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Published in: Clinical Oral Investigations 4/2022

01-04-2022 | Original Article

Changes in health-related quality of life after orthognathic surgery: a multicenter study

Authors: Valentina Duarte, Carlos Zaror, Julio Villanueva, Fabiola Werlinger, Constanza Vidal, Pedro Solé, Juan Alberto O`Ryan, Roberto Requena, Matías Dallaserra, René Rojas, Marcela Burgos, Montse Ferrer

Published in: Clinical Oral Investigations | Issue 4/2022

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Abstract

Objective

To evaluate changes in general and oral health-related quality of life (HRQoL) in patients with dentofacial deformity undergoing orthognathic surgery, and whether these changes vary according to type of deformity.

Material and methods

This is a prospective longitudinal multicenter study of patients with dentofacial deformities (n = 90). The Orthognathic Quality of Life Questionnaire (OQLQ), Oral Health Impact Profile (OHIP-14), and Short-Form Health Survey version2 (SF-36v2) were self-completed by patients before surgery, 3 and 6 months after orthognathic surgery. Change was tested using paired t-test, and compared between Class II and Class III of dentofacial deformity by unpaired t-test. The magnitude of change was examined estimating the standardized response mean (SRM).

Results

The OQLQ and OHIP-14 showed statistically significant improvements 6 months after surgery, compared with the pre-surgical evaluation, but the SF-36v2 only in the physical component summary. The SRM was large in OQLQ oral function (-1.11) and dentofacial facial aesthetics (-0.76) dimensions, and moderate in most of OHIP-14 dimensions. Differences in mean change between Class II and III were statistically significant for global scores of OQLQ (-10.08 vs -20.30, p = 0.0271) and OHIP-14 (-3.79 vs -10.56, p = 0.0144).

Conclusions

A significant improvement was observed in oral HRQoL and in the physical component of general health in patients with dentofacial deformities Class II and III after orthognathic surgery. Improvement was greater among Class III than in Class II patients.

Clinical relevance

These results provide patients, oral health care professionals, and planners with valuable information to make evidence-based decisions and facilitate shared clinical decision-making, taking into account the patients’ perspective.
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Metadata
Title
Changes in health-related quality of life after orthognathic surgery: a multicenter study
Authors
Valentina Duarte
Carlos Zaror
Julio Villanueva
Fabiola Werlinger
Constanza Vidal
Pedro Solé
Juan Alberto O`Ryan
Roberto Requena
Matías Dallaserra
René Rojas
Marcela Burgos
Montse Ferrer
Publication date
01-04-2022
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 4/2022
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-021-04315-7

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