Dentofacial deformity and orthognatic surgery: Influence on self-esteem and aspects of quality of life |
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| Authors: | Margita Belusic Gobic Martin Kralj David Harmicar Robert Cerovic Barbara Mady Maricic Stjepan Spalj |
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| Affiliation: | 1. University of Rijeka, Faculty of Medicine, Department of Maxillofacial Surgery, Tome Strizica 3, 51000, Rijeka, Croatia;2. University of Rijeka, Faculty of Dental Medicine, Department of Orthodontics, Kresimirova 40, Rijeka, Croatia;3. J. J. Strossmayer University of Osijek, Faculty of Dental Medicine and Health, Department of Dental Medicine 1, Crkvena 21, Osijek, Croatia;1. Department of Oral and Maxillofacial Surgery, Saitama Medical Center, Saitama Medical University, Saitama, Japan;2. Department of Cranio-Maxillofacial Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland;3. Division of Nutrition, Saitama Medical Center, Saitama Medical University, Saitama, Japan;4. Community Health Science Center, Saitama Medical University, Saitama, Japan;5. Department of Hepato-Biliary-Pancreatic and Pediatric Surgery, Saitama Medical Center, Saitama Medical University, Saitama, Japan;1. Department of Oral and Maxillofacial Surgery, Tuebingen University Hospital, Germany;2. Interdisciplinary Centre for Cleft Palate and Craniofacial Malformations, Tuebingen University Hospital, Germany;3. Department of Orthodontics, Tuebingen University Hospital, Germany;4. BIP-Orthodontic Practice, Tuebingen, Germany;5. Department of Anaesthesiology and Intensive Care Medicine, BG Unfallklinik Tuebingen, Germany;6. Department of Neonatology, Tuebingen University Hospital, Germany;1. PhD Student in Preventive and Social Dentistry, Araçatuba Dental School, São Paulo State University, Araçatuba, Brazil;2. Full Professor, Department of Preventive and Social Dentistry, Araçatuba Dental School, São Paulo State University, Araçatuba, Brazil;3. Dental Surgeon, Araçatuba Dental School, São Paulo State University, Araçatuba, Brazil; and Specialist in Oral and Maxillofacial Surgery and Traumatology, University of São Paulo, São Paulo, Brazil;4. Adjunct Professor, Department of Preventive and Social Dentistry, Araçatuba Dental School, São Paulo State University, Araçatuba, Brazil;6. Adjunct Professor, Department of Preventive and Social Dentistry, Araçatuba Dental School, São Paulo State University, Araçatuba, Brazil;1. APHP, Necker-Enfants Malades Hospital, Department of Pediatric Maxillo-Facial and Plastic Surgery, 75015, Paris, France;2. Rare Disease Center Cleft and Facial Malformation, 75015, Paris, France;3. University of Paris, Paris, France;1. Faculty of Social Sciences (Psychology), University of Tampere, Tampere, Finland;2. Department of Oral and Maxillofacial Diseases, Turku University Hospital, Turku, Finland;3. Faculty of Medicine and Life Sciences, University of Tampere, Tampere, Finland;4. Oral and Maxillofacial Unit, Tampere University Hospital, Tampere, Finland;5. Department of Community Dentistry, Institute of Dentistry, University of Turku, Turku, Finland;6. Department of Oral Development and Orthodontics, Institute of Dentistry, University of Turku, Turku, Finland;1. Division of Maxillofacial Surgery, Città Della Salute e Della Scienza Hospital, University of Torino, Italy;2. Department of Management and Production Engineering Politecnico of Torino, Italy |
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| Abstract: | This study aimed to assess the extent to which psychosocial and functional aspects are affected in orthognathic surgery patients. The Oral Health Impact Profile (OHIP-CRO14), Orthognathic Quality of Life Questionnaire and Self-Esteem (SE) Scale were used. The sample included 110 Caucasian subjects (73% females) aged 19–54 years. Fifty-five patients with dentofacial deformities were treated by combined orthodontic-orthognathic surgical treatment, and 55 others, matched by sex and age, were untreated controls without dentofacial deformities. In comparison with the untreated subjects, patients before surgery had a poorer quality of life, with the largest effect size in oral function (OF) and OHIP (average differences 8.0 and 14.7, respectively; p < 0.001; r = 0.65 and 0.63), while the lowest effect sizes were in awareness of facial aesthetics (AW) and SE. The treatment induced statistically significant changes in all psychosocial and functional aspects, mainly with a large effect size (p < 0.001; r = 0.48–0.78). The major effect size was a decrease in facial aesthetic concerns (FE; 7.6 ± 6.2; p < 0.001; r = 0.78), followed by a decrease in impairment of OF and OHIP (8.0 ± 7.1 and 16.6 ± 14.6; p < 0.001; r = 0.75). The lowest effect size was in the decrease in AW and increase in SE. After surgery, all aspects were similar to those in the untreated subjects. In conclusion, facial deformity raises many issues, primarily related to aesthetic concerns and functional impairment; however, orthognathic surgery manages to improve quality of life to be similar to that of the population without deformities. |
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| Keywords: | Orthognathic surgery Quality of life Self-esteem Dentofacial deformities Aesthetics |
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