A1 Refereed original research article in a scientific journal

Does orthognathic treatment improve patients' psychosocial well-being?




AuthorsAlanko Outi ME, Svedström-Oristo Anna-Liisa, Suominen Auli, Soukka Tero, Peltomäki Timo, Tuomisto Martti T

PublisherTAYLOR & FRANCIS LTD

Publication year2022

JournalActa Odontologica Scandinavica

Journal name in sourceACTA ODONTOLOGICA SCANDINAVICA

Journal acronymACTA ODONTOL SCAND

Volume80

Issue3

First page 177

Last page181

Number of pages5

ISSN0001-6357

eISSN1502-3850

DOIhttps://doi.org/10.1080/00016357.2021.1977384(external)

Web address https://www.tandfonline.com/doi/full/10.1080/00016357.2021.1977384(external)

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/67439718(external)


Abstract

Objective: To analyse changes in patients' psychosocial well-being from before treatment until post-surgical orthodontic treatment (including retention) is completed.

Materials and methods: Data was collected six times: before treatment (T0), 6-8 weeks after the placement of orthodontic appliances (T2), 3-4 weeks before surgery (T3), six weeks after surgery (T4), one year after surgery (T5) and after completing orthodontic treatment (T6; 20-57 months after surgery). At T0, 60 patients participated while at T6, data was available for 15 patients. All patients completed the Orthognathic Quality of Life Questionnaire (OQLQ), Rosenberg Self-Esteem Questionnaire (RSES), Acceptance and Action Questionnaire II (AAQ-II) and the Symptom Checklist 90 (SCL-90). All pairwise comparisons between variables were conducted with the Wilcoxon signed-rank test.

Results: OQLQ function, RSES, AAQ-II and SCL GSI worsened from T0 to T2. At T5, improvements compared to T0 were found in all aspects of OQLQ and SCL GSI. When comparing results at T6 to T0, improvements where only found in OQLQ sum, OQLQ facial aesthetics and OQLQ function.

Conclusions: Although well-being of orthognathic patients seems to improve during treatment, many improvements cannot be verified anymore at the completion of the retention period. Most stable changes are found in the oral function component and in the facial aesthetics component of the OQLQ.


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