Oral Health-Related Quality of Life Changes in Patients with Dentofacial Deformities Class II and III after Orthognathic Surgery: A Systematic Review and Meta-Analysis

Primer Autor
Duarte, Valentina
Co-autores
Zaror, Carlos
Villanueva, Julio
Andreo, Matias
Dallaserra, Matias
Salazar, Josefina
Pont, Angels
Ferrer, Montse
Título
Oral Health-Related Quality of Life Changes in Patients with Dentofacial Deformities Class II and III after Orthognathic Surgery: A Systematic Review and Meta-Analysis
Editorial
MDPI
Revista
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
Lenguaje
en
Resumen
Our aim was to assess the impact of combined orthodontic-surgical treatment on patients' oral health-related quality of life (OHRQoL) according to type of dentofacial deformities, by synthesizing the available evidence. Methods: Search was conducted in the PubMed, Embase/MEDLINE, Scopus, and Cochrane databases. The eligibility criteria were studies that measured OHRQoL before-after orthognathic surgery, with results disaggregated by Class II and III. Two researchers independently performed the selection process, data extraction, and methodological quality assessment. Meta-analysis of the standard mean differences (SMD) was performed using random effect models. Results: The search identified 1047 references. Thirteen studies met the inclusion criteria, and four were included in the meta-analysis. The SMD of OHRQL global score showed large improvement 4-7 months after surgery in Class II and III patients (2.09, 95% CI 0.68 to 3.49 and 1.96, 95% CI 1.22 to 2.70, respectively). The sensitivity analyses, excluding studies with weak methodological quality, showed that Class III patients' improvement in functional limitation was significantly higher than in Class II patients (SMD 0.57, 95% CI 0.12-1.02). Conclusions: There is not enough evidence to support differences between Class II and III patients in the OHRQoL impact after orthognathic surgery, but findings suggest lower improvement of some domains in Class II patients.
Tipo de Recurso
artículo original
doi
10.3390/ijerph19041940
Formato Recurso
PDF
Palabras Claves
oral health-related quality of life
orthognathic surgery
dentofacial deformity
ORTHODONTIC-SURGICAL TREATMENT
JAW SURGERY
IMPACT
SKELETAL
ADVANCEMENT
STABILITY
Ubicación del archivo
http://dx.doi.org/10.3390/ijerph19041940
Categoría OCDE
Ciencias Ambientales
Salud pública
ambiental y ocupacional
Materias
calidad de vida relacionada con la salud bucal
cirugía ortognática
deformidad dentofacial
TRATAMIENTO ORTODÓNTICO-QUIRÚRGICO
CIRUGÍA DE LA MANDÍBULA
IMPACTO
ESQUELÉTICO
AVANCE
ESTABILIDAD
Disciplinas de la OCDE
Odontología, Cirugía y Medicina Oral
Cirugía
Otros Temas de Medicina Clínica
Título de la cita (Recomendado-único)
Oral Health-Related Quality of Life Changes in Patients with Dentofacial Deformities Class II and III after Orthognathic Surgery: A Systematic Review and Meta-Analysis
Identificador del recurso (Mandatado-único)
artículo original
Versión del recurso (Recomendado-único)
version publicada
License
CC BY 4.0
Condición de la licencia (Recomendado-repetible)
CC BY 4.0
Derechos de acceso
acceso abierto
Access Rights
acceso abierto
Id de Web of Science
WOS:000769133100001
Colecciones
Colección Publicaciones Científicas
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