Research article summary (published 30 Dec 1997):

Health-related quality of life following orthognathic surgery.

Full Abstract

A randomized controlled trial was conducted to compare the effects of rigid and wire fixation on health-related quality of life following surgical mandibular advancement in patients with Class II malocclusions. Sixty-four patients randomly selected to receive rigid fixation with bicortical position screws were compared with 63 patients randomly selected to receive nonrigid fixation with inferior border wires. Quality of life was measured using the Sickness Impact Profile, a generic measure of health-related quality of life, and the Oral Health Status Questionnaire, a specific measure of oral health and function designed for use with orthognathic surgery patients. Patients were evaluated prior to application of orthodontic appliances, approximately 2 weeks before surgery, and 1 week, 8 weeks, 6 months, 1 year, and 2 years following surgery. Neither instrument revealed a statistically significant difference in quality of life between wire and rigid fixation at any time period. The health-related disability associated with Class II malocclusion is modest compared to many other medical conditions. Nonetheless, orthognathic surgery patients exhibit progressive and statistically significant improvement in health-related quality of life across a wide variety of functional domains, regardless of the fixation method used.

Author information

Author/s: Hatch, J P (JP); Rugh, J D (JD); Clark, G M (GM); Keeling, S D (SD); Tiner, B D (BD); Bays, R A (RA);

Affiliation: Department of Psychiatry, University of Texas Health Science Center at San Antonio 78284-7910, USA. hatch(-atsign-)uthscsa.edu

Grants: R01-DE09630 (Agency:NIDCR NIH HHS)

Journal and publication information

Publication Type: Clinical Trial; Comparative Study; Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, U.S. Gov't, P.H.S.

Journal: The International journal of adult orthodontics and orthognathic surgery (Int J Adult Orthodon Orthognath Surg), published in UNITED STATES. (Language: eng)

Reference: 1998-; vol 13 (issue 1) : pp 67-77

Dates: Created 1998/06/23; Completed 1998/06/23; Revised 2007/11/14;

PMID: 9558537, status: MEDLINE (last retrieval date: 2/18/2009, IMS Date: )

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adolescent Adult Bone Screws Bone Wires Chi-Square Distribution Female Humans Male

Malocclusion, Angle Class II - psychology; surgery Mandibular Advancement - methods; psychology; statistics & numerical data Middle Aged Personality Inventory Quality of Life Questionnaires Statistics, Nonparametric Treatment Outcome

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