Change in quality of life after combined orthodontic-surgical treatment of dentofacial deformities.
OBJECTIVE
To determine changes in quality of life (QoL) after orthodontic-surgical treatment in patients with dentofacial deformities, using generic health, generic oral health, and condition-specific QoL approaches.


METHODS
Patients were evaluated at baseline (T(0)), postoperative 6 weeks (T(1)), postoperative 6 months (T(2)), and after orthodontic treatment (T(3)). Generic health-related QoL, generic oral health-related QoL, and condition-specific QoL were assessed using the 36-item Short Form Health Survey (SF-36), the 14-item Short Form Oral Health Impact Profile (OHIP-14), and the 22-item Orthognathic Quality of Life Questionnaire (OQLQ), respectively.


RESULTS
There were significant changes in Physical-Health Component Scores (PCS) (P < .001) and Mental-Health Component Scores (MCS) (P < .01) of SF-36, in OHIP-14 scores (P < .001), and in OQLQ scores (P < .001) during the trajectory of treatment. A transient decrease in PCS was found at T(1) (P < .001) and an increase in MCS was found only at T(3) (P < .05). There was a significant decrease in OHIP-14 scores at T(2) and T(3) (P < .001) and in OQLQ scores at all time points compared with T(0) (P < .05).


CONCLUSIONS
Significant changes in QoL occurred after orthodontic-surgical treatment. A comprehensive assessment of QoL using generic health, generic oral health, and condition-specific approaches proved to be useful in determining the trajectory of changes.
Choi
Wing Shan
WS
Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Hong Kong, Hong Kong.
Lee
Shermin
S
McGrath
Colman
C
Samman
Nabil
N
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003131:Combined Modality Therapy / Q000523:psychology; D004955:Esthetics, Dental / Q000523:psychology; D005146:Facial Asymmetry / Q000523:psychology / Q000601:surgery / Q000628:therapy; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008312:Malocclusion, Angle Class II / Q000523:psychology* / Q000601:surgery / Q000628:therapy; D008313:Malocclusion, Angle Class III / Q000523:psychology* / Q000601:surgery / Q000628:therapy; D008875:Middle Aged; D009909:Oral Health; D009971:Orthodontics, Corrective / Q000523:psychology*; D056948:Orthognathic Surgical Procedures / Q000523:psychology*; D011594:Psychometrics; D011788:Quality of Life; D018434:Sickness Impact Profile; D011795:Surveys and Questionnaires; D055815:Young Adult