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

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011 Dec;112(6):719-25. doi: 10.1016/j.tripleo.2011.01.002. Epub 2011 Mar 31.

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.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Attitude to Health
  • China
  • Emotions
  • Esthetics
  • Female
  • Follow-Up Studies
  • Humans
  • Interpersonal Relations
  • Male
  • Malocclusion / psychology
  • Malocclusion / 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