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Surgery-first orthognathic approach vs traditional orthognathic approach: Oral health-related quality of life assessed with 2 questionnaires.

Abstract 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.
PMID
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Authors

Mayor MeshTerms

Orthognathic Surgical Procedures

Quality of Life

Keywords
Journal Title american journal of orthodontics and dentofacial orthopedics : official publication of the american association of orthodontists, its constituent societies, and the american board of orthodontics
Publication Year Start




PMID- 28760287
OWN - NLM
STAT- MEDLINE
DA  - 20170801
DCOM- 20170821
LR  - 20170821
IS  - 1097-6752 (Electronic)
IS  - 0889-5406 (Linking)
VI  - 152
IP  - 2
DP  - 2017 Aug
TI  - Surgery-first orthognathic approach vs traditional orthognathic approach: Oral
      health-related quality of life assessed with 2 questionnaires.
PG  - 250-254
LID - S0889-5406(17)30354-2 [pii]
LID - 10.1016/j.ajodo.2016.12.022 [doi]
AB  - 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.
CI  - Copyright (c) 2017 American Association of Orthodontists. Published by Elsevier
      Inc. All rights reserved.
FAU - Pelo, Sandro
AU  - Pelo S
AD  - Maxillo-Facial Unit, Complesso Integrato Columbus, Catholic University of Sacred 
      Heart, Rome, Italy.
FAU - Gasparini, Giulio
AU  - Gasparini G
AD  - Maxillo-Facial Unit, Complesso Integrato Columbus, Catholic University of Sacred 
      Heart, Rome, Italy.
FAU - Garagiola, Umberto
AU  - Garagiola U
AD  - Department of Biomedical, Surgical and Oral Sciences, School of Dentistry,
      University of Milan, Milan, Italy.
FAU - Cordaro, Massimo
AU  - Cordaro M
AD  - Department of Surgical Sciences for Head and Neck Diseases, School of Dentistry, 
      Catholic University of Sacred Heart, Rome, Italy.
FAU - Di Nardo, Francesco
AU  - Di Nardo F
AD  - Department of Public Health, Catholic University of Sacred Heart, Rome, Italy.
FAU - Staderini, Edoardo
AU  - Staderini E
AD  - Department of Surgical Sciences for Head and Neck Diseases, School of Dentistry, 
      Catholic University of Sacred Heart, Rome, Italy.
FAU - Patini, Romeo
AU  - Patini R
AD  - Department of Surgical Sciences for Head and Neck Diseases, School of Dentistry, 
      Catholic University of Sacred Heart, Rome, Italy. Electronic address:
      [email protected]
FAU - de Angelis, Paolo
AU  - de Angelis P
AD  - Department of Surgical Sciences for Head and Neck Diseases, School of Dentistry, 
      Catholic University of Sacred Heart, Rome, Italy.
FAU - D'Amato, Giuseppe
AU  - D'Amato G
AD  - Maxillo-Facial Unit, Complesso Integrato Columbus, Catholic University of Sacred 
      Heart, Rome, Italy.
FAU - Saponaro, Gianmarco
AU  - Saponaro G
AD  - Maxillo-Facial Unit, Complesso Integrato Columbus, Catholic University of Sacred 
      Heart, Rome, Italy.
FAU - Moro, Alessandro
AU  - Moro A
AD  - Maxillo-Facial Unit, Complesso Integrato Columbus, Catholic University of Sacred 
      Heart, Rome, Italy.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Randomized Controlled Trial
PL  - United States
TA  - Am J Orthod Dentofacial Orthop
JT  - American journal of orthodontics and dentofacial orthopedics : official
      publication of the American Association of Orthodontists, its constituent
      societies, and the American Board of Orthodontics
JID - 8610224
SB  - D
SB  - IM
MH  - Adult
MH  - Female
MH  - Humans
MH  - Male
MH  - Malocclusion/*surgery
MH  - Malocclusion, Angle Class II/surgery
MH  - Malocclusion, Angle Class III/surgery
MH  - Middle Aged
MH  - *Orthognathic Surgical Procedures/methods/psychology
MH  - Patient Satisfaction
MH  - *Quality of Life
MH  - Surveys and Questionnaires
MH  - Young Adult
EDAT- 2017/08/02 06:00
MHDA- 2017/08/22 06:00
CRDT- 2017/08/02 06:00
PHST- 2016/02/01 [received]
PHST- 2016/12/01 [revised]
PHST- 2016/12/01 [accepted]
AID - S0889-5406(17)30354-2 [pii]
AID - 10.1016/j.ajodo.2016.12.022 [doi]
PST - ppublish
SO  - Am J Orthod Dentofacial Orthop. 2017 Aug;152(2):250-254. doi:
      10.1016/j.ajodo.2016.12.022.