Background: Severe skeletal class III malocclusions usually need a combined treatment of orthodontics and orthognathic surgery. Knowing about changes occurred following such treatments lead to improve facial esthetics and better treatment results.
Objectives: This study was done to determine cephalometric changes of facial soft tissue after combined treatment in patients with skeletal class III problem.
Methods: 25 patients with skeletal class III discrepancy who needed a combined treatment, were selected. Changes in nasolabial angle , upper lip and lower lip to E-line distance, angle of convexity , lip-chin-throat angle and lower anterior facial height were measured before and 6 - 12 months after surgery. Changes in parameters were analyzed with Paired t-test.
Results: Upper lip to E-line distance (P < 0.0001) and angle of convexity (P < 0.001) changed significantly following surgical procedures while changes of other parameters were not significant.
Conclusions: Clinical changes in the soft tissue following a combination of orthodontic treatment and orthognathic surgery in patients with skeletal class III discrepancy are significant while these changes mostly improves esthetics of patient’s facial profile.