Assessment of the impact of orthodontic-surgical treatment on the quality of life of patients with mandibular prognathism

Jana  Ilić; Tatjana Čutović; Ružica Kozomara; Julija Radojičić; Tijana Adamović; Jovana Lovrić

doi:10.2298/VSP220512063I

Jana Ilić Health Center of Banja Luka, Banja Luka, Republic of Srpska, Bosnia and Herzegovina
Tatjana Čutović University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia
Ružica Kozomara University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia
Julija Radojičić University of Niš, Faculty of Medicine, Niš, Serbia
Tijana Adamović University of Banja Luka, Faculty of Medicine, Banja Luka, Republic of Srpska, Bosnia and Herzegovina
Jovana Lovrić PHI Institute of Dentistry, Banja Luka, Republic of Srpska, Bosnia and Herzegovina

DOI: https://doi.org/10.2298/VSP220512063I

Keywords: mandible, orthognathic surgical procedures, prognathism, quality of life, surveys and questionnaires, treatment outcome

Abstract

Background/Aim. Mandibular prognathism, as one of the more severe forms of dentofacial deformities, impairs the oral functions and appearance of the patient’s face and represents a psychosocial handicap with a negative impact on the quality of life (QoL). The aim of the study was to assess the impact of orthodontic-surgical (OS) treatment on the QoL of patients with mandibular prognathism. Methods. The study involved 40 patients (19 men and 21 women, with a mean age of 24.1 ± 4.1 years) who underwent the OS treatment for mandibular prognathism. All patients completed two questionnaires – the Oral Health Impact Profile (OHIP-14) and the Orthognathic Quality of Life Questionnaire (OQLQ), before the start of treatment and 12 months after the completion of treatment. Results. The results of both questionnaires showed an improvement in the QoL compared to the condition before the treatment. According to the OQLQ questionnaire, there was a postoperative improvement in the QoL (score 24.8 ± 12.9) compared to the preoperative period (score 51.3 ± 15.2). According to the results of the OHIP-14 questionnaire, there was a postoperative improvement in the QoL (score 11.3 ± 2.9) compared to the preoperative period (score 20.8 ± 6.9). The improvement of the QoL, 12 months after the treatment, occurred in all life segments, measured by both questionnaires. Conclusion. OS treatment of mandibular prognathism improves all oral functions, including the appearance of the patient’s face, thus improving the QoL.

References

1. Mousoulea S, Tsolakis I, Ferdianakis E, Tsolakis AI. The effect of chin-cup therapy in class III malocclusion: a systematic review. Open Dent J 2016; 10: 664‒79.

2. Kilinc A, Ertas U. An assessment of the quality of life of patients with class III deformities treated with orthognathic surgery. J Oral Maxillofac Surg 2015; 73(7): 1394. e1‒5.

3. Rezaei F, Masalehi H, Golshah A, Imani MM. Oral health-related quality of life of patients with class III skeletal malocclusion before and after orthognathic surgery. BMC Oral Health 2019; 19(1): 289.

4. Starefeldt M, Ganoo T, Sjöström M. Changes in oral health-related quality of life for patients undergoing orthognathic surgery- a review. Clin Surg 2020; 5: 2697.

5. World Health Organization. Measuring quality of life: the development of the World Health Organization quality of life instrument. Geneva: World Health Organization; 1993.

6. Ni J, Song S, Zhou N. Impact of surgical orthodontic treatment on quality of life in Chinese young adults with class III malocclusion: a longitudinal study. BMC Oral Health 2019; 19: 109‒16.

7. Cariati P, Martinez R, Martinez-Lara I. Psyho-social impact of orthognathic surgery. J Clin Exp Dent 2016; 8(5): 540‒5.

8. Joachim M, Emm Richter D, Mohana A, Labeeb M, Abdelraziq M, Abu El-Naaj I. Quality of life after class III repair orthognathic surgery: five-year retrospective study. J Craniofac Surg 2021; 32(8): 2588‒91.

9. Abdullah WA. Changes in quality of life after orthognathic surgery in Saudi patients. Saudi Dent J 2015; 27(3): 161‒4.

10. Meger MN, Fatturi AL, Gerber JT, Weiss SG, Rocha JS, Scariot R, et al. Impact of orthognathic surgery on quality of life of patients with dentofacial deformity: a systematic review and meta-analysis. Br J Oral Maxillofac Surg 2021; 59(3): 265‒71.

11. Song YL, Yap AU. Orthognathic treatment of dentofacial disharmonies: its impact on temporomandibular disorders, quality of life and psychosocial wellnes. Cranio 2017; 35(1): 52‒7.

12. Belusic-Gobic M, Kralj M, Harmicar D, Cerovic R, Mady Maricic B, Spalj S. Dentofacial deformity and orthognathic surgery: Influence on self-esteem and aspects of quality of life. J Craniomaxillofac Surg 2021; 49(4): 277‒81.

13. Gabardo M, Zielak J, Tόrtora G, Gerber J, Meger M, Rebellato N, et al. Impact of orthognathic surgery on quality of life: predisposing clinical and genetic factors. J Craniomaxillofac Surg 2019; 47(8): 1285‒91.

14. Slade GD. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol 1997; 25(4): 284‒90.

15. Cunningham SJ, Garratt AM, Hunt NP. Development of a condition-specific quality of life measure for patients with dentofacial deformity: I. Reliability of the instrument. Community Dent Oral Epidemiol 2000; 28(3): 195‒201.

16. Cunningham SJ, Garratt AM, Hunt NP. Development of a condition-specific quality of life measure for patients with dentofacial deformity: II. Validity and responsiveness testing. Community Dent Oral Epidemiol 2002; 30(2): 81‒90.

17. Stančić I, Tihaček Šojić LJ, Jelenković A. Adaptation of Oral Health Impact Profile (OHIP-14) index for measuring impact of oral health on quality of life in elderly to Serbian language. Vojnosanit Pregl 2009; 66(7): 511‒5. (Serbian)

18. Lekić M, Daković D, Lazić Z, Čutović T, Ilić I, Ilić M. The Serbian version of the Oral Health Questionnaire for Adults. Vojnosanit Pregl 2021; 78(9): 919‒27.

19. Lekić M, Daković D, Kovačević V, Čutović T, Ilić I, Ilić M. Testing of the Serbian version of the oral health impact profile (OHIP-14) Questionnaire among professional members of the Serbian armed forces. Vojnosanit Pregl 2021; 78(12): 1257‒62.

20. Vučić Lj, Glišić B, Kisić-Tepavčević D, Vučić U, Drulović J, Pekmezović T. Cross-cultural adaptation and validation of the disease specific questionnaire OQLQ in Serbian patients with malocclusions. Zdr Varst 2016; 55(3): 166‒73.

21. Eslamipour F, Najimi A, Tadayonfard A, Azamian Z. Impact of orthognathic surgery on quality of life in patients with dentofacial deformities. Int J Dent 2017; 2017: 4103905.

22. Duarte V, Zaror C, Villanueva J, Werlinger F, Vidal C, Solé P, et al. Changes in health-related quality of life after orthognathic surgery: a multicenter study. Clin Oral Investig 2022; 26(4): 3467‒76.

23. Cabral RC, Canellas JV, Tiwana PS, Medeiros PJ, Ritto FG. Impact of orthognathic surgery on quality of life and comparison of patients` postoperative experience after single and double jaw surgery: a longitudinal study. Pathol Oral Radiol 2021; 132(6): 633‒40.

24. Vučić Lj, Glišić B, Vučić U, Drulović J, Pekmezović T. Quality of life assessment in patients with malocclusion undergoing orthodontic and orthognathic treatment. Zdr Varst 2020; 59(3): 137‒45.

25. Lee S, McGrath C, Samman N. Impact of orthognathic surgery on quality of life. J Oral Maxillofac Surg 2008; 66: 1194‒9.

26. Choi WS, Lee S, McGrath C, Samman N. Change in quality of life after combined orthodontic-surgical treatment of dentofacial deformities. Oral Surg Oral Med Oral Pathol Oral Radiol Oral Endod 2010; 109(1): 46‒51.

27. Desforges E, Mathis R, Wilk A, Zagala-Bouquillon B, Bacon W, Meyer N, et al. The psychological impact of orthognathic surgery. Orthod Fr 2007; 78(2): 113‒21. (French)

28. Espeland L, Hogevold HE, Stenvik A. A 3-year patient-centred follow-up of 516 consecutively treated orthognathic surgery patients. Eur J Orthod 2008; 30(1): 24‒30.

29. Azuma S, Kohzuki M, Saeki S, Tajima M, Igarashi K, Sugawara J. Beneficial effects of orthodontic treatment on quality of life in patients with malocclusion. Tohoku J Exp Med 2008; 214(1): 39‒50.

30. Geramy A, Mazaheri Nazarifar A, Saffar Shahroudi A, Sheikhzadeh S. Oral health-related quality of life following orthognathic surgery for class III correction its relationship with cephalometric changes. Int J Oral Maxillofac Surg 2019; 48(11): 1434‒9.

31. Ghorbani F, Gheibollahi H, Tavanafar S, Eftekharian HR. Improvement of esthethic, functional, and social well-being after orthognathic surgical intervention: a sampling of postsurgical patients over a 10-year period from 2007 to 2017. J Oral Maxillofac Surg 2018; 76(11): 2398‒403.