Quality of life and degree of satisfaction with surgical treatment in patients with dentoskeletal deformity
Keywords:Orthognathic surgery; Quality of life; Orthodontics, Corrective; Patient satisfaction.
Objective: To evaluate the quality of life and degree of satisfaction of patients submitted to orthodontic-surgical treatment after orthognathic surgery. Methodology: thirty ortho-surgical patients responded two specific questionnaires (Portuguese versions) -one on quality of life (Orthognathic Quality of Life Questionnaire – OQLQ) and another on degree of satisfaction (Post-Surgical Patient Satisfaction Questionnaire - PSPSQ) - and responded to a form containing socioeconomic-educational data and post-surgical time. The associations between the independent (age, gender, civil status, educational level, family income and post-surgical time) and dependent variables (quality of life and degree of satisfaction) were submitted of the Mann-Whitney test (significance of 5%). Spearman correlation test (significance of 5%) was applied to analyze the relationship between the dependent variables. Results: The OQLQ had a mean of 16.17 (±19.17) and median of 12, characterizing the sample with a good quality of life profile. The PSPSQ obtained a mean of 26.6 (±1.99) and median of 27, evidencing a high degree of satisfaction after surgical treatment. There was a significant correlation between the OQLQ x PSPSQ of the moderate negative type (0.40 to 0.69) and there was no significant correlation between socioeconomic-educational variables and post-surgical time with OQLQ and PSPSQ. Conclusion: The study indicated that the high satisfaction with the surgical treatment is directly related to the good quality of life presented after the treatment, demonstrating the importance of the ortho-surgical treatment.
Al-Ahmad, H. T., Al-Sa’di, W. S., Al-Omari, I. K., & Al-Bitar, Z. B. (2009). Condition-specific quality of life in Jordanian patients with dentofacial deformities: a comparison of generic and diseasespecific measures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 107(1), 4955.
Alanko, O. M., Svedström-orist, A. L., & Tuomisto, M. T. (2010). Percepções dos pacientes de tratamento ortognática, bem-estar e estado psicológico ou psiquiátrico: Uma revisão sistemática. Acta Odontol Scand, 68(5), 249-260.
Andrade, A. I. N. P. A., & Martins, R. M. L. (2011). Funcionalidade familiar e qualidade de vida dos idosos. Millenium, 40, 185-99.
Araújo, A. M. D., Miguel, J. A. M., Gava, E. C. B., & Oliveira, B. H. D. (2013). Translation and cross-cultural adaptation of an instrument designed for the assessment of quality of life in orthognatic patients. Dental Press Journal of Orthodontics, 18(5), 99-106.
Batista, S. H. B., Ribeiro, E. D., Torriani, M. A., & Aranega, A. M. (2014). Avaliação da satisfação de pacientes submetidos à cirurgia ortognática: análise qualitativa. Rev. Odontol. Araçatuba (Online), 35(2), 41-45.
Bortoluzzi, M. C., Manfro, R., Soares, I. C., & Presta, A. A. (2011). Cross-cultural adaptation of the orthognathic quality of life questionnaire (OQLQ) in a Brazilian sample of patients with dentofacial deformities. Med Oral Patol Oral Cir Bucal, 16(5), 694-9.
Cadogan, J., & Bennun, I. (2011). Face value: an exploration of the psychological impact of orthognathic surgery. British Journal of Oral and Maxillofacial Surgery, 49(5), 376-380.
Campos, M. O., & Neto, J. F. R. (2008). Qualidade de vida: um instrumento para promoção de saúde. Revista Baiana de saúde pública, 32(2), 232-232.
Choi, W. S., Lee, S., McGrath, C., & Samman, N. (2010). Change in quality of life after combined orthodontic-surgical treatment of dentofacial deformities. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 109(1), 46-51.
Costa, K. L. D., Martins, L. D., Gonçalves, R. C. G., Zardo, M., & Sá, A. C. D. D. (2012). Avaliação da qualidade de vida de pacientes submetidos à cirurgia ortognática. Revista de Cirurgia e Traumatologia Buco-maxilo-facial, 12(2), 81-92.
Doody, O., & Doody, C. M. (2015). Conducting a pilot study: case study of a novice researcher. British Journal of Nursing, 24(21), 1074–1078.
Esperão, P. T. G., de Oliveira, B. H., de Oliveira Almeida, M. A., Kiyak, H. A., & Miguel, J. A. M. (2010). Oral health-related quality of life in orthognathic surgery patients. American Journal of Orthodontics and Dentofacial Orthopedics, 137(6), 790-795.
Gava, E. C. B., Miguel, J. A. M., de Araújo, A. M., & de Oliveira, B. H. (2013). Psychometric properties of the Brazilian version of the Orthognathic Quality of Life Questionnaire. Journal of Oral and Maxillofacial Surgery, 71(10), 1762-e1.
Kiyak, H. A. (2008). Does orthodontic treatment affect patients’ quality of life? Journal of dental education, 72(8), 886-894.
Kiyak, H. A., McNeill, R. W., & West, R. A. (1985). The emotional impact of orthognathic surgery and conventional orthodontics. American journal of orthodontics, 88(3), 224-234.
Laureano Filho, J. R., Silva, E. D. D. O., Vasconcellos, R. J. D. H., Silva, L. C. F. D., & Rocha, N. S. (2005). Alterações estéticas em discrepâncias ânteroposteriores na cirurgia ortognática. Rev. cir. traumatol. buco-maxilo-fac, 5(1), 45-52.
Lazaridou-Terzoudi, T., Kiyak, H. A., Moore, R., Athanasiou, A. E., & Melsen, B. (2003). Long-term assessment of psychologic outcomes of orthognathic surgery. Journal of oral and maxillofacial surgery, 61(5), 545-552.
Lee, L. W., Chen, S. H., Yu, C. C., Lo, L. J., Lee, S. R., & Chen, Y. R. (2007). Stigma, body image, and quality of life in women seeking orthognathic surgery. Plastic and reconstructive surgery, 120(1), 225-231.
Martins, F. da S., da Silva, M. F., Souza, D. S., de Farias, R. R. S., & Ramos, P. F. C. (2021). Malocclusion and speech therapy and associated factors: integrative review. Research, Society and Development, [S. l.], 10(1), e27610111714.
Mihalik, C. A., Proffit, W. R., & Phillips, C. (2003). Long-term follow-up of Class II adults treated with orthodontic camouflage: a comparison with orthognathic surgery outcomes. American Journal of Orthodontics and Dentofacial Orthopedics, 123(3), 266-278.
Murphy, C., Kearns, G., Sleeman, D., Cronin, M., & Allen, P. F. (2011). The clinical relevance of orthognathic surgery on quality of life. International journal of oral and maxillofacial surgery, 40(9), 926-930.
Olsen, J. A., & Inglehart, M. R. (2011). Malocclusions and perceptions of attractiveness, intelligence, and personality, and behavioral intentions. American Journal of Orthodontics and Dentofacial Orthopedics, 140(5), 669-679.
Posnick, J. C., & Wallace, J. (2008). Complex orthognathic surgery: assessment of patient satisfaction. Journal of Oral and Maxillofacial Surgery, 66(5), 934-942.
Rankin, M., Borah, G. L., Perry, A. W., & Wey, P. D. (1998). Quality-of-life outcomes after cosmetic surgery. Plastic and reconstructive surgery, 102(6), 2139-45.
Rustemeyer, J., & Gregersen, J. (2012). Quality of life in orthognathic surgery patients: post-surgical improvements in aesthetics and self-confidence. Journal of cranio-maxillofacial surgery, 40(5), 400-404.
Sadek, H., & Salem, G. (2007). Psychological aspects of orthognathic surgery and its effect on quality of life in Egyptian patients. EMHJ-Eastern Mediterranean Health Journal, 13(1), 150-159.
Seidl, E. M. F., & Zannon, C. M. L. D. C. (2004). Qualidade de vida e saúde: aspectos conceituais e metodológicos. Cadernos de saúde pública, 20(2), 580-588.
Silva, A. C. A, Carvalho, R. A. S., Santos, T. S., Rocha, N. S., Gomes, A. C. A., & Silva, E. D. O. (2013). Evaluation of life quality of patients submitted to orthognathic surgery. Dental Press Journal of Orthodontics, 18(5), 107-114.
World Health Organization. (2013). Oral health surveys: basic methods. World Health Organization.
World Health Organization. (1997). Basic epidemiological survey of oral health: Instruction Manual. World Health Organization.
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Copyright (c) 2021 Itanielly Dantas Silveira Cruz; Reginaldo Fernandes da Silva; Rafaela Monteiro de Araújo; José Sandro Pereira da Silva; Kenio Costa de Lima; Hallissa Simplício Gomes Pereira
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