Sandro Pelo1, Giulio Gasparini1, Umberto Garagiola2, Massimo Cordaro3, Francesco Di Nardo4, Edoardo Staderini3, Romeo Patini5, Paolo de Angelis3, Giuseppe D'Amato1, Gianmarco Saponaro1, Alessandro Moro1. 1. Maxillo-Facial Unit, Complesso Integrato Columbus, Catholic University of Sacred Heart, Rome, Italy. 2. Department of Biomedical, Surgical and Oral Sciences, School of Dentistry, University of Milan, Milan, Italy. 3. Department of Surgical Sciences for Head and Neck Diseases, School of Dentistry, Catholic University of Sacred Heart, Rome, Italy. 4. Department of Public Health, Catholic University of Sacred Heart, Rome, Italy. 5. Department of Surgical Sciences for Head and Neck Diseases, School of Dentistry, Catholic University of Sacred Heart, Rome, Italy. Electronic address: romeopatini@hotmail.it.
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.
RCT Entities:
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.
Authors: Ali H Hassan; Nour M Hobani; Sara M Almokri; Nour M Almokri; Faiza G Alotibi; Ehab N Alshouibi Journal: Patient Prefer Adherence Date: 2018-03-27 Impact factor: 2.711