Patient's Satisfaction in Skeletal Class III Cases Treated With Two-Jaw Surgery Using Orthognathic Quality of Life Questionnaire: Conventional Three-Stage Method Versus Surgery-First Approach.
J Craniofac Surg
; 26(7): 2086-93, 2015 Oct.
Article
em En
| MEDLINE
| ID: mdl-26468790
ABSTRACT
OBJECTIVE:
To compare the quality of life (QoL) of Class III patients between conventional three-stage method (CTM) and surgery-first approach (SFA) using Orthognathic QoL Questionnaire (OQLQ). MATERIALS ANDMETHODS:
The subjects consisted of 26 Class III patients treated with nonextraction and two-jaw surgery. They were divided into CTM group (N = 15) and SFA group (N = 11). They retrospectively rated the OQLQ scores of 4 domains (social relationship, facial esthetics, function, and awareness of dentofacial deformity) using 0 to 4 scale at initial (T0), just before surgery (T1), 3 month after surgery (T2), and at debonding (T3). Mann-Whitney test and Wilcoxon signed-rank test were performed for statistical analysis.RESULTS:
After total OQLQ score of CTM group was deteriorated at T1 stage compared with T0 stage, it was improved at T2 and T3 stages (T0 = 53.9, T1 = 58.1, T2 = 23.5, and T3 = 11.6). Total OQLQ score of SFA group, however, was improved at T2 and T3 stages compared with T0 stage (T0 = 51.6, T2 =â 3.1, and T3 = 11.4; T1 was omitted.). Orthognathic QoL Questionnaire scores and their amounts of change did not show any significant difference in each domain and at each stage between 2 groups (T0, T2, T3, ΔT2 - T0, ΔT3 - T2, ΔT3 - T0; all P > 0.05). Both groups showed large change in effect size (ES) of all domains with descending order during T3 - T0 facial esthetics, oral function, social relationship, and awareness of dentofacial deformity (CTM group -3.97, -3.40, -2.23, -1.25; SFA group -2.83, -2.33, -1.76, -1.73)CONCLUSIONS:
SFA might have an advantage over CTM group in terms of no deterioration stage of OQLQ score.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Qualidade de Vida
/
Satisfação do Paciente
/
Procedimentos Cirúrgicos Ortognáticos
/
Má Oclusão Classe III de Angle
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Qualitative_research
Limite:
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
J Craniofac Surg
Assunto da revista:
ODONTOLOGIA
Ano de publicação:
2015
Tipo de documento:
Article
País de afiliação:
Coréia do Sul