Keywords
Dentofacial deformity
Class III malocclusion
Quality of life
Mental health
How to Cite
Abstract
Orthognathic surgery is the treatment of choice for severe dentofacial deformities, as it corrects maxillomandibular discrepancies, improves oral function, and enhances facial esthetics. However, its impact on quality of life and mental health remains underreported in developing countries. This case report describes an 18-year-old male with skeletal Class III malocclusion and severe dentofacial deformity treated at a public hospital in El Salvador. The patient reported school dropout, avoidance of recreational activities, and depressive symptoms related to bullying about his facial appearance. Management consisted of 15 months of presurgical orthodontics followed by bimaxillary orthognathic surgery with advancement genioplasty, guided by three dimensional digital planning. Postoperatively, a stable Class I occlusion, correction of the overjet, improvement of the facial profile, and correction of mandibular laterognathia were achieved. Psychological follow-up up to 3 months showed resolution of the depressive episode, increased self-esteem, and progressive social reintegration. Although standardized questionnaires were not used, this case suggests a meaningful functional, esthetic, and psychosocial impact of orthognathic surgery in a resource-limited setting
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