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The impact of orthognathic surgery on quality of life in individuals with oral clefts
- Source :
- Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual), Universidade de São Paulo (USP), instacron:USP
- Publication Year :
- 2021
- Publisher :
- Oxford University Press (OUP), 2021.
-
Abstract
- Summary Background/objectives To evaluate the relationships between individual, environmental, clinical factors and oral health-related quality of life (OHRQoL) in patients with cleft lip and palate (CLP) following orthognathic surgery. Materials and methods A follow-up study was conducted involving 69 adults with unilateral and bilateral CLP under orthodontic treatment. Interviews and oral examinations were conducted prior to orthognathic surgery (T0) to evaluate age, gender, psychological well-being, dental caries, malocclusion, social support, social networks, family income and education and OHRQoL. All participants were reviewed after 6 months (T1) to re-assess psychological well-being, malocclusion and OHRQoL. Structural equation modeling estimated the associations between the variables. Results OHRQoL total scores reduced following orthognathic surgery, from 11.7 to 6.9 (P < 0.01). Occlusal characteristics and psychological well-being improved between T0 and T1. In the structural equation modeling, reduction of malocclusion (β = 0.02) between T0 and T1 directly predicted poor OHRQoL at T1. Improvement of psychological well-being between T0 and T1 was associated with better OHRQoL at T1 (β = −0.07). Dental caries and malocclusion at T0 were indirectly linked to poor OHRQoL at T1 (β = 0.02). Limitations The short follow-up period of 6 months after orthognathic surgery. Conclusions/implications This represents the first prospective study examining the interrelationships of predictors of OHRQoL in patients with CLP after orthognathic surgery. OHRQoL and psychological well-being improved after orthognathic surgery. Clinical and psychological characteristics were important determinants of OHRQoL. These findings suggest the importance of the biopsychosocial model of health and the patient-centered approach in oral health care in individuals with CLP.
- Subjects :
- Adult
Biopsychosocial model
Cleft Lip
medicine.medical_treatment
Orthognathic surgery
Dentistry
Oral Health
Orthodontics
Dental Caries
03 medical and health sciences
Social support
0302 clinical medicine
Quality of life
Surveys and Questionnaires
FISSURA LÁBIOPALATINA
medicine
Humans
In patient
Prospective Studies
030223 otorhinolaryngology
Prospective cohort study
business.industry
Orthognathic Surgery
030206 dentistry
medicine.disease
humanities
Cleft Palate
Quality of Life
Oral examination
Malocclusion
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 14602210 and 01415387
- Volume :
- 44
- Database :
- OpenAIRE
- Journal :
- European Journal of Orthodontics
- Accession number :
- edsair.doi.dedup.....2866b0b3a2f3b209d8b6a525c71dd3ea