ORIGINAL ARTICLE   

Minerva Stomatologica 2019 June;68(3):112-7

DOI: 10.23736/S0026-4970.19.04227-4

Copyright © 2019 EDIZIONI MINERVA MEDICA

language: English

Quality of life after different approaches of orthognathic surgery: a randomized controlled study

Mahmoud HANAFY ✉, Adel ABOU-ELFETOUH, Ragia M. MOUNIR

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Cairo University, Cairo, Egypt

BACKGROUND: Over the last decade, the accuracy of 3D computer-assisted orthognathic surgery has been extensively investigated. However, patient-reported outcome measures have been rarely reported for this technology. This study aimed to assess quality of life following orthognathic surgery using CAD/CAM bone splints compared to the classic occlusal wafers in patients with dentofacial deformities.
METHODS: Thirty-two patients were randomly allocated into two groups where group I utilized CAD/CAM splints and patient specific osteosynthesis for maxillary positioning and group II utilized occlusal wafers fabricated on a semi-adjustable articulator. Patients were assessed using orthognathic quality of life Questionnaire (OQLQ) preoperatively and 6 months postoperatively.
RESULTS: Mean OQLQ overall score change of 24.375±11.96 took place in group I patients while group II showed a mean change of 23±8.39.
CONCLUSIONS: The study showed evident improvement in quality of life following orthognathic surgery compared to before surgery. However, computer-assisted surgery did not show any significant improvement over the classic approach.

KEY WORDS: Quality of life; Postoperative period; Computer-assisted surgery; Orthognathic surgical procedures; Patient-reported outcome measures