Longitudinal Effects of Surgical Orthodontics Treatment on Quality of Life in a United States Population PDF
By:Lydia Anne Lancaster
Published on 2019 by
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Objectives: Aims of this study were (1) determine if there was any difference in psychosocial well-being and quality of life (QoL) surgical orthodontic patient subjects and controls at different time points during and following treatment and (2) identify any change in the subjects’ QoL during and following treatment. Methods: The study was approved by The Ohio State University Institutional Review Board. Subjects were patients with facial skeletal mal-relationships whose proposed orthodontic treatment plans included orthognathic surgery. Controls were recruited and matched to subjects for age, sex, education level, and employment status at each time point. Subjects were evaluated at three time points: pre-treatment (T1), pre-surgery (T2), and post-treatment (T3 - six months to two years after removal of orthodontic appliances). Controls were not followed longitudinally; they were recruited to match subjects at each of the 3 time periods. To assess psychosocial well-being and condition-specific- and overall QoL, participants were asked to fill out the following questionnaires: Orthognathic Quality of Life Questionnaire (OQLQ) and Satisfaction With Life Scale (SWLS), Beck’s Depression Index (BDI), Child’s Depression Inventory (CDI), State-Trait Anxiety Inventory, Form Y (STAI-Y), and State-Trait Anxiety Inventory for Children (STAI-C). For depression and anxiety evaluation, BDI and STAI-Y, and CDI and STAI-C were used for adult and pediatric participants, respectively. Each of these instruments have been determined to be valid and reliable. Differences between the subjects at the different time points, as well as the differences between subjects and controls at each of the three time points were evaluated. Results: Four hundred and ninety-two surveys, controls and subjects, were collected. Twenty-four subjects completed surveys at all three time points, and 25 completed them at 2 time points. No significant differences between subject and control groups in age, sex, and, employment status were found. Controls had a higher level of education than subjects at T1. Quality of life was significantly worse for Subjects for the total OQLQ and for three of the four domains (social aspect, facial esthetics, oral function) (p
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