Assessment of the changes in quality of life of patients with class II and III deformities during and after orthodontic–surgical treatment

Baherimoghaddam, Tahereh; Naseri, Navid; Pouzesh, A.; Oshagh, Morteza; Torkan, Sepideh

doi:10.1016/j.ijom.2015.10.019

Cited by 50 publications

(70 citation statements)

References 20 publications

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“…Based on the results of a longitudinal study, Baherimoghaddam et al found that change in OHRQL over time in Class II and III patients depended on the type of deformity involved 5) . It was also noted that while an improvement was observed in OHRQL in Class III patients at the pre-surgical orthodon- Tachiki C et al…”

Section: Discussionmentioning

confidence: 99%

Condition-specific Quality of Life Assessment at Each Stage of Class III Surgical Orthodontic Treatment —A Prospective Study—

Tachiki

Nishii

Takaki

et al. 2018

Bull. Tokyo Dent. Coll.

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Surgical orthodontic treatment has been reported to improve oral health-related quality of life (OHRQL). Such treatment comprises three stages: pre-surgical orthodontic treatment; orthognathic surgery; and post-surgical orthodontic treatment. Most studies have focused on change in OHRQL between before and after surgery. However, it is also necessary to evaluate OHRQL at the pre-surgical orthodontic treatment stage, as it may be negatively affected by dental decompensation compared with at pre-treatment. The purpose of this prospective study was to investigate the influence of surgical orthodontic treatment on QOL by assessing change in condition-specific QOL at each stage of treatment in skeletal class III cases. Twenty skeletal class III patients requiring surgical orthodontic treatment were enrolled in the study. Each patient completed the Orthognathic Quality of Life Questionnaire (OQLQ), which was developed for patients with dentofacial deformity. Its items are grouped into 4 domains: "social aspects of dentofacial deformity"; "facial esthetics"; "oral function"; and "awareness of dentofacial esthetics". The questionnaire was completed at the pre-treatment, pre-surgical orthodontic treatment, and post-surgical orthodontic treatment stages. The results revealed a significant worsening in scores between at pre-treatment and pre-surgical orthodontic treatment in the domains of facial esthetics and oral function (p<0.01), and between at pre-surgical orthodontic and post-surgical orthodontic treatment in all domains except awareness of dentofacial esthetics (p<0.05, p<0.01). A significant correlation was observed between a negative change in overjet and worsening OQLQ scores at the pre-surgical orthodontic treatment stage. Significant correlations were also observed between improvement in upper and lower lip difference, soft tissue pogonion protrusion, and ANB angle and improvement in OQLQ scores at the post-surgical orthodontic treatment stage. These results indicate that morphologic change influences OHRQL in patients undergoing surgical orthodontic treatment not only after surgery, but also during pre-surgical orthodontic treatment.

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Section: Discussionmentioning

confidence: 99%

Condition-specific Quality of Life Assessment at Each Stage of Class III Surgical Orthodontic Treatment —A Prospective Study—

Tachiki

Nishii

Takaki

et al. 2018

Bull. Tokyo Dent. Coll.

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“…Since orthognathic surgery negatively contributes to the quality of life among patients with depression, patients should be examined for depression through systematic screening before undergoing surgery, and receive treatment for depression if necessary134135136137.…”

Section: Postoperative Complicationsmentioning

confidence: 99%

Complications associated with orthognathic surgery

Kim

2017

J Korean Assoc Oral Maxillofac Surg

118

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While most patients undergo orthognathic surgery for aesthetic purposes, aesthetic improvements are most often followed by postoperative functional complications. Therefore, patients must carefully decide whether their purpose of undergoing orthognathic surgery lies on the aesthetic side or the functional side. There is a wide variety of complications associated with orthognathic surgery. There should be a clear distinction between malpractice and complications. Complications can be resolved without any serious problems if the cause is detected early and adequate treatment provided. Oral and maxillofacial surgeons must have a full understanding of the types, causes, and treatment of complications, and should deliver this information to patients who develop these complications.

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“…Evaluations of orthognathic patients before treatment has revealed statistically significant higher levels of state anxiety and lower facial body image, self-esteem and QoL compared to control groups (3)(4)(5). After orthodontic-surgical treatment most patients are satisfied (77,(79)(80)(81)(82)(83)(84), and improved facial body image, self-confidence and QoL is reported (5,77,(85)(86)(87)(88). Improving chewing function and facial appearance are reported to be the two main reasons that patients with dentofacial deformities seek orthodontic surgical treatment (83,(89)(90)(91)(92)(93).…”

Section: Subjective Measurements Of Treatment Outcomementioning

confidence: 99%

Skeletal and dental stability after intraoral vertical ramus osteotomy: a long-term follow-up

Eriksen

Wisth

Løes

et al. 2017

International Journal of Oral and Maxillofacial Surgery

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The purpose of this study was to elucidate the long-term skeletal and dental stability after combined orthodontic and orthognathic surgical treatment of mandibular prognathism with the intraoral vertical ramus osteotomy (IVRO) as the surgical technique followed by 6 weeks of intermaxillary fixation (IMF). Thirty-six patients were included in the study. Mean age at surgery was 21.6 years. Lateral cephalograms and study casts obtained before the start of treatment (T0), and 8 weeks (T1), 1 year (T2), and 12.5 years (T3) after the operation were evaluated. Mean mandibular setback measured at point B was 8.3mm. Between T1 and T2, a mean anterior relapse of 12% of the setback was observed. Between T2 and T3, the anterior relapse persisted, but decreased to 7% of the setback measured at point B. Despite dental adjustments in both jaws, a statistically significant reduction in overjet was observed during both observation periods. However, the change of the mandible in an anterior direction was small and of minor clinical importance for most of the patients. In conclusion these results indicate that combined orthodontic and orthognathic surgical treatment of mandibular prognathism with the IVRO as the surgical procedure followed by 6 weeks of IMF provides predictable and good long-term clinical results.

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Assessment of the changes in quality of life of patients with class II and III deformities during and after orthodontic–surgical treatment

Cited by 50 publications

References 20 publications

Condition-specific Quality of Life Assessment at Each Stage of Class III Surgical Orthodontic Treatment —A Prospective Study—

Condition-specific Quality of Life Assessment at Each Stage of Class III Surgical Orthodontic Treatment —A Prospective Study—

Complications associated with orthognathic surgery

Skeletal and dental stability after intraoral vertical ramus osteotomy: a long-term follow-up

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