title: Orthognathic surgery: pretreatment information and patient satisfaction.
abstract: OBJECTIVE
  This study sought to (1) analyze the demographic profile of patients who completed combined orthodontic and surgical treatments at the Kuwait Ministry of Health dental clinics, (2) evaluate the source, type, amount and timing of preoperative patient information, (3) determine posttreatment patient satisfaction and (4) examine whether patient satisfaction is associated with preoperative information.
  
  
  METHODS
  Of the 145 patients who completed combined orthodontic and surgical treatments at least 6 months prior to the initiation of this study, 74 agreed to be interviewed by telephone by means of a structured survey including questions covering the study's objectives.
  
  
  RESULTS
  The mean age of participants was 21.1 years; 52 (70.3%) were female and 22 (29.7%) were male. Of these 74 patients, 70 (94%) did not regret their decision to undergo orthognathic surgery and 62 (83.8%) would repeat the same treatment if it was needed. The majority of the respondents reported that the importance of treatment compliance had been explained very well prior to surgery, but that information about the associated functional and social problems was lacking. The orthodontist was the most prominent source of information before treatment began. As the presurgical orthodontic treatment phase progressed, the roles of the surgeon and orthodontist became more evenly distributed.
  
  
  CONCLUSIONS
  The patients who underwent orthognathic surgery were satisfied and generally well informed. However, information regarding surgical risks and functional discomforts was not adequate. Participants were more likely to be satisfied when they were provided with more information about discomfort and surgical risks.
authors.affiliation: Department of Dentistry, Ministry of Health, Kuwait University, Kuwait City, Kuwait.
authors.forename: Lateefa
authors.initials: L
authors.lastname: AlKharafi
authors.forename: Dalal
authors.initials: D
authors.lastname: AlHajery
authors.forename: Lars
authors.initials: L
authors.lastname: Andersson
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007730:Kuwait; D008297:Male; D008310:Malocclusion / Q000601:surgery*; D009971:Orthodontics, Corrective; D056948:Orthognathic Surgical Procedures / Q000379:methods*; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D012959:Socioeconomic Factors
references.citation: J Craniomaxillofac Surg. 1992 Jan;20(1):28-33
references.pmid: 1564118
references.citation: Eur J Orthod. 1999 Feb;21(1):79-87
references.pmid: 10191581
references.citation: Int J Adult Orthodon Orthognath Surg. 1991;6(4):247-55
references.pmid: 1820409
references.citation: Oral Surg Oral Med Oral Pathol. 1976 Mar;41(3):309-13
references.pmid: 1061917
references.citation: J Orthod. 2007 Jun;34(2):113-27; discussion 111
references.pmid: 17545299
references.citation: J Oral Maxillofac Surg. 2003 May;61(5):545-52
references.pmid: 12730832
references.citation: Semin Orthod. 1999 Dec;5(4):209-22
references.pmid: 10860058
references.citation: J Maxillofac Surg. 1980 Aug;8(3):206-9
references.pmid: 6932463
references.citation: J Oral Maxillofac Surg. 1982 Mar;40(3):150-5
references.pmid: 6950057
references.citation: Br J Oral Maxillofac Surg. 1995 Feb;33(1):9-14
references.pmid: 7718535
references.citation: Br J Oral Maxillofac Surg. 2006 Feb;44(1):24-7
references.pmid: 16162374
references.citation: Br J Oral Maxillofac Surg. 1996 Jun;34(3):210-3
references.pmid: 8818252
references.citation: Int J Adult Orthodon Orthognath Surg. 1998;13(2):97-106
references.pmid: 9743642
references.citation: J Oral Surg. 1980 Apr;38(4):283-5
references.pmid: 6928456
references.citation: Scand J Plast Reconstr Surg. 1971;5(1):34-40
references.pmid: 5559730
references.citation: Am J Orthod. 1982 Oct;82(4):318-28
references.pmid: 6961804
references.citation: Am J Orthod Dentofacial Orthop. 1996 Jun;109(6):653-9
references.pmid: 8659476
references.citation: Int J Adult Orthodon Orthognath Surg. 2001;16(2):99-107
references.pmid: 11482296