title: Assessment of the changes in quality of life of patients with class II and III deformities during and after orthodontic-surgical treatment.
abstract: The aim of this longitudinal study was to assess and compare the oral health-related quality of life (OHRQoL) of patients with class II and III deformities during and after orthodontic-surgical treatment. Thirty class III and 28 class II patients were evaluated at baseline (T0), just prior to surgery (T1), at 6 months after surgery (T2), and at 12 months after debonding (T3). OHRQoL was assessed using the Oral Health Impact Profile (OHIP-14). Friedman two-way analysis of variance and the Wilcoxon signed-rank test were performed to compare the relative changes in OHRQoL during treatment. Significant changes in the overall OHIP-14 scores were observed during and after orthodontic-surgical treatment in both groups. During the pre-surgical stage, psychological discomfort and psychological disability decreased in class III patients, and class II patients experienced a significant deterioration in psychological discomfort during the same period. Six months after surgery, patients in both groups showed improvements in psychological discomfort, social disability, and handicap. Physical disability and functional limitation showed further improvement at 12 months after debonding in class II patients. This study reaffirms that orthodontic-surgical treatment has a significant effect on the OHRQoL of class III and class II patients.
authors.affiliation: Department of Orthodontics, School of Dentistry, Yasuj University of Medical Sciences, Yasuj, Iran. Electronic address: T_baheri@yahoo.com.
authors.forename: T
authors.initials: T
authors.lastname: Baherimoghaddam
authors.affiliation: Department of Craniomaxillofacial Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: R
authors.initials: R
authors.lastname: Tabrizi
authors.affiliation: Department of Orthodontics, School of Dentistry, Azad University of Medical Sciences, Shiraz, Iran.
authors.forename: N
authors.initials: N
authors.lastname: Naseri
authors.affiliation: Department of Craniomaxillofacial Surgery, School of Dentistry, Yasuj University of Medical Sciences, Yasuj, Iran.
authors.forename: A
authors.initials: A
authors.lastname: Pouzesh
authors.affiliation: Private Practice, Tehran, Iran.
authors.forename: M
authors.initials: M
authors.lastname: Oshagh
authors.affiliation: Orthodontic Research Centre, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: S
authors.initials: S
authors.lastname: Torkan
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008312:Malocclusion, Angle Class II / Q000601:surgery*; D008313:Malocclusion, Angle Class III / Q000601:surgery*; D009971:Orthodontics, Corrective; D056948:Orthognathic Surgical Procedures / Q000379:methods*; D017060:Patient Satisfaction; D011446:Prospective Studies; D011788:Quality of Life / Q000523:psychology*; D011795:Surveys and Questionnaires
keywords: OHIP index; dentofacial deformity; oral health-related quality of life; orthognathic surgery