Changes in health-related quality of life after orthognathic surgery: a multicenter study

Abstract

Objective To evaluate changes in general and oral health-related quality of life (HRQoL) in patients with dentofacial deformity undergoing orthognathic surgery, and whether these changes vary according to type of deformity. Material and methods This is a prospective longitudinal multicenter study of patients with dentofacial deformities ( n = 90). The Orthognathic Quality of Life Questionnaire (OQLQ), Oral Health Impact Profile (OHIP-14), and Short-Form Health Survey version2 (SF-36v2) were self-completed by patients before surgery, 3 and 6 months after orthognathic surgery. Change was tested using paired t -test, and compared between Class II and Class III of dentofacial deformity by unpaired t -test. The magnitude of change was examined estimating the standardized response mean (SRM). Results The OQLQ and OHIP-14 showed statistically significant improvements 6 months after surgery, compared with the pre-surgical evaluation, but the SF-36v2 only in the physical component summary. The SRM was large in OQLQ oral function (-1.11) and dentofacial facial aesthetics (-0.76) dimensions, and moderate in most of OHIP-14 dimensions. Differences in mean change between Class II and III were statistically significant for global scores of OQLQ (-10.08 vs -20.30, p = 0.0271) and OHIP-14 (-3.79 vs -10.56, p = 0.0144). Conclusions A significant improvement was observed in oral HRQoL and in the physical component of general health in patients with dentofacial deformities Class II and III after orthognathic surgery. Improvement was greater among Class III than in Class II patients. Clinical relevance These results provide patients, oral health care professionals, and planners with valuable information to make evidence-based decisions and facilitate shared clinical decision-making, taking into account the patients’ perspective.

Cirurgia Ortognática E Qualidade De Vida: Uma Revisão De Literatura

“…Assim, Duarte et al, (2021) aborda melhorias na qualidade de vida sobre à saúde bucal e também no componente físico da saúde geral em pacientes com deformidades dentofaciais aos 3 e 6 meses após a cirurgia ortognática, o estudo mostrou que tanto a estética quanto o funcional foram usados como motivações para a realização da cirurgia e concluiu uma significativa melhora a mais em pacientes portadores da Classe III do que para os da Classe II. Promerat et al, (2019) enfatiza no seu trabalho a participação de 8 pacientes com deficiência mental submetidos à cirurgia ortognática, cerca de 62,5% tiveram melhora na autoestima e confiança em eventos do cotidiano.…”

Quality of Life (QoL) changes after orthognathic surgery: Do they correlate with the quantum of hard and soft tissue change?

“…[15][16][17] Literature suggests that orthognathic surgery has a significant positive impact on QoL. [15,16,[18][19][20][21][22][23][24][25][26][27][28][29][30] However, patients' perception of improvement in QoL may not align with the objective criteria used to plan the surgery. [31,32] While cephalometric values can still be used to predict treatment outcomes, relying solely on this approach may result in inadequate corrections and subsequent dissatisfaction.…”

Characterization of labiomandibular movements induced after isolated LeFort I osteotomy in the surgical management of class III malocclusion

“…In addition to occlusal stability and operative morbidity, the surgeon must also take into account patient satisfaction with post-operative morphology. Indeed, the reason patients agree to orthodontic surgical management lie in the resulting morphological changes, and not in the occlusal or functional changes [16,17]. Anticipation of post-operative changes to soft tissues is therefore essential, but reliably predicting them still remains a challenge [18][19][20].…”