• Published
    28-03-2024
  • Issue
    Vol: 28 Issue: 01, 2024
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ASSESSING THE INFLUENCE OF ORTHOGNATHIC SURGERY ON QUALITY OF LIFE IN NORTH INDIAN POPULATION

  • Dr. Dayashankara Rao JK1, Dr Sanjeev Kumar2 & Dr Varun Arya3

Keywords: Orthognathic Surgery, Quality of Life, SF-36, OHIP

ABSTRACT:-
Aim: Assessing the influence of Orthognathic Surgery on Quality of Life. Materials and Methods: This research covered all individuals who were scheduled to have orthognathic surgery. The study comprised twenty-five patients who were planned to have bimaxillary orthognathic surgery after the completion of pre-surgical orthodontic therapy for oral decompensation. Three times, once before surgery (T0), and then again five weeks later (T1), they were assessed once more. All participants gave their written informed permission and the study's methodology was pre-approved by the research ethics committee before the investigation began. The data collection involved the use of self-administered questionnaires that included a generic health-related measure (SF-36), a generic oral health-related measure (OHIP-14) and a condition-specific quality of life measure (OQLQ). Results: As compared to the scores before orthognathic surgery, the SF-36 Physical (P < 0.01) and Mental (P < 0.001) health component scores were significantly lower 5 weeks following the procedure. six of the eight domains showed a significant decline in average scores (P <0.01) (Table 2). Three months after orthognathic surgery, there were no discernible changes in the Physical and Mental SF-36 evaluations when compared to the pre-surgical values (P > 0.05). With a higher average score seen 3 months after the procedure (P < 0.05) (Table 2), the role emotional domain was the only one out of the eight categories to show a statistically significant change. The overall OHIP-14 score did not change significantly (P > 0.05) five weeks after orthognathic surgery. However, the average score for functional limitation significantly increased (P < 0.05), whereas the average scores for psychological discomfort and psychological impairment significantly decreased (P < 0.05). More than 50 % of patients showed signs of improvement. Table 3 contains the relevant data. Conclusion: QOL across several well-being-related indicators had clearly declined by the sixth week. The first 4 to 6 weeks patients felt less comfortable due to surgical edema, pain and healing. But there was significant improvement in function, psychological wellbeing and esthetics at the end of 3 months post-surgery period. By contrasting the quality of life before and after the procedure, this enhancement became apparent. Hence the quality of life and patient satisfaction was better after surgery.