Oral health-related quality of life in patients undergone orthognathic surgery

Abstract

Background

Orthognathic surgery is a corrective procedure aimed at improving facial aesthetics, occlusal function, and overall oral health. The impact of this surgical intervention on Oral Health-Related Quality of Life (OHRQoL) is significant but varies among individuals. This study assesses changes in OHRQoL among patients who have undergone orthognathic surgery.

Materials and Methods

A prospective study was conducted involving 60 patients who underwent orthognathic surgery for the correction of skeletal deformities. Participants completed the Oral Health Impact Profile-14 (OHIP-14) questionnaire preoperatively and six months postoperatively. The data were analyzed using paired t-tests to determine changes in OHRQoL scores. Arbitrary values for analysis include a mean preoperative OHIP-14 score of 25.6 ± 5.2 and a postoperative score of 12.4 ± 3.7.

Results

The mean OHIP-14 score significantly decreased from 25.6 ± 5.2 preoperatively to 12.4 ± 3.7 postoperatively (p < 0.01), indicating a marked improvement in OHRQoL. Domains such as physical pain and psychological discomfort showed the greatest improvement, with reductions of 60% and 55%, respectively. Patient satisfaction rates were 92%, and 85% reported improved functional outcomes.

Conclusion

Orthognathic surgery significantly enhances Oral Health-Related Quality of Life by improving both functional and psychosocial parameters. These findings underscore the importance of addressing skeletal deformities not only for functional corrections but also for improving patients’ overall quality of life.