Changes in quality of life after orthognathic surgery: a comparison based on the involvement of the occlusion.

Abstract

OBJECTIVES:

The aims of this study were to investigate the impact of dentofacial deformities on quality of life in Chinese patients and to make a comparison between facial deformities that do and do not involve the occlusion.

STUDY DESIGN:

Consecutive patients with dentofacial deformities requiring surgical correction were divided into 2 groups. Group A represented those who had undergone presurgical orthodontic treatment, and group B represented patients with square faces or prominent zygoma. All subjects were assessed by the 36-item Short-Form Health Survey (SF-36) and the 22-item Orthognathic Quality of Life Questionnaire (OQLQ-22) during 2 time periods: preoperatively and 6-8 months postoperatively.

RESULTS:

The SF-36 revealed that there was significant difference in role physical and bodily pain (P < .05) preoperatively between the 2 groups, whereas postoperatively the difference was not significant. Preoperatively, there was significant difference in oral function and facial esthetics components of OQLQ (P < .001), whereas postoperatively only the oral function domain showed significant difference.

CONCLUSIONS:

Orthognathic surgery had a positive impact on patients' quality of life regardless of the type of deformity. OQLQ showed better discerning ability and was able to point out the subtle differences between the 2 groups.

• Authors: Ashish Khadka, Yao Liu, Jihua Li, Songsong Zhu, En Luo, Ge Feng, Jing Hu
• Journal: Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics (Oral Surg Oral Med Oral Pathol Oral Radiol Endod) Vol. 112 Issue 6 Pg. 719-25 (Dec 2011) ISSN: 1528-395X [Electronic] United States
• PMID: 21458328 (Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: Copyright © 2011 Mosby, Inc. All rights reserved.

Topics

• Adolescent
• Adult
• Attitude to Health
• China
• Emotions
• Esthetics
• Female
• Follow-Up Studies
• Humans
• Interpersonal Relations
• Male
• Malocclusion (psychology, surgery)
• Mandible (surgery)
• Mastication (physiology)
• Mental Health
• Orthodontics, Corrective
• Orthognathic Surgical Procedures (psychology)
• Pain (psychology)
• Quality of Life
• Self Concept
• Social Behavior
• Young Adult
• Zygoma (surgery)