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

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

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

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.
Original languageEnglish
Pages (from-to)3467-3476
Number of pages10
JournalClinical Oral Investigations
Volume26
Issue number4
DOIs
StatePublished - 2 Dec 2021
Externally publishedYes

Bibliographical note

© 2021, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Keywords

  • Dentofacial deformity
  • Health-related quality of life
  • Oral health-related quality of life
  • Orthognathic surgery
  • Patient-reported outcome measures

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