口腔の健康と歯の管理

概要

Quality of Life of Patients with Dentofacial Deformities Undergoing Orthognathic Surgery

Kassio Vieira Macedo, Maria Candida de Almeida Lopes, Raimundo Rosendo Prado Junior, Francisco Antonio de Jesus Costa Silva

Orthognathic surgery has seen increasing demand. Facial deformities and skeletal problems cause disturbances to physiological functions and lead many patients to seek such treatment, which causes important changes in the quality of life. This longitudinal observational study measured the size of the effect, and compared the quality of life before and after orthognathic surgery with the following factors: sex, age, income, schooling, main complaint, type of deformity, type of surgery and degree of satisfaction with the postoperative facial aspect. An identification and socio-demographic form and the Brazilian Orthognathic Quality of Life Questionnaire were applied to 17 patients seen in a private dental office, one week before and six weeks after surgery. The sample was calculated by the prevalence of impact. Descriptive analysis was performed using the Graphpad Prism software (Graphpad Software) and the Sperman correlation test applied at a significance level of 0.01. Most of them (76.47%) were very satisfied with the outcome of the procedure. The size of the effect calculated with the total score of the questionnaire was 1.57. Significant preoperative correlations were found between the social domain and satisfaction with facial aesthetics and between deformity awareness and type of deformity; in the postoperative period, between the facial aesthetic domain and the type of deformity and between oral function and sex and satisfaction with facial appearance. Orthognathic surgery has a positive impact especially on satisfaction with facial appearance, and may be conditioned to schooling.