Surgery-first orthognathic approach vs traditional orthognathic approach: Oral health-related quality of life assessed with 2 questionnaires

Giulio Gasparini, Massimo Cordaro, Romeo Patini, Gianmarco Saponaro, Alessandro Moro, Sandro Pelo, Francesco Di Nardo, Edoardo Staderini, Paolo De Angelis, Umberto Garagiola

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review

33 Citazioni (Scopus)

Abstract

Introduction The purposes of the study were to investigate and evaluate the differences detected by the patients between the traditional orthognathic approach and the surgery-first one in terms of level of satisfaction and quality of life. Methods A total of 30 patients who underwent orthognathic surgery for correction of malocclusions were selected and included in this study. Fifteen patients were treated with the conventional orthognathic surgery approach, and 15 patients with the surgery-first approach. Variables were assessed through the Orthognathic Quality of Life Questionnaire and the Oral Health Impact Profile questionnaire and analyzed with 2-way repeated-measures analysis of variance. Results The results showed significant differences in terms of the Orthognathic Quality of Life Questionnaire (P <0.001) and the Oral Health Impact Profile (P <0.001) scores within groups between the first and last administrations of both questionnaires. Differences in the control group between first and second administrations were also significant. Questionnaire scores showed an immediate increase of quality of life after surgery in the surgery-first group and an initial worsening during orthodontic treatment in the traditional approach group followed by postoperative improvement. Conclusions This study showed that the worsening of the facial profile during the traditional orthognathic surgery approach decompensation phase has a negative impact on the perception of patients’ quality of life. Surgeons should consider the possibility of a surgery-first approach to prevent this occurrence.
Lingua originaleEnglish
pagine (da-a)250-254
Numero di pagine5
RivistaAmerican Journal of Orthodontics and Dentofacial Orthopedics
Volume152
DOI
Stato di pubblicazionePubblicato - 2017

Keywords

  • Adult
  • Female
  • Humans
  • Male
  • Malocclusion
  • Malocclusion, Angle Class II
  • Malocclusion, Angle Class III
  • Middle Aged
  • Orthodontics
  • Orthognathic Surgical Procedures
  • Patient Satisfaction
  • Quality of Life
  • Surveys and Questionnaires
  • Young Adult

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