title: Orthognathic treatment of dentofacial disharmonies: its impact on temporomandibular disorders, quality of life, and psychosocial wellness.
abstract: OBJECTIVE
  The objective of this literature review was to assess the effect of orthognathic surgical treatment on temporomandibular disorders (TMD), quality of life (QoL), and psychosocial wellness.
  
  
  METHODS
  Journal articles and systematic reviews published in English between 1982 and 2015 were searched using PubMed, MEDLINE, and Cochrane database using the search terms "orthognathic," "temporomandibular disorders," "quality of life," and "psychosocial." The articles were then reviewed and discussed.
  
  
  RESULTS
  Both objective and subjective parameters play a role in orthognathic treatment outcome satisfaction and QoL. Psychological factors and TMD exerted a stronger influence on patients' QoL more than objective treatment outcome measures.
  
  
  CONCLUSIONS
  A paradigm shift in clinical mindset from solely objective measures to a more holistic, patient-centric approach of addressing patients' expectations and improving QoL is warranted when treating patients with dentofacial disharmonies.
authors.affiliation: a Department of Orthodontics , National Dental Centre , Singapore.
authors.forename: Yi Lin
authors.initials: YL
authors.lastname: Song
authors.affiliation: b Department of Prosthodontics , Ng Teng Fong General Hospital and Jurong Medical Centre , Singapore.|c Faculty of Dentistry , National University of Singapore , Singapore.|d School of Science and Technology , SIM University , Singapore.
authors.forename: Adrian U Jin
authors.initials: AU
authors.lastname: Yap
mesh_terms: D063169:Dentofacial Deformities / Q000523:psychology / Q000601:surgery / Q000628:therapy; D006801:Humans; D009909:Oral Health; D056948:Orthognathic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D017060:Patient Satisfaction; D011584:Psychology; D011788:Quality of Life; D013705:Temporomandibular Joint Disorders / Q000523:psychology / Q000628:therapy*; D016896:Treatment Outcome
keywords: Oral health-related QoL (OHRQoL); Orthognathic surgery; Quality of life (QoL); Temporomandibular joint disorder (TMD)