Psychosocial well-being of prospective orthognathic-surgical patients.
OBJECTIVE
To compare the psychosocial well-being of prospective orthognathic-surgical patients and controls.


METHODS
Sixty patients referred for assessment of orthognathic-surgical treatment need and 29 controls participated. All participants filled in the modified version of Secord and Jourard's Body Image Questionnaire, the Orthognathic Quality of Life Questionnaire, the Rosenberg Self-Esteem scale, the Acceptance and Action Questionnaire II and a structured diary developed by the authors. Patients also filled in the Symptom Checklist 90. Patients assessed their dental appearance on a visual analogue scale modified from the Aesthetic Component (AC) of the Index of Orthodontic Treatment Need. Professional assessment was made from study models with the AC.


RESULTS
Patients rating their dental appearance as AC grades 5-10 suffered from lower orthognathic quality-of-life and poorer body image than the controls, while those with AC grades of 1-4 only had poorer oral function. Self-perceived dental appearance was more important to orthognathic quality-of-life and body image than an orthodontist's assessment. Patients and controls had equal psychological flexibility and self-esteem. In all, 23-57% of patients had significant psychiatric symptoms, which explained the adverse emotions patients felt during the day. Fifteen per cent of the patients had been bullied.


CONCLUSIONS
Many orthognathic-surgical patients cope well with their dentofacial deformities, despite functional masticatory problems. It seems that a subjective view of dental appearance may be a key factor in finding patients with psychosocial problems. It should be a major issue when considering psychosocial support and other treatment options.
School of Social Sciences and Humanities (Psychology), University of Tampere , Tampere , Finland.
Outi M E
OM
Alanko
Anna-Liisa
AL
Svedström-Oristo
Timo
T
Peltomäki
Tommi
T
Kauko
Martti T
MT
Tuomisto
D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D001828:Body Image; D058445:Bullying; D063169:Dentofacial Deformities / Q000523:psychology; D004644:Emotions; D004955:Esthetics, Dental; D005260:Female; D006801:Humans; D061326:Index of Orthodontic Treatment Need; D008297:Male; D008875:Middle Aged; D056948:Orthognathic Surgical Procedures / Q000523:psychology*; D010549:Personal Satisfaction; D011446:Prospective Studies; D011788:Quality of Life; D055500:Resilience, Psychological; D012649:Self Concept; D013001:Somatoform Disorders / Q000523:psychology; D011795:Surveys and Questionnaires; D064232:Visual Analog Scale; D055815:Young Adult
orthognathic; prospective; quality-of-life