Impact of orthognathic surgery on quality of life: a comparison between orthodontics-first and surgery-first approaches

Abstract

Aim; To compare the impact of the orthodontics-first approach (OFA) with the surgeryfirst approach (SFA), for the correction of dentofacial deformities, on quality of life, anxiety and depression. Materials and methods; Data were collected from 32 patients (aged 17-47 years), all treated through a single multidisciplinary orthognathic clinic. Patients completed a 22-item Orthognathic Quality of Life Questionnaire (OQLQ), a 7-item Generalized Anxiety Disorder (GAD-7) questionnaire and a 9-item Patient Health Questionnaire (PHQ-9), at one week preoperatively (T1), then 6 weeks (T2) and 6 months (T3) postoperatively. Results; the quality of life was statistically higher for the SFA group preoperatively (P = 0.010, ES = 0.96). The mean score and the individual domain scores, of the OQLQ, showed significant improvements at 6 weeks and 6 months postoperatively. The facial aesthetic domain showed the largest improvement (ES = 2.5 in OFA and ES = 2.2 in SFA). Patients in the OFA group experienced a lower quality of life and greater deterioration in social life immediately prior to surgery. The anxiety and depression scores did not significantly reduce postoperatively in either group. The assumption that all psychological aspects of the patient's life improve following orthognathic surgery is not supported by the results of this study. Conclusion; SFA eliminates the deterioration in social life which is associated with the presurgical orthodontic decompensation phase. results suggest that the Manuscript with title (excluding any author details including names and affiliations) Click here to view linked References

Quality of Life Assessment in Patients with Malocclusion Undergoing Orthodontic and Orthognathic Treatment

“…The mean values for all OQLQ domains in the total cohort of our patients with malocclusion were lower than in previously published studies (10,(29)(30)(31). The data varies because of differences in study protocols and settings.…”

“…Quality of life has therefore recently been assessed using OQLQ in two groups of patients with dentofacial deformities after the orthodontic-first and orthognathic-first approach in 32 patients. It was shown that the mean OQLQ score and the individual domain scores showed significant improvements at six weeks and six months post-operatively (31). The strength of our study might be in the rather high number of study participants treated and followed-up at the national referral centre.…”

“…In the two recent studies referred to above (32,33), quality of life was better or the same in the orthodontic treatment first group in comparison with the surgery first group. More recently, however, the contrary has been shown: in a group of 32 patients, those patients planned for surgery first had a lower total OQLQ score and social domain score than those planned for orthodontics first (31).…”

“…Results comparing quality of life before orthodontic and orthognathic treatment in patients with malocclusion are inconsistent (31)(32)(33). In the two recent studies referred to above (32,33), quality of life was better or the same in the orthodontic treatment first group in comparison with the surgery first group.…”

Orthognathic surgery and orthodontics associated with orofacial harmonization: Case report

“…Many patients seek dental and maxillofacial surgery not only to improve function but also for esthetic improvements in the smile or face. Therefore, orthognathic surgery has a potential impact on the quality of life, psychosocial well-being, facial esthetics, and oral function [ 1 ]. It is performed to correct dentoskeletal discrepancies and seek harmony between upper and lower jaws, improving occlusal function.…”