Quality of life assessment in orthognathic surgery patients with dentofacial deformity:- a comparative study

Author(s):  
Suha N. Aloosi ◽  
Zanyar M. Amin ◽  
Hawbash O. Muhamed

Objective: Quality of life assessment of Kurdish patients with dentofacial deformities after orthognathic surgery to compare their results with those of patients who have no dentofacial deformity by applying the orthognathic quality of life questionnaire (OQLQ). Materials and Methods: Three groups of patients were interviewed, and orthognathic quality of life questionnaires (OQLQ) was used to assess generic health-related quality of life. They were asked to complete the Kurdish version of the 22-item orthognathic quality of life questionnaire (OQLQ) for control, preoperatively and postoperatively patient. Responses at these different time points were compared using paired t-tests, with the significance level set to P<0.05. Results: There were statistical differences in the satisfaction of four domains (oral function, facial aesthetics, psychological, and social aspects) by these indicated that quality of life was significantly improved by orthognathic surgery (all P<0.001). Results showed statistical differences between groups and suggested that patients with no deformity and those subjected to orthognathic surgery have a better quality of life compared to those with a facial deformity. Conclusion: Dentofacial correction by orthognathic surgery seems to have a positive effect on the quality of life.

2014 ◽  
Vol 59 (3) ◽  
pp. 700-707.e1 ◽  
Author(s):  
Joakim Nordanstig ◽  
Christine Wann-Hansson ◽  
Jan Karlsson ◽  
Mats Lundström ◽  
Monica Pettersson ◽  
...  

2019 ◽  
Vol 42 (3) ◽  
pp. 290-294 ◽  
Author(s):  
Minna Kämäräinen ◽  
Outi Alanko ◽  
Anna-Liisa Svedström-Oristo ◽  
Timo Peltomäki

Summary Aim to evaluate whether severity of skeletal facial profile deviation assessed by professionals associates with quality of life and psychosocial factors in patients with dentofacial deformities and prospective orthognathic treatment. Materials and method The study consisted of 55 patients admitted to orthognathic treatment. Skeletal profile was assessed from lateral head films using cephalometric analysis. The following angles were used to assess the sagittal position of upper and lower jaw and profile: Sella-Nasion-A-point-angle, Sella-Nasion-B-point-angle, and A-point-Nasion-B-point-angle (ANB). For vertical assessment, gonial angle and the angle between Sella-Nasion and mandibular plane were used. Merrifield’s Z-angle was used to assess soft-tissue profile. Severity of skeletal facial profile deviation was assessed with deviation in ANB angle. Orthognathic quality of life (OQoL) and psychosocial factors were defined with four questionnaires: Orthognathic Quality of Life Questionnaire, Symptom Checklist-90, Rosenberg Self-Esteem Scale, and a body image questionnaire. Results Increase in ANB deviation was associated with increased awareness of dentofacial deformity [Orthognathic Quality of Life Questionnaire subscale awareness of dentofacial deformity (OQLQ-AoDD), r = 0.319, P = 0.017). OQOL-AoDD was not found to be equal when ANB angle was divided into three different categories (χ 2 = 6.78, P = 0.034): G1. ANB = 0–4 degrees; G2. ANB &lt;0 degrees; and G3. ANB &gt;4 degrees. Furthermore, categories G1 and G2 differed significantly (U = 50.5, P = 0.017). Increase in ANB angle was also associated with a more positive body image (r = 0.342, P = .023). There were no significant correlations between other cephalometric variables, quality of life, and psychosocial factors. Conclusion Skeletal facial profile seems to associate with some aspects of orthognathic quality of life. Professional cephalometric analysis of the severity of facial profile deviation correlates with patients’ awareness of their own facial and dental appearance. Patients with more deviating skeletal profile are more aware of their dentofacial deformities compared to patients with normal values.


Revista CEFAC ◽  
2017 ◽  
Vol 19 (5) ◽  
pp. 733-739 ◽  
Author(s):  
Katarina Vilar Torres ◽  
Luciane Spinelli Pessoa ◽  
Anibal Henrique Barbosa Luna ◽  
Giorvan Ânderson dos Santos Alves

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.


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