International Journal of Oral and Maxillofacial Surgery
Clinical PaperOrthognathic SurgeryA longitudinal study of changes in psychosocial well-being during orthognathic treatment
Section snippets
Materials and methods
This prospective study recruited patients referred to two university hospitals for the evaluation of orthognathic treatment needs. Patients with cleft lip or palate, syndromes affecting the craniofacial anatomy, and those whose Finnish language skills did not allow them to complete the questionnaires were excluded from the study. The sample sizes at the different time points are presented in Fig. 1. Sixty patients participated at T0. Thirty-eight patients did not complete every stage of the
Changes in patient well-being during treatment
Patient scores in all OQLQ subscales, body image, facial body image, RSES, AAQII, and most subscales of the SCL-90 changed during treatment (T2–T4) (Table 2). Only in the hostility, phobic anxiety, and psychoticism subscales of the SCL-90 did scores remain stable.
Changes from pre-treatment (T0) to placement of fixed orthodontic appliances (T2)
The patient OQLQ total scores and oral function subscale scores rose from baseline values, indicating a decrease in orthognathic quality of life (Table 3). Other aspects of the OQLQ remained stable, as did body image and facial body
Discussion
The aim of this prospective study was to analyze changes in psychosocial well-being of orthognathic patients from the pre-treatment stage to at least 1 year after surgery. The findings were also compared to those of controls not needing orthognathic treatment. In the current study, patient psychosocial well-being decreased in many respects after the placement of fixed orthodontic appliances, which is in line with the findings of Johal et al.18. In general, the results suggest that treatment
Funding
This study was supported by grants from the Finnish Dental Society Apollonia, the Orthodontic Division of the Finnish Dental Society, Finnish Women Dentists’ Association, the University of Tampere and the Hospital District of Southwest Finland, and the Pirkanmaa Hospital District.
Competing interests
None to declare.
Ethical approval
Ethical approval given by the Ethics Committee of the Hospital District of Southwest Finland 22.9.2009, completed 16.3.2010 and 15.3.2011.
Patient consent
Not required.
Acknowledgements
The authors wish to thank the personnel of the Turku unit of the Finnish Student Health Service for their kind help in organizing this study.
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