Combined Orthodontic-Surgical Treatment May Be an Effective Choice to Improve Oral Health—Related Quality of Life for Individuals Affected With Severe Dentofacial Deformities

ABSTRACT Objectives To systematically evaluate the effect of the surgery-first approach (SFA) on oral health-related quality of life (OHRQoL) in patients with dentofacial deformities. Materials and Methods An electronic database search and hand search of selected journals and references were carried out. Studies investigating the OHRQoL of patients receiving SFA with or without a control group were included. The risk of bias was assessed by the Cochrane risk of bias tool in randomized clinical trials (RCTs) and the Newcastle-Ottawa Scale in non-RCTs. Results A total of seven articles met the eligible criteria and were included, of which six were cohort studies and one was an RCT, and six assessed the OHRQoL of the SFA with conventional orthodontic–surgical treatment (COST) as a control and one without. A total of 214 patients were examined, with sample sizes in studies ranging from 9 to 50. A total of 3 articles successfully measured the OHRQoL both before and after treatment in both the SFA and conventional orthodontic–surgical treatment groups. A total of six cohort studies were classified as low to moderate risk of bias, and the RCT was classified as high. Conclusions The SFA could improve the OHRQoL of patients with dentofacial deformities similar to conventional orthodontic–surgical treatment at the end of complete treatment. In addition, it increases OHRQoL immediately at the beginning of treatment without a deterioration.

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Oral health-related quality of life in non-surgical treatment of mandibular fractures: A pilot study

Nigerian Journal of Experimental and Clinical Biosciences ◽

10.4103/2348-0149.158144 ◽

2015 ◽

Vol 3 (1) ◽

pp. 8

Author(s):

OtasowieD Osunde ◽

KevinU Omeje ◽

AkinwanleA Efunkoya ◽

AdetokunboR Adebola

Keyword(s):

Quality Of Life ◽

Surgical Treatment ◽

Oral Health ◽

Pilot Study ◽

Mandibular Fractures ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

Non Surgical Treatment

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Oral-Health-Related Quality of Life After Surgical Treatment of Osteonecrosis of the Jaws

Journal of Craniofacial Surgery ◽

10.1097/scs.0000000000004087 ◽

2018 ◽

Vol 29 (2) ◽

pp. 403-408 ◽

Cited By ~ 9

Author(s):

Giacomo Oteri ◽

Francesco Saverio De Ponte ◽

Michele Runci ◽

Matteo Peditto ◽

Antonia Marcianò ◽

...

Keyword(s):

Quality Of Life ◽

Surgical Treatment ◽

Oral Health ◽

Health Related Quality ◽

Osteonecrosis Of The Jaws ◽

Related Quality ◽

Health Related

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Impact factors on oral health related quality of life in patients requiring orthognathic surgery

RSBO ◽

10.21726/rsbo.v17i2.34 ◽

2021 ◽

Vol 17 (2) ◽

pp. 106-111

Author(s):

Juliana Reuter Pereira ◽

Grasielle Vicentini ◽

Michelle Nascimento Meger ◽

Nelson Luis Barbosa Rebellato ◽

Rafaela Scariot ◽

...

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Orthognathic Surgery ◽

Maxillofacial Surgery ◽

Health Related Quality ◽

Facial Profile ◽

Dentofacial Deformities ◽

Related Quality ◽

Health Related

Individuals with dentofacial deformities have a greater negative impact on oral health and in quality of life. The aim of this study was identified the main factors involved in the perception of the oral health related quality of life in individuals with dentofacial deformities. Material and methods: In a crosssectional study, were evaluated 72 individuals in preoperative period of orthognathic surgery at the Oral and Maxillofacial Surgery Service at Federal University of Paraná and at Positivo University. The age, gender, facial profile, presence or absence of asymmetry and temporomandibular disorders (TMD) symptoms were accessed. Through the Oral Health Impact Profile-14 (OHIP-14) the perceptions about oral health related quality of life of the patients was accessed. The TMD symptoms were evaluated with Fonseca anamnestic index. Data were submitted to descriptive and inferential statistical analysis with a significance level of 0.05. Results: The OHIP-14 mean score was higher with increasing age (p= 0.007), in females (p= 0.076), asymmetric patients (p= 0.030). and according to the increase in reported TMD symptoms (p= 0.001). Individuals with no TMD symptoms had an OHIP-14 mean of 8.86±8.06; individuals with mild TMD had a mean of 15±6.28, moderate TMD had a mean of 20.6 ± 9.44 and severe TMD had a mean of 26.42±7.66. There were no differences between OHIP-14 and type of facial profile (p= 0.725). Conclusion: It is concluded that increasing age, female gender, presence of asymmetry and the severity of TMD symptoms are important factors related to poor oral health related quality of life in individuals with dentofacial deformities.

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