Assessing change in quality of life using the Oral Health Impact Profile (OHIP) in patients with different dentofacial deformities undergoing orthognathic surgery: a before and after comparison |
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| Institution: | 1. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Cukurova University, Adana, Turkey;2. Department of Oral and Maxillofacial Surgery, Paracelsus Medical University, Salzburg, Austria;3. Orthopedics, Privat Hospital Maria Hilf, Klagenfurt, Austria;4. Department of Histology, Faculty of Medicine, Cukurova University, Adana, Turkey;1. The Research Institute of Stomatology, Nanjing Medical University, Nanjing, China;2. Department of Oral and Maxillofacial Surgery, Stomatological Hospital of Jiangsu Province, Nanjing, China;3. Department of Orthodontics, Nanjing Maternity and Child Health Care Hospital, Nanjing, China;4. Department of Prosthodontics and Implants, Jiangsu Provincial Stomatology Hospital, Stomatological Hospital of Jiangsu Province, Nanjing, China;5. Department of Stomatology, Gaoyou People''s Hospital, Gaoyou, Jiangsu Province, China;6. Department of Radiology, Stomatological Hospital of Jiangsu Province, Nanjing, China;1. Department of Clinical Oral Oncology, Unit of Translational Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan;2. Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan;1. Department of Craniomaxillofacial and Oral Surgery, University Hospital of Zurich, Zürich, Switzerland;2. Private Practice, Zürich, Switzerland;3. Department of Radio-oncology, University Hospital of Zürich, Zürich, Switzerland |
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| Abstract: | Dentofacial deformities and their treatment have physical and psychological repercussions on quality of life (QOL). Seventy-four patients were evaluated preoperatively (T0) and at 4–6 months postoperatively (T1). Oral health-related QOL was assessed using the short form of the Oral Health Impact Profile (OHIP-14). There was a statistically significant reduction in the average overall OHIP-14 score between T0 (13.23 ± 6.45) and T1 (3.26 ± 4.19). In addition, there were significant decreases in all seven OHIP-14 domains. Class III patients benefited in all domains evaluated, while a significant improvement was seen only in the psychological disability domain for class I patients. Class II patients showed a significant benefit in all domains except the domain of functional limitation. With regard to the total sample (n = 74) and class III patients (n = 58), correlations between domains were identified for all domains. The same correlation was not identified for class I (n = 5) and II (n = 11) patients. The entire sample and class III patients showed significant improvements in OHIP-14 scores for all degrees of postoperative sensory disturbance in the upper and lower lips, except for patients with degree 5 (extreme) disturbance of the upper lip. Orthognathic surgical treatment had a positive impact on oral health-related QOL in the patients evaluated. |
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| Keywords: | orthognathic surgery questionnaire quality of life oral health dentofacial deformity OHIP |
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