Dentofacial Deformities and Implications on Quality of Life: A Presurgical Multifactorial Analysis in Patients Seeking Orthognathic Surgical Treatment
Dentofacial Deformities and Implications on Quality of Life: A Presurgical Multifactorial Analysis in Patients Seeking Orthognathic Surgical Treatment
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DOI：
10.1016/j.joms.2018.09.023
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发表时间：
2019-02-01
影响因子：
1.9
通讯作者：
Isper Garbin, Artenio Jose
中科院分区：
文献类型：
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作者：
de Paula Gomes, Adrielle Mendes;Saliba Garbin, Clea Adas;Isper Garbin, Artenio Jose
目的：在正颌外科手术前对骨性错(牙合)患者进行生活质量调查，描述患者的社会人口学特征，检测可能改变患者生活质量的因素。患者和方法：这项横断面研究是在圣保罗大学医学院医院门诊就诊的患者(N=106，平均年龄27.2岁)中进行的。参与者回答了口腔健康影响概况14(OHIP-14)问卷和正颌外科生活质量问卷(OQLQ)。结果：在口腔健康影响量表(OHIP-14)问卷中，心理能力低下维度(64.15%)表现出较高的影响发生率。受访者的婚姻状况对生活质量的影响有统计学意义(P=.0119)。在正颌外科生活质量问卷(OQLQ)中，面部美学维度对生活质量的影响占81.13%。性别变量对受访者的生活质量有统计学意义的影响(P=0.0005)，女性发生这种影响的几率是女性的11.78倍。结论：在本研究中，心理因素和美学因素对牙面畸形患者的生活质量产生了强烈的影响，与功能方面存在重叠。(C)2018年美国口腔颌面外科医生协会
Purpose: The purpose was to perform a quality-of-life survey in patients with skeletal malocclusion before undergoing orthognathic surgery, as well as delineate the sociodemographic profile and detect factors that may alter the quality of life.Patients and Methods: This cross-sectional study was carried out in patients who sought care at the Hospital das Clinicas of the University of Sao Paulo Medical School (N = 106; average age, 27.2 years). Participants answered the Oral Health Impact Profile 14 (OHIP-14) questionnaire and Orthognathic Quality of Life Questionnaire (OQLQ). The chi(2 )or Fisher test was used to verify the association between impact and sociodemographic variables.Results: On the Oral Health Impact Profile 14 (OHIP-14) questionnaire, the 'psychological incapacity" dimension (64.15%) presented a higher prevalence of impact. The marital status of the interviewees had a statistically significant effect on the impact of quality of life (P = .0119). On the Orthognathic Quality of Life Questionnaire (OQLQ), the "facial esthetics" dimension represented 81.13% in the prevalence of impact on quality of life. The 'gender" variable had a statistically significant effect on the quality of life of the respondents (P = .0005), with women having an 11.78 times greater chance of having this impact.Conclusions: In this study, psychological factors and esthetics exerted a strong influence on the quality of life of patients with dentofacial deformities, overlapping with functional aspects. (C) 2018 American Association of Oral and Maxillofacial Surgeons