Dentofacial Deformities and Implications on Quality of Life: A Presurgical Multifactorial Analysis in Patients Seeking Orthognathic Surgical Treatment.

Autor: Mendes de Paula Gomes, Adrielle, Adas Saliba Garbin, Cléa, da Silva Ferraz, Flávio Wellington, Adas Saliba, Tânia, Isper Garbin, Artênio José
Zdroj: Journal of Oral & Maxillofacial Surgery (02782391); Feb2019, Vol. 77 Issue 2, p409.e1-409.e9, 1p
Abstrakt: Purpose: The purpose was to perform a quality-of-life survey in patients with skeletal malocclusion before undergoing orthognathic surgery, as well as delineate the sociodemographic profile and detect factors that may alter the quality of life.Patients and Methods: This cross-sectional study was carried out in patients who sought care at the Hospital das Clínicas of the University of São Paulo Medical School (N = 106; average age, 27.2 years). Participants answered the Oral Health Impact Profile 14 (OHIP-14) questionnaire and Orthognathic Quality of Life Questionnaire (OQLQ). The χ2 or Fisher test was used to verify the association between impact and sociodemographic variables.Results: On the Oral Health Impact Profile 14 (OHIP-14) questionnaire, the "psychological incapacity" dimension (64.15%) presented a higher prevalence of impact. The marital status of the interviewees had a statistically significant effect on the impact of quality of life (P = .0119). On the Orthognathic Quality of Life Questionnaire (OQLQ), the "facial esthetics" dimension represented 81.13% in the prevalence of impact on quality of life. The "gender" variable had a statistically significant effect on the quality of life of the respondents (P = .0005), with women having an 11.78 times greater chance of having this impact.Conclusions: In this study, psychological factors and esthetics exerted a strong influence on the quality of life of patients with dentofacial deformities, overlapping with functional aspects. [ABSTRACT FROM AUTHOR]
Databáze: Supplemental Index