Impact of orthodontic-surgical treatment on quality of life: a meta-analysis

Abstract

Summary Background Orthognathic surgery involves a change in the patient’s functional and aesthetic aspects. Objective The objective was to answer the following focused question: what is the impact on quality of life (QoL; aesthetic, function, social, and psychological aspects) in patients undergoing orthodontic-surgical treatment? Search methods Appropriate word combinations and truncations were selected and tailored specifically for each electronic database: PubMed/Medline, Scopus, Web of Science, PsycInfo, and Latin American and Caribbean Health Sciences Literature and gray literature. Selection criteria Studies that met the following criteria was included: patients with dentofacial deformity (P); surgical correction through orthodontic-surgical treatment (E/I); before orthodontic-surgical treatment or patients with no dentofacial deformity (C); QoL (O); cross-sectional, cohort, case-control and randomized or non-randomized clinical trial (S). Data collection and analysis In phase 1, two reviewers independently reviewed the titles and abstracts of all references. All articles that did not meet the inclusion criteria were excluded. In phase 2, the same reviewers completely read the selected articles independently. Results A total of 2879 articles were retrieved during the final database search. Fifty-two articles were selected for full reading, of which 16 were excluded, resulting in 36 included articles. The meta-analysis was performed using 13 of the selected studies. When comparing the period before any treatment with the post-operative period of 4–8 weeks, there was an association only for facial aesthetics (mean difference = 3.00; 95 per cent confidence interval = 1.10–4.89; inconsistency index = 63 per cent). The comparison between the period before any treatment with the 6 month post-operative period showed an improved QoL in all of the domains evaluated and, when comparing data after the orthodontic-surgical preparation (before surgery) and after 5–12 months of surgery, there was also statistical significance with an increased QoL for all of the domains evaluated. Conclusions In conclusion, based on the results of this systematic review and meta-analysis, the evidence suggests an improvement in the QoL of patients undergoing orthodontic-surgical treatment regarding aesthetic, functional, social, and psychological aspects. Registration CRD42017069495

Complications or rather side effects? Quantification of patient satisfaction and complications after orthognathic surgery—a retrospective, cross-sectional long-term analysis

“…In this study, a modified form of the SF-36 was used [ 50 ], showing the quality of life enhancement following orthognathic surgery. This is in accordance with the current literature, showing the general improved quality of life in patients who underwent orthognathic surgery [ 51 – 56 ]. In particular, the present study revealed that patients stated to have improved health conditions following surgery in the long term (45.9%) (Appendix Table 4 ).…”

Oral Health-Related Quality of Life Changes in Patients with Dentofacial Deformities Class II and III after Orthognathic Surgery: A Systematic Review and Meta-Analysis

“…Previous systematic reviews consistently showed a positive impact of orthognathic surgery on OHRQoL in general [ 17 , 18 , 19 , 20 , 21 , 22 ], but none of them considered the type of dentofacial deformity. A meta-analysis of results focused on the OQLQ, specifically designed to measure the impact of the orthognathic surgery [ 20 ], showed improvement in the overall score and in the domains of social aspects and facial aesthetics.…”

“…The first systematic review [ 17 ] about quality of life assessment in patients with dentofacial deformities undergoing orthognathic surgery, published in 2013, described the different motivations and perceptions of patients towards surgical treatment, the methods and instruments used to measure quality of life and psychosocial aspects, but not the changes between before and after surgery. Subsequently, five systematic reviews, two with narrative synthesis [ 18 , 19 ], and the other three with quantitative synthesis through meta-analysis [ 20 , 21 , 22 ], have focused on this outcome, showing OHRQoL improvement. None of these systematic reviews stratified by type of dentofacial deformity, despite consistently reported differences between Class II and Class III patients [ 15 , 23 , 24 , 25 ].…”

Impacto da deformidade facial na percepção do paciente em tratamento ortodôntico: Um estudo caso-controle

“…Quality of life has been defined by the World Health Organization (WHO) as being "the individual's perception of his/her position in life, within the context of culture and value systems in which he/she lives and in relation to his/her objectives, expectations standards and concerns" (WHO 1993 In this sense, the dentofacial deformity may affect the oral health-related quality of life (OHRQoL) of individuals by causing functional and dentofacial changes and affecting their selfconfidence and social relationships (Bortoluzzi et al 2017;Pelo et al 2018;de Araujo et al 2020).…”