Impact of Orthognathic Surgery on Quality of Life in Patients with Dentofacial Deformities

Abstract

The aim of this investigation was to determine the impact of orthognathic surgery on quality of life in patients with dentofacial deformities at immediate presurgery and at 3-week, 3-month, and 6-month intervals following the surgery. Subjects included forty-three 18–40-year-old Iranian orthognathic patients who were referred to private offices in Isfahan. Data collection was performed using the 22-item Orthognathic Quality of Life Questionnaire (OQLQ). Participants completed the questionnaire prior to surgery and 3 weeks, 3 months, and 6 months after it. Differences and correlations were calculated by the two-tailed t-test, ANOVA with Repeated Measure test, and the Pearson correlation coefficient. The results showed significant reduction returned to baseline in OQLQ mean scores and aesthetic, awareness, and social subdomains in all 3 intervals after surgery. However oral function domain showed an increase at T2 and then a decrease at next intervals. Maximum and minimum effect size were observed in aesthetic (ES = 0.7) and oral function (ES = 0.3) domain, respectively. Based on the finding of this study, in 6-month interval after surgery, orthognathic surgery causes significant improvements in quality of life in patients with dentofacial deformities as assessed in emotional, psychological, oral function, and social domains and maximum changes occurred in emotional domain.

Risk Factors for Facial Appearance Dissatisfaction Among Orthognathic Patients: Comparing Patients to a Non-Surgical Sample

“…These findings are consistent with the patients' situation before orthognathic surgery. The patients feel that their dentofacial deformities make them look different from the peers and reduce their facial attractiveness, affecting many aspects of their lives, such as social interactions, their possible success when seeking employment, being chosen as a romantic partner, and not least, their personality and characteristics (Eslamipour et al, 2017). These differences between patients and the controls indicate that it is essential to investigate the risk factors concerning patients' facial appearance dissatisfaction and the related psychosocial factors, rather than only investigating the biological influence.…”

"Psychological status and quality of life of orthognathic patients – highlights in “surgery first” approach "

“…The impact on facial profile register an immediate improvement in Surgery First Approach, while conventional approach lead to worsening of profile, following dental decompensation, even more pronounced in Class III patients (16). Surgery First Approach eliminates soft and hard tissue hindrances in the begging of the treatment which led to early correction of imbalances due to establishment of proper maxillamandibular relationship, thereby allowing accelerated and efficient dental movements.…”

Psychodynamic Features Associated With Orthognathic Surgery: A Comparison Between Conventional Orthognathic Treatment and “Surgery-First” Approach

“…[1][2][3][4][5][6][7][8][9][10] Preoperatively, orthognathic patients often have psychosocial problems [1][2][3][4][5][6][7][8] so that patients' motivation for the surgical option is usually the hope for improvement of their quality of life. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] However, there is a wide debate about the variation of depressive symptoms, anxiety, and psychosocial well-being after orthognathic surgery. This feature of orthognathic treatment is crucial because the information about the psychosocial effect of orthognathic surgery on patients may allow surgeons to appropriately inform patients regarding their expectations from surgery.…”