Surgery-first or orthognathic surgery approach: Psychosocial and physical changes

2016 ◽  
Vol 33 (S1) ◽  
pp. S147-S147
Author(s):  
E. Gambaro ◽  
C. vecchi ◽  
C. Gramaglia ◽  
A. Losa ◽  
M. Giarda ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Short Form ◽  
Self Esteem ◽  
Care Quality ◽  
Surgical Approaches ◽  
Facial Esthetics ◽  
Surgery First

IntroductionTwo surgical approaches exist for malocclusion: in the surgery-first approach the orthognathic surgery precedes the orthodontic treatment, treating facial esthetics first and then occlusion, whereas in the conventional approach (the orthodontics-first approach) the orthodontic treatment precedes the orthognathic surgery, treating occlusion first and then facial esthetics. The advantages of the surgery-first approach include the fact that patient's dental function, and facial esthetics are restored and improved soon after the beginning of treatment. Moreover, the entire treatment lasts only 1 to 1.5 years or less and orthodontic management is easier to achieve.AimsOur study aims to compare patients undergoing surgery-first or orthognathic surgery approach as for as self-esteem, satisfaction with their appearance in the pre- and postoperative care, quality of life and psychosocial changes, are concerned.MethodsWe recruited 50 patients undergoing surgery-first or orthognathic surgery approach at SC Maxillo-Facciale of Novara between October 2014 and December 2017. Assessment were performed at baseline (T0) and at follow-up (T1: 5 weeks; T2: 5–6 months), with Rosenberg Self-Esteem Scale (RSES), Temperament and Character Inventory (TCI: only at T0), Short Form Health Survey 36 (SF-36), Beck Depression Inventory (BDI-II), Resilience Scale for Adult (RSA), Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ), Oral Health Impact Profile (OHIP-14).ResultsData collection is still ongoing. We expect to find a better quality of life and higher self-esteem in patients undergoing surgery first approach.ConclusionSatisfaction is crucial for patients’ adherence to treatment and to avoid revolving door. Clinical implications will be discussed.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Orthodontic Treatment by Compensation of a Skeletal Class III Associated with Mandibular Laterognathy: Aesthetic Challenge and Therapeutic Occlusion

2021 ◽  
Vol 8 ◽  
Author(s):  
Laila Elhajoubi ◽  
Intissar Elidrissi ◽  
Asmae Bahoum ◽  
Fatima Zaoui ◽  
Mohammed Faouzi Azaroual
Keyword(s):  
Quality Of Life ◽  
Orthodontic Treatment ◽  
Self Esteem ◽  
Class Iii ◽  
Skeletal Class ◽  
Skeletal Malocclusion ◽  
Maxillary Premolars ◽  
Therapeutic Occlusion

Introduction: This case report describes compensatory orthodontic treatment in a young patient aged 13 years. She presented with a class III skeletal malocclusion associated with mandibular laterognathy. The patient's main reason for consultation was the anterior cross bite and the aesthetics of her smile.Materials and Methods: The chosen treatment was therefore an orthodontic camouflage with the extraction of the first mandibular premolars and the second maxillary premolars, in order to catch a correct anterior articular and restore a good occlusal relationship, however, the mandibular laterognathy was camouflaged by means of dental compensations and also by correcting the deviation of the incisors medians through a class III mechanics with good anchorage management.Results: After 24 months of treatment, an ideal overjet and overbite associated with a Class I canine and molar relationship, was obtained, associated with a perfect coincidence of the interincisor medians.Conclusion: Class III skeletal cases can often be treated either by orthodontic camouflage or surgery. In our case study, the treatment adopted was orthodontic camouflage with extractions. The results of the treatment were satisfactory and the occlusal objectives were achieved. The final harmonious smile pleased the patient and improved her self-esteem and quality of life.

Influence of quality of life, self-perception, and self-esteem on orthodontic treatment need

2017 ◽  
Vol 151 (1) ◽  
pp. 143-147 ◽  
Author(s):  
Patrícia R. dos Santos ◽  
Marcelo de C. Meneghim ◽  
Glaucia M.B. Ambrosano ◽  
Mario Vedovello Filho ◽  
Silvia A.S. Vedovello
Keyword(s):  
Quality Of Life ◽  
Orthodontic Treatment ◽  
Self Esteem ◽  
Self Perception ◽  
Treatment Need

scholarly journals Comprehensive Analysis of the Quality of Orthodontic Treatment of Transcarpathian Teenagers

2021 ◽  
Vol 6 (1) ◽  
pp. 237-243
Author(s):  
O. V. Klitynska ◽  
◽  
V. Z. Ivaskevych ◽  
N. V. Hasiuk ◽  
◽  
...  
Keyword(s):  
Quality Of Life ◽  
Orthodontic Treatment ◽  
Self Esteem ◽  
Life Questionnaire ◽  
Dental Anomalies ◽  
Study Results ◽  
The Impact ◽  
Psychological Disability

The high prevalence of dental anomalies and deformities requires a careful approach to orthodontic treatment, especially to improve quality of life. The purpose of the study was to determine the effectiveness of orthodontic care by index assessment of the results of correction of dental anomalies and determination of the psychosocial profile in adolescents of the Transcarpathian region. Material and methods. The object of the study were 68 adolescents from the Transcarpathian region. Determination of the correction of dental and maxillary apparatus anomalies was performed by calculating the relevant part of the ICON index, calculating the evaluation of the results. The quality of life of adolescents was assessed using the OHIP-14 quality of life questionnaire. Statistical analysis was performed after consolidation of results using the application package Statistica 10.0 (StatSoft, Inc., USA) and Microsoft Office Excel 2010. Results and discussion. Many studies in the field of psychology have determined that self-esteem is a core characteristic of the individual and together with the level of claims is a regulator of human activity and significantly affects its development. The result of self-esteem depends on how a person evaluates his/her success in joint activities where he/she is a member. This is especially true for teenagers and adolescence. The most important aspect of impaired quality of life in patients of this subgroup were problems of psychological and social nature, issues of external attractiveness, which prevailed even over the physical aspects of the impact, which is quite typical of adolescence. In patients with moderate orthodontic treatment there was a statistically significant improvement on the scales of psychological discomfort (from 6.4±0.6 points to 3.96±0.6 points; p <0.05), psychological disability (from 6.5±0.5 points to 2.18±0.5 points; p <0.05) and social disability (from 5.4±0.5 points to 3.36±0.5 points; p <0.05). Patients in this group after solving problems related to the aesthetics of the smile, as well as discomfort during communication, felt greater psychological comfort, relief in interaction with others and peers. There was a noteworthy shift of accentuation in such patients from problems with appearance to study and active social life. Among patients with severe orthodontic treatment, the most pronounced dynamics was observed on all scales of dental quality of life: on the scale of masticatory dysfunction (from 5.7±1.0 points to 3.12±1.0 points; p <0.05), physical pain (from 7.5±0.7 points to 2.01±0.7 * points; p <0.05), psychological discomfort (from 7.9±0.6 points to 3.48±0.6 points; p <0.05) physical disability (from 7.7±0.5 points to 3.20±0.5 points; p <0.05), psychological disability (from 7.5±0.4 points to 3.41±0.5 points; p <0.05). Conclusion. According to the study results, the success of orthodontic treatment (indicators of severity and effectiveness of orthodontic treatment according to the ISO index) directly correlated with the level of quality of life (r = 0.62; p <0.05)

Orthodontic treatment need, self‐esteem, and oral health‐related quality of life among 12‐yr‐old schoolchildren

2019 ◽  
Vol 127 (3) ◽  
pp. 254-260 ◽  
Author(s):  
Ana P. C. Q. Herkrath ◽  
Mario V. Vettore ◽  
Adriana C. Queiroz ◽  
Paula L. N. Alves ◽  
Sarah D. C. Leite ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Orthodontic Treatment ◽  
Self Esteem ◽  
Health Related Quality ◽  
Treatment Need ◽  
Related Quality ◽  
Health Related

scholarly journals HARGA DIRI DAN KUALITAS HIDUP PADA PASIEN DENGAN CHRONIC KIDNEY DISEASE YANG MENJALANI HEMODIALISIS

2017 ◽  
Vol 16 (2) ◽  
pp. 138
Author(s):  
Kurniasih Ayu Archentari ◽  
Vista Gasela ◽  
Nadya Ariyani Hasanah Nuriyyatiningrum ◽  
Aulia Iskandarsyah
Keyword(s):  
Quality Of Life ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Short Form ◽  
Sampling Technique ◽  
Self Esteem ◽  
Study Population ◽  
Physical Abilities ◽  
Study Participants

Patients with a chronic kidney disease encounter medical as well as psychological problems. They have to adjust to the daily changes in life as consequences of the required treatment. The need to take medication regularly, hemodialysis treatment, and reduce mobility because of limitation of physical abilities may cause distress and often impact on their self-esteem. This study aimed to investigate the correlation of self-esteem to quality of life on patients with chronic kidney disease who undergo hemodialysis. The study population is patients who join “Komunitas Hidup Ginjal Muda”, a community of young people with kidney disease in the social media (Facebook) which has 371 members. The incidental sampling technique was applied and resulted in 34 patients joined the study as study participants. The Rosenberg Self-Esteem Scale and the Kidney Disease Quality of Life Short Form (version 1.3) were used to collect data. The results of product moment correlation analysis showed that there was a positive and significant correlation between self-esteem and quality of life among chronic kidney disease patients who undergo hemodialysis (r = .417; p = .014).

scholarly journals Impact of orthodontic treatment on self-esteem and quality of life of adult patients requiring oral rehabilitation

2016 ◽  
Vol 86 (5) ◽  
pp. 839-845 ◽  
Author(s):  
Vanessa de Couto Nascimento ◽  
Ana Cláudia de Castro Ferreira Conti ◽  
Maurício de Almeida Cardoso ◽  
Danilo Pinelli Valarelli ◽  
Renata Rodrigues de Almeida-Pedrin
Keyword(s):  
Quality Of Life ◽  
Orthodontic Treatment ◽  
Health Impact ◽  
Self Esteem ◽  
Adult Patients ◽  
Life Questionnaire ◽  
Psychological Benefits ◽  
Oral Rehabilitation ◽  
Orthodontic Treatment In Adults

ABSTRACT Objective:  To evaluate whether orthodontic treatment in adults requiring oral rehabilitation is effective for increasing patients’ self-esteem and quality of life (QoL). Materials and Methods:  The sample consisted of 102 adult patients (77 women and 25 men) aged between 18 and 66 years (mean, 35.1 years) requiring oral rehabilitation and orthodontic treatment simultaneously. Rosenberg’s Self-Esteem (RSE) Scale and a questionnaire about QoL based on the Oral Health Impact Profile (OHIP-14) were used to determine self-esteem and QoL scores retrospectively. Questionnaires were carried out in two stages, T1 (start of treatment) and T2 (6 months after). To compare score changes between T1 and T2, the data obtained from the RSE Scale were evaluated with paired t tests, and data from the quality-of-life questionnaire were assessed by applying descriptive statistics. Results:  The results showed a statistically significant increase in self-esteem (P &lt; .001) and a great improvement on patients’ QoL. Conclusions:  Orthodontic treatment causes a significant increase in self-esteem and QoL, providing psychological benefits for adult patients in need of oral rehabilitation.

scholarly journals Self-Esteem and Oral Health-Related Quality of Life within a Cleft Lip and/or Palate Population: A Prospective Cohort Study

2021 ◽  
Vol 18 (11) ◽  
pp. 6078
Author(s):  
Antonia Aleksieva ◽  
Giacomo Begnoni ◽  
Anna Verdonck ◽  
Annouschka Laenen ◽  
Guy Willems ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Self Esteem ◽  
Health Related Quality ◽  
Treatment Need ◽  
Related Quality ◽  
Health Related

(1) Objective: To investigate the oral health-related quality of life (OHRQoL) and self-esteem (SE) of a population with cleft lip and/or palate (CLP) and to compare it with a non-affected control cohort. (2) Materials and methods: This study comprised 91 CLP patients and a control group of 790 individuals, seeking orthodontic treatment. OHRQoL and SE were assessed by the Child’s Perception Questionnaire (CPQ) and the Dutch adaptation of the Harter’s Self-Perception Profile for Adolescents. Treatment need and self-perception of oral aesthetic were assessed using the Index of Orthodontic Treatment Need (IOTN) and the Oral Aesthetic Subjective Impact Scale (OASIS). Patients’ expectations and motivation for treatment were also scored. Linear models were used for statistical comparisons between groups. (3) Results: The cleft group scored higher in all domains of the CPQ, OASIS, IOTN and regarding SE for the domains of scholastic competence, athletic competence, physical appearance and behavioral conduct. The cleft group was not only more motivated and expected less discomfort during treatment but also had higher expectations for the treatment outcome. (4) Conclusions: The OHRQoL of CLP patients is strongly correlated with the presence of an oral cleft, while SE remains a personal resource not influenced by the malocclusion or medical condition.

scholarly journals Impact of facial profile on young adults’ oral health-related quality-of-life item levels: A hierarchical analysis

2021 ◽  
Vol 26 (6) ◽  
Author(s):  
Marcelo Venturinelli MARTINS ◽  
Patrícia Rafaela dos SANTOS ◽  
Diego Patrik Alves CARNEIRO ◽  
Marcelo de Castro MENEGHIM ◽  
Carolina Carmo de MENEZES ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Young Adults ◽  
Orthodontic Treatment ◽  
Self Esteem ◽  
Health Related Quality ◽  
Facial Profile ◽  
Related Quality ◽  
Health Related ◽  
Dental Malocclusion

ABSTRACT Objective: To assess the impact of facial profile on young adults’ oral health-related quality of life (OHRQoL) item levels. Methods: A cross-sectional study was carried out with a population-based sample of 205 young adults, with a mean age of 23.1 years. The individuals answered questions about OHRQoL (OHIP-14) and self-esteem (Global Negative Self-Evaluation). The Dental Health Component (DHC) of the Index of Orthodontic Treatment Need (IOTN) was used to evaluate normative orthodontic treatment needs and define dental malocclusion clinically. Facial profile was analyzed using photographs and dichotomized into two levels: normal (straight) and altered facial profile (convex or concave). A calibrated researcher performed the clinical examination. Association between the independent variables and the outcome (OHRQoL) was established by hierarchical multiple linear regression analysis for each item level. Considering the variable of interest (facial profile), the psychological incapacity domain was the most affected item. Results: Individuals with changed facial profile had 2.47 (1.04-5.85) times higher chances of reporting impacts on psychological incapacity than those with a normal profile (p> 0.05). The association was modulated by dental malocclusion and self-esteem. Conclusions: The convex and concave facial profile showed a negative impact on the psychological aspects of young adults’ quality of life.

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