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01-06-2021 | Craniomandibular Dysfunction and Stress | Original Article

Orthognathic surgery in class II patients: a longitudinal study on quality of life, TMD, and psychological aspects

Authors: Isabela Polesi Bergamaschi, Rafael Correia Cavalcante, Marina Fanderuff, Jennifer Tsi Gerber, Maria Fernanda Pivetta Petinati, Aline Monise Sebastiani, Delson João da Costa, Rafaela Scariot

Published in: Clinical Oral Investigations | Issue 6/2021

Abstract

Objectives

To evaluate, longitudinally, the impacts of orthognathic surgery in patients with skeletal class II malocclusion on oral health-related quality of life (OHRQoL), temporomandibular disorders (TMD) and psychological symptoms.

Materials and methods

Forty-three patients with skeletal class II malocclusion who were submitted to orthognathic surgery were evaluated during their preoperative and postoperative periods. They answered the short version of the Oral Health Impact Profile (OHIP-14) and were also diagnosed according to Axes I and II of the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). The evolution of OHRQoL and TMD before and after surgery was verified, and the relationships among these variables were found through statistical analysis using Wilcoxon, McNemar, chi-square, and Mann-Whitney tests, with a 5% significance level.

Results

The median of the overall OHIP-14 score and five domains decreased after orthognathic surgery (p < 0.05), the functional limitation domain increased (p = 0.014), and the physical disability domain did not show an association (p = 0.133). There were improvements in articular pain (p = 0.016), chronic pain (p = 0.019), and nonspecific physical symptoms excluding pain (p = 0.013). In addition, an association was found between poorer OHRQoL (overall scale and domains) and the Axis II variables of the RDC/TMD (p < 0.05).

Conclusion

Orthognathic surgery improved perceived OHRQoL, articular pain, and chronic pain. The conditions of Axis II of the RDC/TMD interfered with OHRQoL postoperatively.

Clinical relevance

Although orthognathic surgery improves QoL and some TMD conditions in skeletal class II patients, poorer postoperative outcomes are observed when psychological conditions are present.

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Title: Orthognathic surgery in class II patients: a longitudinal study on quality of life, TMD, and psychological aspects
Authors: Isabela Polesi Bergamaschi
Rafael Correia Cavalcante
Marina Fanderuff
Jennifer Tsi Gerber
Maria Fernanda Pivetta Petinati
Aline Monise Sebastiani
Delson João da Costa
Rafaela Scariot
Publication date: 01-06-2021
Publisher: Springer Berlin Heidelberg
Keyword: Craniomandibular Dysfunction and Stress
Published in: Clinical Oral Investigations / Issue 6/2021
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-020-03709-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Orthognathic surgery in class II patients: a longitudinal study on quality of life, TMD, and psychological aspects

Abstract

Objectives

Materials and methods

Results

Conclusion

Clinical relevance

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Materials and methods

Results

Conclusion

Clinical relevance

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