Advertisement
Research Article|Articles in Press

The impact of orthognathic surgery on qualıty of life for class III dentofacıal deformities

      Abstract

      AIM

      This study aims to evaluate the quality of life in patients with Class III deformities after orthognathic surgery.

      MATERIAL AND METHOD

      A total of the 40 patients (26 female and 14 male) were included. The mean age of the patients was 24.85. Patients' ages ranged from 20 to 36 years. All patients received orthodontic treatment before surgery. Sagittal split ramus osteotomy was performed for single jaw patients. Lefort I osteotomy and sagittal split ramus osteotomy was performed for double jaw patients. Patients completed Oral Health Impact Profile 14 (OHIP-14) and Orthognathic Quality of Life Questionnaire (OQLQ) three times. [Preoperatively(T0), 1st week after Orthognathic surgery(T1) and 6th-12th months after Orthognathic surgery(T2)].

      RESULTS

      There was a statistically significant difference in the dimensions of OHIP-14 when the Preoperative (T0) score, Postoperative 1st week(T1) score and Postoperative 6th-12th month(T3) score are compared among themselves except for phycological discomfort, physical disability and handicap. OQLQ total score and preoperative(T0) score was greater than the Postoperative 1st week(T1) score and the Postoperative 1st week(T1) score was greater than the Postoperative 6th-12th month (T2) scores except oral function. When single jaw and double jaw surgeries were compared, no statistically significant difference was found between OHIP-14 and OQLQ total scores for preoperative, postoperative 1st week and postoperative 6th-12th months.

      CONCLUSION

      When both OHIP-14 and OQLQ scores were examined after orthognathic surgery, the OHRQOL of patients with Class III dentofacial deformity improved significantly.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to British Journal of Oral and Maxillofacial Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      REFERENCES

        • Soh C.L.
        • Narayanan V.
        Quality of life assessment in patients with dentofacial deformity undergoing orthognathic surgery–a systematic review.
        Int J Oral Maxillofac Surg. 2013; 42: 974-980
        • Jeyaraj P.
        • Juneja P.
        A Case of Extreme Skeletal Class III Malocclusion Beyond the Envelope of Discrepancy, Managed Effectively by a Modified Ortho-Surgical Protocol.
        J Maxillofac Oral Surg. 2021; 20: 201-218
        • Alam M.K.
        • Nowrin S.A.
        • Shahid F.
        • AlHarby H.
        • Abutayyem H.
        • Alswairki H.J.
        • et al.
        Orthognathic versus Camouflage Treatment of Class III Malocclusion: A Systematic Review and Meta-Analysis.
        Applied Sciences. 2022; 12: 3314https://doi.org/10.3390/app12073314
        • Roman M.B.
        • Cybulska A.M.
        • Dowgierd K.
        • Wójcik G.
        • Stanisławska M.
        • Grochans E.
        Quality of life of young adult patients after orthognathic surgery.
        Eur Rev Med Pharmacol Sci. 2021; 25: 7903-7912
      1. WHOQOL - Measuring Quality of Life n.d. https://www.who.int/tools/whoqol (accessed August 8, 2022).

        • Sischo L.
        • Broder H.L.
        Oral health-related quality of life: what, why, how, and future implications.
        J Dent Res. 2011; 90: 1264-1270
        • Miguel J.A.M.
        • Palomares N.B.
        • Feu D.
        Life-quality of orthognathic surgery patients: the search for an integral diagnosis.
        Dental Press J Orthod. 2014; 19: 123-137
        • Slade G.D.
        Derivation and validation of a short-form oral health impact profile.
        Community Dent Oral Epidemiol. 1997; 25: 284-290
      2. Cunningham SJ, Garratt AM, Hunt NP. Development of a condition-specific quality of life measure for patients with dentofacial deformity: I. Reliability of the instrument. Community Dent Oral Epidemiol 2000;28:195–201.

      3. Cunningham SJ, Garratt AM, Hunt NP. Development of a condition-specific quality of life measure for patients with dentofacial deformity: II. Validity and responsiveness testing. Community Dent Oral Epidemiol 2002;30:81–90.

        • Khadka A.
        • Liu Y.
        • Li J.
        • Zhu S.
        • Luo E.
        • Feng G.
        • et al.
        Changes in quality of life after orthognathic surgery: a comparison based on the involvement of the occlusion.
        Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011; 112: 719-725
        • Rustemeyer J.
        • Gregersen J.
        Quality of Life in orthognathic surgery patients: post-surgical improvements in aesthetics and self-confidence.
        J Craniomaxillofac Surg. 2012; 40: 400-404
        • Cabral R.C.
        • Canellas J.V.
        • Tiwana P.S.
        • Medeiros P.J.
        • Ritto F.G.
        Impact of orthognathic surgery on quality of life and comparison of patients’ postoperative experience after single- and double jaw surgery: a longitudinal study.
        Oral Surg Oral Med Oral Pathol Oral Radiol. 2021; 132: 633-640
        • Lee S.
        • McGrath C.
        • Samman N.
        Impact of orthognathic surgery on quality of life.
        J Oral Maxillofac Surg. 2008; 66: 1194-1199
        • Tuk J.G.
        • Lindeboom J.A.
        • Tan M.L.
        • de Lange J.
        Impact of orthognathic surgery on quality of life in patients with different dentofacial deformities: longitudinal study of the Oral Health Impact Profile (OHIP-14) with at least 1 year of follow-up.
        Oral and Maxillofacial Surgery. 2022; 26: 281-289https://doi.org/10.1007/s10006-021-00992-6
        • Duarte V.
        • Zaror C.
        • Villanueva J.
        • Werlinger F.
        • Vidal C.
        • Solé P.
        • et al.
        Changes in health-related quality of life after orthognathic surgery: a multicenter study.
        Clin Oral Investig. 2022; 26: 3467-3476
      4. Corso PFC de L, Oliveira FAC de, Costa DJ da, Kluppel LE, Rebellato NLB, Scariot R. Evaluation of the impact of orthognathic surgery on quality of life. Braz Oral Res 2016;30. https://doi.org/10.1590/1807-3107BOR-2016.vol30.0004.

        • Eslamipour F.
        • Najimi A.
        • Tadayonfard A.
        • Azamian Z.
        Impact of Orthognathic Surgery on Quality of Life in Patients with Dentofacial Deformities.
        Int J Dent. 2017; 2017: 4103905