Effects of orthognathic surgery on quality of life compared with non-surgical controls in an American population

There is inadequate data to determine if patients’ self-reported quality of life changes following orthognathic surgery result from the surgery itself or from other factors. Objectives: To determine the psychosocial effects of correcting facial skeletal mal-relationships on quality of life, depression, and anxiety in a group of surgically treated orthodontic patients compared with matched controls. Methods: Subjects were patients presenting to a graduate orthodontic clinic or dental faculty practice with facial skeletal mal-relationship whose proposed treatment plan included orthognathic surgery or who had previously received surgical correction of a facial skeletal mal-relationship. Sex, age, employment and educational level matched controls were surveyed in an identical manner. Instruments used to assess psychosocial impact included the Orthognathic Quality of Life Questionnaire (OQLQ), Beck Depression Inventory (BDI-II), Satisfaction With Life Scale (SWLS), and the State Trait Anxiety Index (STAI). Instruments were administered at initial consultation before any treatment and at post treatment, 6 to 24 months after appliance removal. Between group data was analyzed using multiple Mann-Whitney-Wilcoxon tests with p-values adjusted using the step-down Bonferroni method of Holm. Results: A total of 149 subjects participated in the study, 44 subjects in the pre-treatment control group, 39 in the pre-treatment surgery group, 32 in the post-treatment control group, and 34 in the post-treatment surgery group. There was a significant increase in age, education and employment in both post-treatment groups compared with their respective pre-treatment groups. There were no significant differences in quality of life, depression, anxiety or overall satisfaction with life in orthognathic surgery patients compared with matched controls except in oral function. The third domain of the OQLQ, oral function, was found to be significantly different between the pre-treatment control and pre-treatment surgery groups and between the pre-treatment surgery and post-treatment surgery groups. Conclusion: Subjects with facial-skeletal mal-relationships who chose to have surgical correction on average are no different from controls relative to health related quality of life, depression, anxiety, and overall satisfaction with life. Patients selecting to have orthognathic surgery can expect to see an improvement in oral function but no other significant improvements in psychosocial parameters.

Name thesis:degree_name

Master of Science

Level thesis:degree_level

masters

Discipline thesis:degree_discipline

Dentistry

Grantor dc:publisher

The Ohio State University

Year dc:date

2013

Author dc:creator

• Swamy, Charu

Contributors dc:contributor

• Firestone, Allen

• Dentistry
• quality of life
• orthognathic surgery

Statement dc:rights

• unrestricted
• This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws.

Language dc:language

English

Repository record dc:identifier

http://rave.ohiolink.edu/etdc/view?acc_num=osu1363795914

OAI identifier oai:identifier

oai:etd.ohiolink.edu:osu1363795914