Impact of orthognathic surgery on normal and abnormal personality dimensions: A 2-year follow-up study of 61 patients*,**,***

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The psychological adjustments and self-concepts of 61 orthognathic surgery patients were evaluated before surgery and at 1 month, 6 months, 1 year, and 2 years after surgery. The impact of orthognathic surgery on self-concept and personality adjustment was assessed. Significant improvements in group scores were found with the use of a repeated measures ANOVA in the following subscales of personality disturbances: general maladjustment, psychosis, neurosis, personality disorder, and personality integration. A significantly positive effect was also observed in the following subscales of self-concept: self-esteem, self-satisfaction, self-identity, physical self, family self, social self, and total self-conflict. The improved changes in psychological profile two years after orthognathic surgery are encouraging.

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    *

    Received from University of Texas Health Science Center at San Antonio, Texas.

    **

    Support for this research provided by the Foundation for Orthodontic Research and the Department of Oral and Maxillofacial Surgery, University of Texas Health Science Center at San Antonio.

    ***

    This study received the Research of Merit Award for 1987 from the Foundation For Orthodontic Research.

    a

    Joint clinical appointments in the Departments of Oral and Maxillofacial Surgery and Orthodontics, currently in the private practice of orthodontics in San Antonio, Texas.

    b

    Associate Professor, Biostatistician, Department of Pathology, School of Medicine.

    c

    Professor, Co-Director, Dentofacial Deformities Clinic, Department of Oral and Maxillofacial Surgery.

    d

    Director, Department of Instructional Development, Office of Educational Resources.

    e

    Senior Research Assistant, Department of Oral and Maxillofacial Surgery.

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