Caucasian, male, 22-year old patient sought treatment complaining about his dentofacial esthetics. As shown in his initial photographs (Fig 3), he presented Class III malocclusion, maxillary deficiency and mandibular excess.
His oral health-related quality of life was assessed by means of the OHIP-14 which scored 31 points (an index that varies from 0 to 56 points), and the B-OQLQ which scored 73 points (from 0 to 88 points), thus suggesting a considerably negative impact. For this reason, orthosurgical treatment was planned with the anticipated benefit protocol in order to quickly improve patient's facial esthetics.
An orthodontic appliance was placed and surgery associating maxillary advancement and mandibular setback was performed immediately after that.
After two years and seven months of treatment, the orthodontic appliance was removed. Satisfied with the final outcomes and the dental alignment obtained (Fig 4), the patient scored 4 points in the OQLQ and 4 points in the OHIP-14, which means he presented extremely significant improvements in oral health-related quality of life. In this case, the correct diagnosis of objective clinical data and patient's subjective perception led to successful orthosurgical treatment not only from a professional point of view, but also from a most important prospect, the patient's.