Change in quality of life after combined orthodontic-surgical treatment of dentofacial deformities

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010 Jan;109(1):46-51. doi: 10.1016/j.tripleo.2009.08.019.

Abstract

Objective: To determine changes in quality of life (QoL) after orthodontic-surgical treatment in patients with dentofacial deformities, using generic health, generic oral health, and condition-specific QoL approaches.

Study design: Patients were evaluated at baseline (T(0)), postoperative 6 weeks (T(1)), postoperative 6 months (T(2)), and after orthodontic treatment (T(3)). Generic health-related QoL, generic oral health-related QoL, and condition-specific QoL were assessed using the 36-item Short Form Health Survey (SF-36), the 14-item Short Form Oral Health Impact Profile (OHIP-14), and the 22-item Orthognathic Quality of Life Questionnaire (OQLQ), respectively.

Results: There were significant changes in Physical-Health Component Scores (PCS) (P < .001) and Mental-Health Component Scores (MCS) (P < .01) of SF-36, in OHIP-14 scores (P < .001), and in OQLQ scores (P < .001) during the trajectory of treatment. A transient decrease in PCS was found at T(1) (P < .001) and an increase in MCS was found only at T(3) (P < .05). There was a significant decrease in OHIP-14 scores at T(2) and T(3) (P < .001) and in OQLQ scores at all time points compared with T(0) (P < .05).

Conclusion: Significant changes in QoL occurred after orthodontic-surgical treatment. A comprehensive assessment of QoL using generic health, generic oral health, and condition-specific approaches proved to be useful in determining the trajectory of changes.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Combined Modality Therapy / psychology
  • Esthetics, Dental / psychology
  • Facial Asymmetry / psychology
  • Facial Asymmetry / surgery
  • Facial Asymmetry / therapy
  • Female
  • Health Status
  • Humans
  • Male
  • Malocclusion, Angle Class II / psychology*
  • Malocclusion, Angle Class II / surgery
  • Malocclusion, Angle Class II / therapy
  • Malocclusion, Angle Class III / psychology*
  • Malocclusion, Angle Class III / surgery
  • Malocclusion, Angle Class III / therapy
  • Middle Aged
  • Oral Health
  • Orthodontics, Corrective / psychology*
  • Orthognathic Surgical Procedures / psychology*
  • Psychometrics
  • Quality of Life*
  • Sickness Impact Profile
  • Surveys and Questionnaires
  • Young Adult