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Münevveroğlu S, Gürler G, Özel A. Evaluating cranial landmarks for yaw orientation in natural head position: a 3D study. Clin Oral Investig 2024; 28:535. [PMID: 39302492 DOI: 10.1007/s00784-024-05926-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2024] [Accepted: 09/14/2024] [Indexed: 09/22/2024]
Abstract
OBJECTIVES To assess the symmetry of various cranial anthropometric points used as references for yaw orientation in the natural head position (NHP), relative to the mid-sagittal plane. MATERIALS AND METHODS A prospective analysis using tomography data from 55 patients was conducted. Radiopaque markers, placed on patients in NHP, facilitated head position recording in three planes, with subsequent digital transfer for orientation analysis. Symmetry of eight points (zygomaxillare, zygion, ectoconchion, frontozygomatic suture, stephanion, porion, mastoidale, condylion laterale) was measured against the mid-sagittal plane. RESULTS Significant asymmetry was observed in the stephanion, frontozygomatic suture, and ectoconchion points (p < 0.05). No significant differences were found in the symmetry of other points (p > 0.05). CONCLUSIONS Findings suggest that stephanion, frontozygomatic suture, and ectoconchion are unreliable for yaw orientation in NHP. Other points, combined with clinical measurements, may offer better reliability.
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Affiliation(s)
- Sümer Münevveroğlu
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Istanbul Medipol University, İstanbul, Türkiye.
| | - Gökhan Gürler
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Istanbul Medipol University, İstanbul, Türkiye
| | - Abdullah Özel
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Istanbul Medipol University, İstanbul, Türkiye
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Zheng Y, Liao N, Mo S, Huang X, Zhou N. Effect of surgery-first approach on quality of life and mental health of orthognathic patients: A systematic review and meta-analysis. Heliyon 2024; 10:e23285. [PMID: 38163099 PMCID: PMC10757011 DOI: 10.1016/j.heliyon.2023.e23285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Revised: 10/27/2023] [Accepted: 11/30/2023] [Indexed: 01/03/2024] Open
Abstract
Objectives This study intends to explore the effects of the surgery-first approach (SFA) on quality of life and mental health of patients who undergo orthognathic surgery compared to the conventional three-stage approach (CTA). Data The analysis included eight studies with a total of 307 patients, of which one was randomized controlled trial (RCT), one was clinical controlled trial (CCT), and six were non-randomized studies of interventions (NRSIs). Sources Electronic databases such as Medline, Embase, Scopus, and Web of Science were searched for eligible trials up to April 2023. Study selection RCTs, CCTs, and NRSIs, which compared the quality of life or mental health of orthognathic patients treated with SFA and CTA, were included in this study. The meta-analysis showed that the standardized mean differences (SMD) of Oral Health Impact Profiles-14 (OHIP-14) scores and the Orthognathic Quality of Life Questionnaire (OQLQ) between SFA and CTA were -1.58 (P = 0.05) and -2.99 (P < 0.00001) at the termination of the first-stage treatment, which altered to -0.94 (P = 0.54) and 0.09 (P = 0.65) after total treatment. Two studies applied the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) and the Beck Depression Inventory (BDI-II) to examine mental health, resulting in a trend similar to the former scales. Conclusion In contrast to the conventional procedure, orthognathic treatment with SFA can instantly enhance the quality of life at the end of the first-stage treatment but has similar effects after the overall treatment. Moreover, SFA has a positive impact on psychological conditions. Clinical significance This study first systematically reviewed the effect of SFA on patients' mental well-being. According to our findings, it is better to select SFA if possible. Otherwise, the patient's psychological condition should be monitored appropriately throughout decompensation for better well-being both physically and mentally.
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Affiliation(s)
- Yi Zheng
- College of Stomatology, Hospital of Stomatology, Guangxi Medical University, No.10 Shuangyong Road Nanning, Guangxi 530021, People's Republic of China
| | - Ni Liao
- College of Stomatology, Hospital of Stomatology, Guangxi Medical University, No.10 Shuangyong Road Nanning, Guangxi 530021, People's Republic of China
| | - Shuixue Mo
- College of Stomatology, Hospital of Stomatology, Guangxi Medical University, No.10 Shuangyong Road Nanning, Guangxi 530021, People's Republic of China
| | - Xuanping Huang
- College of Stomatology, Hospital of Stomatology, Guangxi Medical University, No.10 Shuangyong Road Nanning, Guangxi 530021, People's Republic of China
- Guangxi Key Laboratory of Oral and Maxillofacial Rehabilitation and Reconstruction, Guangxi Key Laboratory of Oral and Maxillofacial Surgery Disease Treatment, Nanning 530021, Guangxi, People's Republic of China
| | - Nuo Zhou
- College of Stomatology, Hospital of Stomatology, Guangxi Medical University, No.10 Shuangyong Road Nanning, Guangxi 530021, People's Republic of China
- Guangxi Key Laboratory of Oral and Maxillofacial Rehabilitation and Reconstruction, Guangxi Key Laboratory of Oral and Maxillofacial Surgery Disease Treatment, Nanning 530021, Guangxi, People's Republic of China
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Azeredo WM, Gerber JT, Dos Santos KM, Manieri PR, Machado RA, Coletta RD, Rebellato NLB, Scariot R. Comparison between sex and polymorphisms on FKBP5: perception of quality of life in non-syndromic patients. A cross-sectional study. Br J Oral Maxillofac Surg 2024; 62:38-44. [PMID: 38092567 DOI: 10.1016/j.bjoms.2023.10.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2023] [Revised: 09/12/2023] [Accepted: 10/04/2023] [Indexed: 01/16/2024]
Abstract
This study aimed to compare factors that influence perception of quality of life (QoL) in patients scheduled for orthognathic surgery. This was a cross-sectional study with 91 participants from two universities in Curitiba. The orthognathic quality of life questionnaire (OQLQ) was used to assess patients' perceptions of their QoL. Sociodemographic data were collected and facial profiles classified into classes I, II, and III. DNA was extracted from oral mucosal cells and markers rs3800373 and rs1360780 for FKBP prolyl isomerase 5 were genotyped. Statistical analysis was performed using Kruskal-Wallis, Mann-Whitney, and chi-squared tests, with a significance level of 5%. There was a negative impact on general perception of QoL in females (p = 0.019) and in the domains of "oral function" (p=0.032) and "awareness of the deformity" (p=0.009). In the dominant model (CC/CT), the presence of at least one C allele for the rs1360780 marker had a negative impact on QoL in the "facial aesthetics" domain (p = 0.037). The negative impact on QoL was greater in females than in males. The perception of QoL was more negative in individuals with rs1360780 polymorphism on the FKBP5 gene and a CC/CT genotype than it was in those with a TT genotype.
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Affiliation(s)
- Willian Martins Azeredo
- Department of Stomatology, School of Dentistry Universidade Federal do Paraná (UFPR), Curitiba, Brazil
| | - Jennifer Tsi Gerber
- School of Health Sciences, Dental School, Universidade Positivo (UP), Curitiba, PR, Brazil
| | | | - Patricia Rubia Manieri
- Department of Stomatology, School of Dentistry Universidade Federal do Paraná (UFPR), Curitiba, Brazil.
| | - Renato Assis Machado
- Department of Oral Diagnosis and Graduate Program in Oral Biology, Dental School, Universidade Estadual de Campinas - UNICAMP, Campinas, SP, Brazil
| | - Ricardo Della Coletta
- Department of Oral Diagnosis and Graduate Program in Oral Biology, Dental School, Universidade Estadual de Campinas - UNICAMP, Campinas, SP, Brazil.
| | | | - Rafaela Scariot
- Department of Stomatology, School of Dentistry Universidade Federal do Paraná (UFPR), Curitiba, Brazil; Health center, Centro de Atendimento Integral ao Fissurado Lábio Palatal - CAIF, Curitiba, PR, Brazil.
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Uppada UK, Tauro D, Senthilnathan KP. Patient Satisfaction Following Orthognathic Surgery: A Systematic Review. J Maxillofac Oral Surg 2023; 22:762-769. [PMID: 38105865 PMCID: PMC10719194 DOI: 10.1007/s12663-023-02066-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2023] [Accepted: 11/01/2023] [Indexed: 12/19/2023] Open
Abstract
Objective This study is intended to review data pertaining to patient satisfaction following orthognathic surgery through a systematic literature survey. Methods and Materials An electronic search was done on Medline, EMBASE and CENTRAL databases. The inclusion criteria considered were as follows: (1) assessment of patients' satisfaction, (2) one-stage orthognathic surgery, and (3) follow-up period of 8 weeks or more in English literature. The exclusion criteria considered were as follows: (1) presence of craniofacial syndromes, cleft lip and palate or traumatic injuries, (2) previous facial surgery, and (3) psychological problems before surgery. The data were extracted and analyzed under three categories: function, esthetics and overall satisfaction. Results Eighteen studies met the inclusion criteria. Esthetic and function were improved in majority of patients; however, it was not possible to assess the overall satisfaction levels statistically. Overall satisfaction analysis revealed that 70-87% of patients were satisfied, while nearly 15% of patients were dissatisfied with the treatment outcome. Conclusion Most of the patients were satisfied with the surgical outcome. However, satisfaction seemed to be multifactorial and it was not possible to predict satisfaction prior to the surgery.
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Affiliation(s)
- Uday Kiran Uppada
- Department Oral and Maxillofacial Surgery, Saveetha Dental College, Chennai, India
| | | | - K. P. Senthilnathan
- Department Oral and Maxillofacial Surgery, Saveetha Dental College, Chennai, India
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Yang GH, Feng Y, Xue LX, Ou-Yang ZY, Yang YF, Zhao YQ, Zhao J, Hu J, Ye Q, Su XL, Chen NX, Zhong MM, Feng YZ, Guo Y. Factorial structure and measurement invariance of the Chinese version of the Oral Health Impact Profile-14 among clinical populations and non-clinical populations: an evidence for public oral investigations. BMC Oral Health 2023; 23:588. [PMID: 37620833 PMCID: PMC10463897 DOI: 10.1186/s12903-023-03310-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Accepted: 08/13/2023] [Indexed: 08/26/2023] Open
Abstract
OBJECTIVE Oral health-related quality of life (OHRQoL) is a multidimensional concept that is commonly used to examine the impact of oral health status on quality of life. The purpose of this study was to examine the optimal factor model of the Chinese version of the Oral Health Impact Profile (OHIP-14) questionnaire in clinical populations, measurement invariance across clinical status and gender cohorts. This would ensure equal validity of the Chinese version of OHIP-14 in different populations and further support public oral investigations. METHODS The Chinese version of OHIP-14 was used to investigate 490 dental patients and 919 college students. Confirmatory factor analysis (CFA), item analysis and reliability, measurement invariance, and the t-test were used for data analyses. RESULTS We found that the 7-factor structure had the best-fit index in the sample (CFI = 0.970, TLI = 0.952; SRMR = 0.029, RMSEA = 0.052(0.040,0.063)). The reliability of the scales was satisfactory (Cronbach's α = 0.942). The error variance invariance fitted the data adequately in measurement invariance, indicating that measurement invariance is acceptable both across the clinical and non-clinical populations (∆CFI=-0.017, ∆RMSEA = 0.010) and across genders in the clinical population (∆CFI = 0.000, ∆RMSEA=-0.003). T-test for scores showed that the clinical populations scored significantly higher than the non-clinical populations, as did the overall score (t = 7.046, p < 0.001, d = 0.396), in terms of functional limitation (t = 2.178, p = 0.030, d = 0.125), physical pain (t = 7.880, p < 0.001,d = 0.436), psychological discomfort (t = 8.993, p < 0.001, d = 0.514), physical disability (t = 6.343, p < 0.001, d = 0.358), psychological disability (t = 5.592, p < 0.001, d = 0.315), social disability (t = 5.301, p < 0.001,d = 0.304), social handicap (t = 4.452, p < 0.001, d = 0.253), and that in the non-clinical populations, females scored significantly higher than males, as did in terms of physical pain (t = 3.055, p = 0.002, d = 0.280), psychological discomfort (t = 2.478, p = 0.014, d = 0.222), and psychological disability (t = 2.067, p = 0.039, d = 0.188). CONCLUSION This study found that the Chinese version of OHIP-14 has measurement invariance between the clinical and non-clinical populations and across genders in the clinical populations, and can be widely used in OHRQoL assessment for public oral investigations.
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Affiliation(s)
- Guang-Hui Yang
- Department of Stomatology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China
| | - Yao Feng
- Department of Stomatology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China
| | - Lan-Xin Xue
- Department of Stomatology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China
| | - Ze-Yue Ou-Yang
- Department of Stomatology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China
| | - Yi-Fan Yang
- Department of Stomatology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China
| | - Ya-Qiong Zhao
- Department of Stomatology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China
| | - Jie Zhao
- Department of Stomatology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China
| | - Jing Hu
- Department of Stomatology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China
| | - Qin Ye
- Department of Stomatology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China
| | - Xiao-Lin Su
- Department of Stomatology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China
| | - Ning-Xin Chen
- Department of Stomatology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China
| | - Meng-Mei Zhong
- Department of Stomatology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China
| | - Yun-Zhi Feng
- Department of Stomatology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China.
| | - Yue Guo
- Department of Stomatology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China.
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Tanemura T, Zaitsu T, Oshiro A, Inoue Y, Kawaguchi Y, Aida J. Association of overtime work duration with oral health-related quality of life in Japanese workers. J Oral Sci 2023; 65:44-47. [PMID: 36631125 DOI: 10.2334/josnusd.22-0267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
PURPOSE Overtime work is associated with a risk of developing various diseases, including oral diseases. Oral Health-Related Quality of Life (OHRQoL) is a more comprehensive assessment than those of individual diseases and can be affected by longer working hours. METHODS This cross-sectional study examined the association of overtime work duration with OHRQoL. Data were obtained from an online survey of Japanese workers in February 2016. OHRQoL was assessed using the Oral Health Impact Profile-49 (OHIP-49). Poisson regression with robust variance was used to estimate the ratio of means and 95% confidence intervals (CI) of overtime work duration for OHIP-49 scores after adjusting for sociodemographic and health behavior covariates. RESULTS Of 2,764 (2,178 male and 586 female) workers (mean age, 44.6 ± 10.0 years), those with longer duration of overtime work tended to exhibit poorer OHRQoL. The mean OHIP-49 scores of those who did not work overtime and worked for ≥5 h overtime were 27.93 ± 28.53 and 40.97 ± 38.86, respectively. After adjusting for covariates, compared to those who did not work overtime, the mean OHIP-49 score was 1.41 times higher (95% CI 1.38-1.44) for those who worked for ≥5 h overtime. CONCLUSION Longer overtime work duration was associated with poor OHRQoL.
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Affiliation(s)
- Takashi Tanemura
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Takashi Zaitsu
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Akiko Oshiro
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Yuko Inoue
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Yoko Kawaguchi
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Jun Aida
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
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Machado NC, Gerber JT, Santos KMD, Bergamaschi IP, Meger MN, Costa DJD, Küchler EC, Scariot R. Association of the estrogen receptor gene with oral health-related quality of life in patients with dentofacial deformities. Braz Oral Res 2022; 36:e089. [PMID: 35830136 DOI: 10.1590/1807-3107bor-2022.vol36.0089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2021] [Accepted: 11/03/2021] [Indexed: 11/22/2022] Open
Abstract
This study aimed to evaluate the associations between oral health-related quality of life (OHRQoL) and patient-associated factors and polymorphisms in the estrogen receptor 1 (ESR1) and 2 (ESR2) genes in patients with dentofacial deformities (DFD). This cross-sectional study included 234 adult individuals. Data such as age, sex, and the type of facial profile (I, II, or III), were collected, and the short-form oral health impact profile 14 (OHIP-14) questionnaire was used to assess their OHRQoL. DNA was collected from oral mucosa cells, and the polymorphisms in ESR1 (rs2234693 and rs9340799) and ESR2 (rs1256049 and rs4986938) were evaluated using real-time polymerase chain reaction. The data were subjected to statistical analysis at a significance level of 5%. Individuals over 28 years of age exhibited worse OHRQoL (p = 0.003) than individuals aged less than or equal to 28 years. Women had worse OHRQoL than men (p < 0.001). Profile II individuals had worse OHRQoL in the social disability domain than profile III individuals (p = 0.030). Genetic analysis showed that rs9340799 was associated with OHRQoL in the functional limitation domain, and GG individuals exhibited worse OHRQoL than individuals carrying the AA/AG genotypes (p < 0.030). In the social handicap domain, individuals with GG genotype in rs9340799 exhibited worse OHRQoL than AG individuals (p < 0.043). Collectively, our results reveal that factors including age, sex, and type of facial profile, are associated with OHRQoL in patients with DFD. In addition, individuals with the GG genotype in rs9340799 (ESR1) may experience a negative impact on OHRQoL in the functional limitation and social handicap domains.
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Affiliation(s)
- Nilza Cristina Machado
- Universidade Positivo - UP, School of Health Sciences, Dental School, Curitiba, PR, Brazil
| | - Jennifer Tsi Gerber
- Universidade Positivo - UP, School of Health Sciences, Dental School, Curitiba, PR, Brazil
| | | | | | | | - Delson João da Costa
- Universidade Federal do Paraná - UFPR, Dental School, Department of Stomatology, Curitiba, PR, Brazil
| | - Erika Calvano Küchler
- Universidade de São Paulo - USP, Ribeirão Preto Dental School, Department of Pediatric Dentistry, Ribeirão Preto, SP, Brazil
| | - Rafaela Scariot
- Universidade Federal do Paraná - UFPR, Dental School, Department of Stomatology, Curitiba, PR, Brazil
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Lazureanu PC, Popescu FG, Stef L, Focsa M, Vaida MA, Mihaila R. The Influence of Periodontal Disease on Oral Health Quality of Life in Patients with Cardiovascular Disease: A Cross-Sectional Observational Single-Center Study. MEDICINA (KAUNAS, LITHUANIA) 2022; 58:medicina58050584. [PMID: 35630001 PMCID: PMC9144554 DOI: 10.3390/medicina58050584] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Revised: 04/17/2022] [Accepted: 04/20/2022] [Indexed: 11/28/2022]
Abstract
Background and Objectives: Cardiovascular disease is a leading cause of global death with a rising prevalence and a heavy economic burden. Periodontal disease has been associated with cardiovascular diseases—including incident coronary heart disease, peripheral artery disease and ischemic stroke. The study evaluates the quality of life of patients with cardiovascular and periodontal disease from the point of view of oral health by using the short version of the Oral Health Impact Profile (OHIP-14) questionnaire. Materials and Methods: This study included a total of 221 patients (61.86 ± 15.03 years old) selected from the Emergency Hospital of Sibiu, Romania. The participants self-completed the OHIP-14 questionnaire and they benefited from an oral health examination conducted to assess the presence and the severity of periodontal disease. Results: Out of the 147 patients with cardiovascular disease, 77.5% had periodontal disease (32.6% stage I, 29.2% stage II, and 15.6% stage III and IV). The presence of periodontal disease was associated with a lower oral-health-related quality of life (p < 0.001, ANOVA) and with a higher OHIP-14 score in patients with cardiovascular disease (18.67 ± 8.17, p < 0.001 ANOVA). No significant difference was observed concerning patient sex and background; however, age, body mass index and the lack of an appropriate oral hygiene routine had a strong association with the individual quality of life. The general OHIP-14 score was higher in patients with periodontal disease and associated cardiovascular disease, the presence of both cardiovascular and periodontal disease being associated with a lower quality of life. Conclusions: By increasing the patients’ awareness to oral healthcare measures, better outcomes and improved oral-health-related quality of life could be observed.
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Affiliation(s)
- Pompilia Camelia Lazureanu
- Department of Physiology, Faculty of Medicine, “Lucian Blaga” University, 10, Victoriei Boulevard, 550024 Sibiu, Romania;
| | - Florina Georgeta Popescu
- Department of Occupational Health, “Victor Babeş” University of Medicine and Pharmacy, 2 Eftimie Murgu Square, 300041 Timisoara, Romania
- Correspondence:
| | - Laura Stef
- Department of Oral Health, Faculty of Medicine, “Lucian Blaga” University, 10, Victoriei Boulevard, 550024 Sibiu, Romania;
| | - Mircea Focsa
- Department of Medical Informatics and Biostatistics, “Victor Babeş” University of Medicine and Pharmacy, 2 Eftimie Murgu Square, 300041 Timisoara, Romania;
| | - Monica Adriana Vaida
- Department of Anatomy and Embryology, “Victor Babeş” University of Medicine and Pharmacy, 2 Eftimie Murgu Square, 300041 Timisoara, Romania;
| | - Romeo Mihaila
- Department of Internal Medicine, Faculty of Medicine, “Lucian Blaga” University, 10, Victoriei Boulevard, 550024 Sibiu, Romania;
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OUP accepted manuscript. Eur J Orthod 2022; 44:603-613. [DOI: 10.1093/ejo/cjac015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Aljohani M, Ashley M, Alshammari FR, Yates J. Assessment of dental anxiety using modified dental anxiety scale among adults with cleft lip and/or palate. Saudi Dent J 2021; 33:1078-1083. [PMID: 34938052 PMCID: PMC8665185 DOI: 10.1016/j.sdentj.2021.04.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Revised: 04/05/2021] [Accepted: 04/18/2021] [Indexed: 11/18/2022] Open
Abstract
Objectives This study aimed to investigate dental anxiety levels among adults with cleft lip and/or palate (CL/P) and compare to adults with no orofacial cleft. The study also intended to find out the impact of cleft severity, gender and age on the perceived dental anxiety. Methods The study was composed of a sample of 70 adult participants who received and completed dental treatments. After sending self-addressed envelopes with consent forms and Modified Dental Anxiety Scale (MDAS) to 192 potential participants, 35 participants with CL/P (CL/P group) and 35 participants with no CL/P (control group), agreed to participate. Data were analysed using Mann-Whitney U test. A two-tailed P-value < 0.05 was considered as statistically significant. Results 54.3% of adults with CL/P (23 females and 12 males, age range from 16 to 72 years) reported normal dental anxiety, while the remaining 45.7% reported moderate dental anxiety. No extreme dental anxiety were recorded in the CL/P group. These results were similar to the control group and there were no significant differences between groups (p > 0.05). Female participants recorded higher median anxiety scores than male participants in the CL/P group, and participants with cleft lip had higher median scores than participants with cleft lip and palate. However, these were not statistically significant. Conclusion The results suggest that CL/P did not affect dental anxiety levels for participants with the CL/P as there were no extreme cases and their results were comparable to a general non-cleft sample.
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Affiliation(s)
- Marwan Aljohani
- Department of Oral and Maxillofacial Surgery, College of Dentistry, Taibah University, Saudi Arabia
- Faculty of Biology, Medicine and Health, Division of Dentistry, The University of Manchester, United Kingdom
- Corresponding author at: University of Manchester and teaching assistant in Oral and Maxillofacial Surgery, College of Dentistry, Taibah University, Saudi Arabia.
| | - Martin Ashley
- Faculty of Biology, Medicine and Health, Division of Dentistry, The University of Manchester, United Kingdom
| | - Falah R Alshammari
- Department of Dental Public Health and Community Dentistry, University of Hail, Saudi Arabia
| | - Julian Yates
- Faculty of Biology, Medicine and Health, Division of Dentistry, The University of Manchester, United Kingdom
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Aljohani M, Alshammari F, Alamri H, Rahmah AB, Ashley M, Yates J. Evaluation of Oral Health-related Quality of Life for Adult Individuals with Cleft Lip and/or Palate Using OHIP-49 and Compared with a Control Group: A Cross-Sectional Study. J Int Soc Prev Community Dent 2021; 11:516-524. [PMID: 34760795 PMCID: PMC8533046 DOI: 10.4103/jispcd.jispcd_100_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2021] [Revised: 04/13/2021] [Accepted: 04/16/2021] [Indexed: 11/15/2022] Open
Abstract
Objectives: This study aimed at evaluating oral health-related quality of life (OHRQoL) among adults with cleft lip and/or palate (CL/P) and compared it with adults with no orofacial cleft. The study also intended to find out the impact of cleft severity, gender, and age on the perceived OHRQoL. Materials and Methods: The study was composed of a sample of 70 adult participants who received and completed dental treatments: 35 participants with CL/P (CL/P group) and 35 participants with no orofacial cleft (control group) agreed to participate. Each participant completed the Oral Health Impact Profile (OHIP-49) with no missing data. The OHIP-49 data were analyzed using the Mann–Whitney U test, and a P-value <0.05 was considered as statistically significant. Results: Adults with CL/P reported higher scores in all the seven subscales of the OHIP-49. These results were statistically significant in physical disability (mean scores of 1.22, p = 0.017) and social disability (mean scores of 0.93, p = 0.046). Females with CL/P recorded better OHRQoL in the handicap domain (p = 0.026). Participants with cleft lip only recorded better OHRQoL compared with those with cleft lip and palate, and that was statistically significant at both the functional limitation (p = 0.003) and the physical pain (p = 0.046). There was a significant positive correlation between increasing age and functional limitation (p = 0.025). Conclusion: CL/P negatively affected OHRQoL for adults with CL/P mainly on physical and social disabilities of OHIP-49 when compared with a general non-cleft sample.
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Affiliation(s)
- Marwan Aljohani
- Department of Oral and Maxillofacial Surgery, College of Dentistry, Taibah University, Saudi Arabia.,Faculty of Biology, Medicine and Health, Division of Dentistry, the University of Manchester, United Kingdom
| | - Falah Alshammari
- Department of Dental Public Health and Community Dentistry, University of Hail, Saudi Arabia
| | - Hamdan Alamri
- Faculty of Biology, Medicine and Health, Division of Dentistry, the University of Manchester, United Kingdom.,Department of Preventive Dentistry, College of Dentistry, Majmaah University, Al Majma'ah, Saudi Arabia
| | - Abdullah Bin Rahmah
- Faculty of Biology, Medicine and Health, Division of Dentistry, the University of Manchester, United Kingdom.,Department of Periodontics and Community Dentistry, King Saud University, College of Dentistry, Riyadh, Saudi Arabia
| | - Martin Ashley
- Faculty of Biology, Medicine and Health, Division of Dentistry, the University of Manchester, United Kingdom
| | - Julian Yates
- Faculty of Biology, Medicine and Health, Division of Dentistry, the University of Manchester, United Kingdom
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Evaluation of Quality of Life in Adult Individuals With Cleft Lip and/or Palate. J Craniofac Surg 2021; 32:505-508. [PMID: 33704970 DOI: 10.1097/scs.0000000000007071] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVES The purpose of the present study was to systematically review literature relating to the quality of life (QoL) in adult individuals with cleft lip and/or palate (CLP) and identify which aspect of QoL adults with CLP find to be the most problematic, in comparison to a general non-cleft population. DESIGN Different databases were searched for this review including the Cochrane Central Register of Controlled Trials, Ovid MEDLINE and Embase. Five domains of QoL were identified to evaluate the overall results of these QoL measures. These domains were; physical function, physical pain, psychological implications and self-esteem, self-perception in relation to facial aesthetics, and social function. The studies included underwent critical appraisal and different types of bias were assessed based on the Cochrane handbook for systematic reviews of interventions. RESULTS Ten studies were included in this review. The total number of participants was 541. The most common QoL measure for adults with CLP was Short-Form (SF-36). Seven studies out of 10 reported statistically significantly worse scores (P < 0.05) in the psychological implications and self-esteem domains of QoL in adults with CLP, indicating lower QoL in terms of these domains. The least affected QoL domain was physical function. A high heterogeneity was found among the studies, including variation in the QoL measures, types of orofacial clefts, types of treatment and comparison groups. CONCLUSION The presence of CLP did seem to negatively affect the QoL for adults with CLP, mainly in terms of psychological implications and self-esteem.
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Quality of Life After Class III Repair Orthognathic Surgery: Five-Year Retrospective Study. J Craniofac Surg 2021; 32:2588-2591. [PMID: 34172683 DOI: 10.1097/scs.0000000000007716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVE To evaluate the effect of orthognathic surgery on the long-term quality of life of patients with presurgical skeletal Class III and to identify its strongest effect-whether esthetic, social, or functional. MATERIALS AND METHODS In this retrospective cohort study, the subjects were patients after orthognathic surgery for repairing skeletal Class III. Fifty-five patients who had undergone orthognathic surgery from 2013 to 2018 in the oral and maxillofacial surgery department participated in this study. Each participant completed a modified questionnaire used to assess the patient's esthetic, social, and functional abilities after orthognathic surgery. RESULTS The rate of esthetic improvement in orthognathic surgery patients was 88%. More than four-fifths (81.8%) of the patients reported improvement in their personal and social self-esteem and confidence. Finally, 40.7% of the patients reported functional improvement. No significant differences between male and female patients were found. All but one of the patients recommended orthognathic surgery for patients with similar problems. One in six (17.3%) patients was dissatisfied with the nasal appearance after the surgical procedure, while almost a quarter (21.8%) reported worsening of their mouth opening, and 25.4% reported worsening of TMJ (Temporo-Mandibular Joint) symptoms. Analysis of the results revealed no statistically significant pattern connecting preoperative overjet or overbite measures with satisfaction rates. CONCLUSIONS In this study, patient satisfaction with the orthognathic surgical procedure was mostly a result of improvements in facial esthetics, followed by psychological well-being and functional abilities. Most dissatisfaction after the orthognathic surgical procedure was related to nasal appearance, mouth opening, and TMJ complaints.
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14
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Influence of Orthognathic Surgery on Oral Health and Quality of Life. J Craniofac Surg 2021; 33:548-551. [PMID: 33867509 DOI: 10.1097/scs.0000000000007691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
ABSTRACT Orthognathic surgery is a common treatment modality for moderate to severe dentofacial deformities. This study aimed to determine the early postoperative changes in quality of life (QoL) after orthognathic surgery.Twenty patients were evaluated preoperatively (T0), postoperatively after 1 month (T1), and postoperatively after 3 months (T2). Short Form Oral Health Impact Profile and Orthognathic Quality of life Questionnaire were used as generic oral health-related and condition-specific QoL measures.Oral Health Impact Profile -14 and Orthognathic Quality of life Questionnaire scores significantly decreased from T0-T2. Physical pain, psychological disability, social disability, and handicap scores significantly decreased during this interval. Facial esthetic, function, awareness of facial deformity, and social aspects of deformity were also found to significantly improve. No significant difference was found between age groups; female patients had significantly greater preoperative Oral Health Impact Profil-14 scores than did male patients.Orthognathic surgery not only enhances the skeletal and facial relations, but also has significant positive effects on the patients' QoL, oral health, and psychological status.
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Patients With Isolated Craniofacial Dysplasia Report Better Quality of Life Compared With Those With Craniofacial Dysplasia and Extracranial Involvement. Ophthalmic Plast Reconstr Surg 2021; 36:292-297. [PMID: 31809491 DOI: 10.1097/iop.0000000000001536] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
PURPOSE Craniofacial fibrous dysplasia (CFD) is a subtype of fibrous dysplasia/McCune-Albright syndrome (FD/MAS) characterized by FD lesions in one or more of the skull bones. The orbit is often involved, with facial pain, facial deformity, and increased risk of compressive optic neuropathy as associated clinical manifestations possibly leading to altered illness perceptions and impairments in quality of life(QoL). The aim of this study was to evaluate illness perceptions and QoL in patients with CFD among our FD/MAS cohort. METHODS One hundred ninety-one patients were included. Illness perceptions and QoL were assessed by using validated questionnaires, that is, the Illness Perceptions Questionnaire-Revised and the Short-Form 36. Patients were first grouped as CFD versus non-CFD, a second selection was based on the presence of "Isolated CFD" versus "CFD+PFD/MAS." Non-CFD patients were grouped as monostotic fibrous dysplasia "MFD" versus polyostotic "PFD/MAS." RESULTS Patients with isolated CFD attributed less symptoms to their disease compared with patients with CFD+PFD/MAS (p < 0.05). Furthermore, patients with isolated CFD reported better QoL on all domains (except role emotional and mental health) compared with patients with CFD+PFD/MAS (p < 0.05). Patients with isolated CFD also reported better QoL compared with non-CFD groups (on 3 out of 8 subscales) (p < 0.05). CONCLUSIONS Patients with isolated CFD attribute less symptoms to their disease and report better QoL compared with patients with CFD with extracranial involvement or FD without cranial involvement. These findings indicate that craniofacial involvement alone is not sufficient to cause negative illness perceptions and impairments in QoL. Therefore, it can be postulated that isolated CFD should be considered a unique patient subtype within the spectrum of FD/MAS patients.
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Vongkamolchoon S, Sinha SP, Liao YF, Chen YR, Huang CS. The impact of a surgery-first approach on oral health-related quality of life. Int J Oral Maxillofac Surg 2021; 50:1336-1341. [PMID: 33642150 DOI: 10.1016/j.ijom.2021.02.010] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2020] [Revised: 12/17/2020] [Accepted: 02/04/2021] [Indexed: 10/22/2022]
Abstract
Orthognathic surgery using a surgery-first approach (SFA) has been shown to result in better quality of life (QoL) throughout the treatment duration; however, the effects of gender, age and type of dentofacial deformity on SFA-related QoL remain unknown. In total, 228 consecutive patients underwent SFA for correction of dentofacial deformities (skeletal class III, bimaxillary protrusion and facial asymmetry). We assessed their QoL before surgery and at 1, 6 and 12 months after surgery using the Orthognathic Quality of Life Questionnaire (OQLQ). The results indicated a significant decrease in the total OQLQ, facial aesthetics and social aspect domain scores 1, 6 and 12 months after surgery. Among all domains, the greatest improvement was noted in the facial aesthetics domain. The oral function scores declined significantly immediately after surgery, but improved significantly 6 and 12 months after surgery; however, the awareness scores remained relatively stable. At each time point, women and the bimaxillary protrusion group exhibited a significantly higher total and specific domain scores. Patients aged 18-22 years exhibited lower total and four specific domain scores than older patients. Thus, QoL improves in all aspects, except awareness domain, by 12 months after SFA, but gender, age, and type of dentofacial deformity affect this improvement.
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Affiliation(s)
- S Vongkamolchoon
- Craniofacial Research Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan; Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Taipei, Taiwan
| | - S P Sinha
- Craniofacial Research Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan; Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Taipei, Taiwan
| | - Y-F Liao
- Craniofacial Research Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan; Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Taipei, Taiwan; Graduate Institute of Dental and Craniofacial Science, College of Medicine, Chang Gung University, Taoyuan, Taiwan
| | - Y-R Chen
- Craniofacial Research Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan; Graduate Institute of Dental and Craniofacial Science, College of Medicine, Chang Gung University, Taoyuan, Taiwan; Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan
| | - C S Huang
- Craniofacial Research Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan; Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Taipei, Taiwan; Graduate Institute of Dental and Craniofacial Science, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
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Koga S, Ogino Y, Fujikawa N, Ueno M, Kotaki Y, Koyano K. Oral health-related quality of life and oral hygiene condition in patients with maxillofacial defects: A retrospective analysis. J Prosthodont Res 2020; 64:397-400. [PMID: 32063541 DOI: 10.1016/j.jpor.2019.11.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2019] [Revised: 10/03/2019] [Accepted: 11/15/2019] [Indexed: 11/19/2022]
Abstract
PURPOSE The purpose of this study was to evaluate the effect of oral rehabilitation (maxillofacial prosthetic intervention and oral hygiene instruction) on oral health-related Quality of Life (OHRQoL) and oral hygiene condition in patients with maxillofacial defects and to explore the correlation between them in these patients. METHODS Twenty-five patients with maxillofacial defects who had been treated since April 2016 to March 2018 were included in this study. The scores of the Oral Health Impact Profile (OHIP) and O'Leary's Plaque Control Record (PCR) were also identified as the scores of OHRQoL and oral hygiene condition, respectively. Statistical analyses were performed to compare between the scores of "pre" and "post" prosthetic treatment and to evaluate patient-related factors influencing these variables (age, the number of residual teeth and occlusal supports, and occlusal units (OUs)). The effect of combined chemo-radiotherapy (CRT) on each score was also assessed statistically. Furthermore, the correlation of OHIP and PCR scores was explored statistically. RESULTS Both oral rehabilitations could significantly improve OHIP and PCR scores. Significant correlations of the change of OHIP scores with age and OUs were detected. CRT had no significant effect on OHIP and PCR scores. No correlations between OHIP and PCR were observed. CONCLUSIONS Although oral rehabilitation such as maxillofacial prosthetic treatment and oral hygiene instruction would be highly effective for improvement of OHRQoL and oral hygiene condition in patients with maxillofacial defects, there was no correlation between them.
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Affiliation(s)
- Sayuri Koga
- Section of Fixed Prosthodontics, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, 3-1-1 Maidashi Higashi-ku Fukuoka, 812-8582, Japan
| | - Yoichiro Ogino
- Section of Fixed Prosthodontics, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, 3-1-1 Maidashi Higashi-ku Fukuoka, 812-8582, Japan.
| | - Natsue Fujikawa
- Section of Fixed Prosthodontics, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, 3-1-1 Maidashi Higashi-ku Fukuoka, 812-8582, Japan
| | - Machiko Ueno
- Department of Medical Technology, Kyushu University Hospital, 3-1-1 Maidashi Higashi-ku Fukuoka, 812-8582, Japan
| | - Yuki Kotaki
- Department of Medical Technology, Kyushu University Hospital, 3-1-1 Maidashi Higashi-ku Fukuoka, 812-8582, Japan
| | - Kiyoshi Koyano
- Section of Fixed Prosthodontics, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, 3-1-1 Maidashi Higashi-ku Fukuoka, 812-8582, Japan
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Liu BCL, Lee IC, Lo LJ, Ko EWC. Investigate the oral health impact and quality of life on patients with malocclusion of different treatment needs. Biomed J 2019; 42:422-429. [PMID: 31948607 PMCID: PMC6962747 DOI: 10.1016/j.bj.2019.05.009] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2018] [Revised: 05/01/2019] [Accepted: 05/28/2019] [Indexed: 11/17/2022] Open
Abstract
Background This study compared oral health impacts and QoL among patients with different malocclusion types and a normal population by using self-report questionnaires. Methods In this cross-sectional study, 214 healthy adults were divided into 3 groups: (1) Normal, control group; (2) ORTHO, patients who received orthodontic treatment; and (3) OGS group, patients who received orthognathic surgery (OGS). The timing of measurement were at the initial stage of the orthodontic therapy and before surgery. Two questionnaires and one additional item were used: the 36-item Short Form Health Survey (SF-36) for QoL, the 14-item Oral Health Impact Profile (OHIP-14) for oral health-related QoL (OHRQOL) and one additional item for aesthetic evaluation. Descriptive and inferential statistical analyses were used to compare the 3 groups. The effects of 3 malocclusion types, gender, age, and facial asymmetry in the OGS group were also evaluated. Results The ORTHO and OGS groups had higher negative impacts than did the Normal group in the OHIP-14, but not much difference in the SF-36. The item of aesthetics related to oral health impact was the lowest in the OGS group. The patients in the ORTHO group with a Class II malocclusion were most dissatisfied in the SF-36 and OHIP-14. In the OGS group, the women dissatisfied in the OHIP-14 and the aesthetic. The older patients had higher negative impacts in the OHIP-14 than the younger patients. The patients with facial asymmetry did not suffer higher negative impacts than did the patients with a symmetrical face in the SF-36 and OHIP-14. Conclusions The majority of the patients who required orthodontics or OGS reported a higher negative impact in the OHIP-14 compared with the normal controls, but not in the SF-36. Class II malocclusion suffered from highest psychological stress and aesthetic sensitivity than the other two subgroups in the ORTHO group.
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Affiliation(s)
- Becky Chiang-Lin Liu
- Graduate Institute of Dental and Craniofacial Science, Chang Gung University, Taoyuan, Taiwan; Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital at Taipei, Taipei, Taiwan
| | - I-Chen Lee
- Department of Industrial and Business Management, College of Management, Chang Gung University, Taoyuan, Taiwan; Craniofacial Research Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan
| | - Lun-Jou Lo
- Graduate Institute of Dental and Craniofacial Science, Chang Gung University, Taoyuan, Taiwan; Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital at Taoyuan, Taoyuan, Taiwan; Craniofacial Research Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan
| | - Ellen Wen-Ching Ko
- Graduate Institute of Dental and Craniofacial Science, Chang Gung University, Taoyuan, Taiwan; Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital at Taipei, Taipei, Taiwan; Craniofacial Research Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; Department of Dentistry, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.
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de Araujo CM, Schroder AGD, de Araujo BMDM, Cavalcante-Leão BL, Stechman-Neto J, Zeigelboim BS, Santos RS, Guariza-Filho O. Impact of orthodontic-surgical treatment on quality of life: a meta-analysis. Eur J Orthod 2019; 42:281-289. [DOI: 10.1093/ejo/cjz093] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Summary
Background
Orthognathic surgery involves a change in the patient’s functional and aesthetic aspects.
Objective
The objective was to answer the following focused question: what is the impact on quality of life (QoL; aesthetic, function, social, and psychological aspects) in patients undergoing orthodontic-surgical treatment?
Search methods
Appropriate word combinations and truncations were selected and tailored specifically for each electronic database: PubMed/Medline, Scopus, Web of Science, PsycInfo, and Latin American and Caribbean Health Sciences Literature and gray literature.
Selection criteria
Studies that met the following criteria was included: patients with dentofacial deformity (P); surgical correction through orthodontic-surgical treatment (E/I); before orthodontic-surgical treatment or patients with no dentofacial deformity (C); QoL (O); cross-sectional, cohort, case-control and randomized or non-randomized clinical trial (S).
Data collection and analysis
In phase 1, two reviewers independently reviewed the titles and abstracts of all references. All articles that did not meet the inclusion criteria were excluded. In phase 2, the same reviewers completely read the selected articles independently.
Results
A total of 2879 articles were retrieved during the final database search. Fifty-two articles were selected for full reading, of which 16 were excluded, resulting in 36 included articles. The meta-analysis was performed using 13 of the selected studies. When comparing the period before any treatment with the post-operative period of 4–8 weeks, there was an association only for facial aesthetics (mean difference = 3.00; 95 per cent confidence interval = 1.10–4.89; inconsistency index = 63 per cent). The comparison between the period before any treatment with the 6 month post-operative period showed an improved QoL in all of the domains evaluated and, when comparing data after the orthodontic-surgical preparation (before surgery) and after 5–12 months of surgery, there was also statistical significance with an increased QoL for all of the domains evaluated.
Conclusions
In conclusion, based on the results of this systematic review and meta-analysis, the evidence suggests an improvement in the QoL of patients undergoing orthodontic-surgical treatment regarding aesthetic, functional, social, and psychological aspects.
Registration
CRD42017069495
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Affiliation(s)
- Cristiano Miranda de Araujo
- Postgraduate Program in Dentistry, Pontifícia Universidade Católica do Paraná, Curitiba
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil
| | | | | | | | - José Stechman-Neto
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil
| | | | - Rosane Sampaio Santos
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil
| | - Odilon Guariza-Filho
- Postgraduate Program in Dentistry, Pontifícia Universidade Católica do Paraná, Curitiba
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Yi J, Lu W, Xiao J, Li X, Li Y, Zhao Z. Effect of conventional combined orthodontic-surgical treatment on oral health-related quality of life: A systematic review and meta-analysis. Am J Orthod Dentofacial Orthop 2019; 156:29-43.e5. [DOI: 10.1016/j.ajodo.2019.03.008] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2018] [Revised: 03/01/2019] [Accepted: 03/01/2019] [Indexed: 12/17/2022]
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Sun H, Shang HT, He LS, Ding MC, Su ZP, Shi YL. Assessing the Quality of Life in Patients With Dentofacial Deformities Before and After Orthognathic Surgery. J Oral Maxillofac Surg 2018; 76:2192-2201. [DOI: 10.1016/j.joms.2018.03.026] [Citation(s) in RCA: 37] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2017] [Revised: 03/19/2018] [Accepted: 03/21/2018] [Indexed: 11/26/2022]
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Survey of patient experiences of orthognathic surgery: health-related quality of life and satisfaction. Int J Oral Maxillofac Surg 2018; 47:726-731. [DOI: 10.1016/j.ijom.2017.12.010] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2017] [Revised: 12/17/2017] [Accepted: 12/20/2017] [Indexed: 11/17/2022]
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Catt SL, Ahmad S, Collyer J, Hardwick L, Shah N, Winchester L. Quality of life and communication in orthognathic treatment. J Orthod 2018; 45:65-70. [DOI: 10.1080/14653125.2018.1458949] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- Susan L Catt
- Sussex Health Outcomes Research & Education in Cancer (SHORE-C), Brighton & Sussex Medical School, University of Sussex, Brighton, UK
| | - Sofia Ahmad
- Queen Victoria Hospital (QVH), East Grinstead, UK
| | | | | | - Nahush Shah
- Queen Victoria Hospital (QVH), East Grinstead, UK
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