Comparison of quality of life in orthognathic surgery patients between orthodontic-first and surgery-first approaches

Name: Chonakan Thitiyuk

keyword: Orthognathic surgery

; Orthognathic surgical procedures

; Quality of life

; Questionnaires

; Dentofacial deformities

Abstract: This perspective cohort study aimed to assess changes in quality of life (QoL) between orthodontic-first approach (OFA) and surgery-first approach (SFA) patients. Sixty patients who underwent orthognathic surgery by OFA (n=30) and SFA (n=30) provided self-administered questionnaires (SAQs) about orthognathic quality of life (Thai version OQLQ). Data was collected at four time points: before surgery (T1) and postoperatively at one (T2), three (T3) and six months (T4), respectively. Intragroup and intergroup comparisons were done by the Friedman test and Mann-Whitney U test, respectively. At one month after surgery, facial aesthetics and social aspects of deformity domains improved significantly in OFA groups, whereas only the facial aesthetics domain improved significantly in SFA groups. Oral function in the OFA group improved significantly after three months, as did social aspects of deformity and awareness of facial deformities in the SFA group. All domains had significantly improvement at six months. Additional domain improvements included awareness of facial deformities among the OFA group and oral function in the SFA group. Orthognathic surgery improved patient QoL gradually starting at one, three, and six months for the OFA and SFA groups. The facial aesthetic domain was the first to improved significantly, demonstrating primary concern to patients of both groups subsequently. Other domains improved gradually at different time points, depending upon approach. Long-term results (six months) revealed that all domains improved regardless of group. In addition, there was no significant change in OQLQ score between groups at any time point

Thammasat University. Thammasat University Library

Address: BANGKOK

Email: preserv@tu.ac.th

Name: Narissaporn Chaiprakit

Role: advisor

Created: 2021

Modified: 2023-11-20

Issued: 2023-11-20

วิทยานิพนธ์/Thesis

application/pdf

DOI: 10.14457/TU.the.2021.1193

eng

DegreeName: Master of Science

Level: Master's Degree

Descipline: Dentistry

Grantor: Thammasat University

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