Changes in Oral Health-Related Quality of Life for Patients Undergoing Orthognathic Surgery - A Review

Matilda Starefeldt1, Tulika Ganoo2* and Mats Sjöström2

1Department of Orthodontics, Umeå University, Sweden
2Department of Odontology, Oral and Maxillofacial Surgery, Umeå University, Sweden

^*Correspondance to: Tulika Ganoo 

 PDF  Full Text DOI: 10.25107/2474-1647.2697

Abstract

Objective: To identify current knowledge of changes in quality of life including Oral Health- Related Quality of Life (OHRQoL) for patients undergoing orthognathic surgery based on validated questionnaires. Material and Methods: Two databases (PubMed, Cochrane Library), were searched and full-text articles concerning patients with dentofacial deformities undergoing orthodontics and orthognathic surgery were included. Inclusion criteria: articles published in English in referee reviewed journals between January 2003 and December 2017, self-assessed quality of life using validated questionnaires. Exclusion criteria: Articles reporting quality of life of patients with syndromes such as cleft lip palate or severe illness, review articles. Results: Sixteen longitudinal or cross-sectional articles were included, all considered of moderate quality. Oral Health Impact Profile and Orthognathic Quality of Life were the most commonly used questionnaires. Included studies reported a lower OHRQoL for patients with dentofacial deformities compared to patients with normal dentofacial features. There was a tendency towards more positive OHRQoL for patients with dentofacial deformities after orthognathic surgery. This positive effect seems to be evident 6 months after surgery, with further improvements at completion of treatment. Changes in general health related quality of life, predominately measured by the 36- item Short-Form Health Survey, were not coherently evident nor was sex differences. Conclusion: Patients with dentofacial deformities improved moderately after orthognathic surgery, while generic health related quality of life was unchanged.

Keywords

Orthognathic surgery; Quality of life; Oral health related quality of life; Review

Cite the article

Starefeldt M, Ganoo T, Sjöström M. Changes in Oral Health-Related Quality of Life for Patients Undergoing Orthognathic Surgery - A Review. Clin Surg. 2020; 5: 2697..