engleski

Dimensions of quality of life influencing patients’ decision to accept orthognathic surgery for skeletal malocclusions

Aim: While some patients with minor malocclusions seek orthodontic consultation and intervention, patients with pronounced skeletal malocclusions and altered facial aesthetics often refuse suggested orthognathic surgery. The aim of the study was to investigate factors influencing patients’ decision to accept surgery. Materials and Methods: In a convenient sample of subjects (N=110, 60% female) aged 12-38 years (median 18, interquartile range 17-22), with skeletal malocclusions appropriate for orthognathic surgical intervention , the dimensions of the Orthognathic Quality of Life Questionnaire (OQOL) were compared between subjects who agreed to undergo suggested surgery and those who refused (N=47 vs. 63). T-test was used to analyze the differences. Results: Subjects with skeletal deformities of the orofacial complex who agreed to proposed orthognathic surgical correction are significantly more aware of the deformity (AW), more concerned with facial aesthetics (FA) and have impaired oral function (OF) than those with no deformities, with small to medium effect size, lowest in FA and highest in OF (p≤0.001, r=0.219- 0.314). Social aspects of deformity (SA) were also higher but it did not reach the level of significance. Conclusion: Impaired oral function is the primary motive to undergo surgery and social aspect of deformity is the least important.

facial aesthetics ; oral function ; orthognathic surgery ; social aspects of deformity

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