22.5 years) patients who had received orthodontic treatment without any type of surgery for the correction of skeletal class III malocclusion. The questionnaire contained 28 questions: 10 regarding orthodontic treatment, 13 regarding satisfaction with orthodontic treatment outcomes, and five regarding psychosocial benefits of orthodontic treatment. The frequency of each variable was calculated and chi-squared test was used to determine gender correlations. The survey response rate was 15.8% (n = 40). Most patients were satisfied with their facial appearance (92.5%) and final esthetic profile (95%). Of the 5% who were dissatisfied with their final profiles, prognathic mandible was given as the reason. Most patients (90%) were satisfied with the overall treatment results. Moreover, patient perceptions of psychosocial benefits of treatment were mainly positive, with the majority (72.5%) stating their social communication had improved following orthodontic treatment. Chi-squared test indicated almost no variations in response by gender. In conclusion, the majority of skeletal class III patients in the long-term post-retention period who had received orthodontic treatment were satisfied with the overall treatment outcome.