Comparison of “Orthodontic First” and “Surgery First” Approaches to Quality of Life in Orthognathic Surgery Patients: A Prospective Cohort Study

This prospective cohort study aimed to assess changes in quality of life (QoL) for “orthodontic first” approach (OFA) and “surgery first” approach (SFA) patients. Sixty patients who underwent orthognathic surgery via either the OFA (<i>n</i> = 30) or the SFA (<i>n</i> = 30) p...

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Main Authors: Chonakan Thitiyuk, Siripatra Patchanee, Awiruth Klaisiri, Narissaporn Chaiprakit
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/12/23/12137
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author Chonakan Thitiyuk
Siripatra Patchanee
Awiruth Klaisiri
Narissaporn Chaiprakit
author_facet Chonakan Thitiyuk
Siripatra Patchanee
Awiruth Klaisiri
Narissaporn Chaiprakit
author_sort Chonakan Thitiyuk
collection DOAJ
description This prospective cohort study aimed to assess changes in quality of life (QoL) for “orthodontic first” approach (OFA) and “surgery first” approach (SFA) patients. Sixty patients who underwent orthognathic surgery via either the OFA (<i>n</i> = 30) or the SFA (<i>n</i> = 30) provided self-administered questionnaires (SAQs) about their orthognathic quality of life (Thai version OQLQ). Data were collected at four time points: before surgery (T1), and postoperatively, at 1 (T2), 3 (T3) and 6 months (T4). Intragroup and intergroup comparisons were performed by the Friedman test and the Mann–Whitney U test, respectively. Both the OFA and the SFA showed that QoL scores gradually improved in each domain for 6 months after surgery. The pattern of improvement after surgery in the SFA group was: facial esthetics (E) at 1 month; awareness of facial deformities (A) and social aspects of deformity (S) at 3 months; oral function (F) at 6 months. The pattern of improvement after surgery in the OFA group was: facial esthetics (E) and social aspects of deformity (S) at 1 month; awareness of facial deformities (A) at 3 months; oral function (F) at 6 months. The most concerning domain for Thai patients in our center OQLQ was the facial esthetic domain.
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spelling doaj.art-a65b0a08baa447278e96d234e7864a492023-11-24T10:31:35ZengMDPI AGApplied Sciences2076-34172022-11-0112231213710.3390/app122312137Comparison of “Orthodontic First” and “Surgery First” Approaches to Quality of Life in Orthognathic Surgery Patients: A Prospective Cohort StudyChonakan Thitiyuk0Siripatra Patchanee1Awiruth Klaisiri2Narissaporn Chaiprakit3Division of Oral and Maxillofacial Surgery, Faculty of Dentistry, Thammasat University, Bangkok 12120, Pathum Thani, ThailandDivision of Orthodontics, Faculty of Dentistry, Thammasat University, Bangkok 12120, Pathum Thani, ThailandDivision of Restorative Dentistry, Faculty of Dentistry, Thammasat University, Bangkok 12120, Pathum Thani, ThailandDivision of Oral and Maxillofacial Surgery, Faculty of Dentistry, Thammasat University, Bangkok 12120, Pathum Thani, ThailandThis prospective cohort study aimed to assess changes in quality of life (QoL) for “orthodontic first” approach (OFA) and “surgery first” approach (SFA) patients. Sixty patients who underwent orthognathic surgery via either the OFA (<i>n</i> = 30) or the SFA (<i>n</i> = 30) provided self-administered questionnaires (SAQs) about their orthognathic quality of life (Thai version OQLQ). Data were collected at four time points: before surgery (T1), and postoperatively, at 1 (T2), 3 (T3) and 6 months (T4). Intragroup and intergroup comparisons were performed by the Friedman test and the Mann–Whitney U test, respectively. Both the OFA and the SFA showed that QoL scores gradually improved in each domain for 6 months after surgery. The pattern of improvement after surgery in the SFA group was: facial esthetics (E) at 1 month; awareness of facial deformities (A) and social aspects of deformity (S) at 3 months; oral function (F) at 6 months. The pattern of improvement after surgery in the OFA group was: facial esthetics (E) and social aspects of deformity (S) at 1 month; awareness of facial deformities (A) at 3 months; oral function (F) at 6 months. The most concerning domain for Thai patients in our center OQLQ was the facial esthetic domain.https://www.mdpi.com/2076-3417/12/23/12137orthognathic surgerydentofacial deformitiesorthodonticsquality of lifesurveys and questionnaires
spellingShingle Chonakan Thitiyuk
Siripatra Patchanee
Awiruth Klaisiri
Narissaporn Chaiprakit
Comparison of “Orthodontic First” and “Surgery First” Approaches to Quality of Life in Orthognathic Surgery Patients: A Prospective Cohort Study
Applied Sciences
orthognathic surgery
dentofacial deformities
orthodontics
quality of life
surveys and questionnaires
title Comparison of “Orthodontic First” and “Surgery First” Approaches to Quality of Life in Orthognathic Surgery Patients: A Prospective Cohort Study
title_full Comparison of “Orthodontic First” and “Surgery First” Approaches to Quality of Life in Orthognathic Surgery Patients: A Prospective Cohort Study
title_fullStr Comparison of “Orthodontic First” and “Surgery First” Approaches to Quality of Life in Orthognathic Surgery Patients: A Prospective Cohort Study
title_full_unstemmed Comparison of “Orthodontic First” and “Surgery First” Approaches to Quality of Life in Orthognathic Surgery Patients: A Prospective Cohort Study
title_short Comparison of “Orthodontic First” and “Surgery First” Approaches to Quality of Life in Orthognathic Surgery Patients: A Prospective Cohort Study
title_sort comparison of orthodontic first and surgery first approaches to quality of life in orthognathic surgery patients a prospective cohort study
topic orthognathic surgery
dentofacial deformities
orthodontics
quality of life
surveys and questionnaires
url https://www.mdpi.com/2076-3417/12/23/12137
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