Quality of life after orthognathic surgery: a case report

Abstract

This case study aims to describe the effects of orthognathic surgery on the quality of life of a patient with class III dentofacial deformity. The protocols Oral Health Impact Profile, short version, and Orthognathic Quality of life Questionnaire were applied before and after orthognathic surgery to measure the quality of life of a subject. The data were collected from a clinical case report. We observed that, by the Oral Health Impact Profile, the quality of life was not affected by dentofacial deformity (score = 1), and that there was a 30-day postoperative score increase (score = 9), indicating a worsening of quality of life and an improvement after 90 days (score = 4). On the other hand, by the Orthognathic Quality of life Questionnaire, it was noticed that dentofacial deformity negatively affected the patient's quality of life (score = 34), and that there was a progressive improvement in scores after surgery, i.e., from score 15 to 2, showing a positive impact on quality of life. The orthognathic surgery positively influenced the patient's quality of life, requiring the application of specific protocols that accurately measure the impacts of the procedure on the individual's life.

Orthognathic surgery: doubts from patients with orofacial fissures regarding the immediate postoperative period

“…Another doubt referred to the aesthetic and functional benefits of the surgery, which, although desired immediately, are evidenced in the medium and long term (4) . They include improved respiratory capacity, mastication, speech quality, and facial harmony, in addition to psycho-emotional aspects, such as self-esteem and better perception of the quality of life (5,(8)(9) .…”

“…The surgical procedure benefits include aesthetic and functional improvements, such as better breathing, mastication, hearing, and speech (5)(6)(7)(8) . Besides, there are benefits related to improvements in the perception of the quality of life (9) .…”

Impacto da deformidade facial na percepção do paciente em tratamento ortodôntico: Um estudo caso-controle

“…To assess the impact of OHRQoL, the Oral Health Impact Profile (OHIP-14) is recognized as one of the most valid and reliable instruments (Montero & Gómez-Polo 2017). Furthermore, when the domains that comprise the OHIP-14 are evaluated separately, physical pain is the one that shows the highest impact on the quality of life of patients with a facial deformity (Lee et al 2008;Bortoluzzi et al, 2015;Bortoluzzi et al 2017) and is, therefore, an important aspect of evaluating in the diagnosis and treatment plan (Torres et al 2017).…”

Interference of dentofacial deformities in the acoustic characteristics of speech sounds

“…The DFD is characterized by the discrepancy between the maxillomandibular osseous bases modifying the intraoral space and originating malocclusions with skeletal association. Studies point to alterations in speech present in people with DFD [14][15][16] , some of which occur in the production of fricative sounds. In the skeletal Class II face pattern, adaptations on alveolar fricative phonemes are mentioned, accompanying mandibular slide and/or tongue projection between the teeth for the sounds /s/ and /z/ 1,17 .…”