Objective: To explore the value of three-dimensional reconstruction of facial soft tissue in orthodontic treatment.Methods: The research cases were selected from September 2018 to June 2024. The samples were 76 orthodontic patients admitted to our hospital. They were divided into 2 groups according to different treatment plans. The control group (38 cases) chose two-dimensional facial reconstruction, and the observation group (38 cases) chose three-dimensional facial soft tissue reconstruction. For the pink aesthetic scores, satisfaction, treatment efficiency and recovery conditions of the two groups.Result: The pink aesthetic score of the observation group was higher than that of the control group, and the difference was statistically significant (P < 0.05). The satisfaction rate, treatment efficiency and recovery situation of the observation group were all more ideal than those of the control group, and the difference was statistically significant (P < 0.05).Conclusion: The application of the three-dimensional reconstruction plan of facial soft tissue in orthodontic treatment can improve the treatment efficiency.