Evaluation of the impact of orthognathic surgery on quality of life

Dental treatment and surgery is a well-established method of correcting dentofacial deformities, and such treatment has an impact on the quality of life of individuals. The objective of this study was to evaluate the effect of orthognathic surgery on the quality of life of patients receiving treatment at the Universidade Federal do Paraná – UFPR. Clinical data were evaluated for the control group, and a quality-of-life evaluation questionnaire was completed [Oral Health Impact Profile (OHIP-14)]. For the case group, the same data were gathered along with information regarding their dentofacial deformity. The OHIP-14 questionnaire was also completed at three distinct stages of the experiment. The median age in the control group was 23.5 years. In the case group, the predominant gender was female, and the mean age of patients was 29.4 years. There was a statistically significant association between gender and OHIP-14 (p< 0.001). No such association was observed between age and OHIP-14 scores (p= 0.616). In the control group the OHIP-14 median score was 11.5. In the case group, the average OHIP-14 score at was 18 at T0, 21 at T1, and 8 at T2. The results demonstrated a statistically significant association between the three time stages at which OHIP-14 was analyzed (p< 0.001). There was a smaller reduction in the negative impact for transversal deformities of the jaw when compared with other deformities. Orthognathic surgery led to a reduction in the negative effects on the quality of life of patients.

Odontoma composto / Compound odontoma

Os odontomas são os tipos mais comuns de tumores odontogênicos, pois são considerados mais como uma anomalia de desenvolvimento (hamartoma) do que como uma neoplasia verdadeira. O objetivo do presente trabalho é descrever um caso clínico de odontoma composto analisando seus sinais mais comuns, a sua região de localização, a década de vida e gênero do paciente, os transtornos que podem ocorrer, bem como o tratamento proposto. Para atingir tal objetivo, o método de elaboração foi a descrição do presente caso clínico e revisão bibliográfica, chegando ao resultado de que o tratamento para este tipo de lesão é invariavelmente a remoção cirúrgica (enucleação e curetagem) e o prognóstico é excelente. O resultado cirúrgico foi acompanhado no pós-operatório por exame radiográfico, podendo concluir que houve uma completa cicatrização e reparação tecidual.

Odontomas are the most common types of odontogenic tumors, as they are considered more as a developmental anomaly (hamartoma) than as a true neoplasia. The aim of the present study is to describe a clinical case of compound odontoma, analyzing its most common signs, its region of location, the decade of life and patient's gender, disorders that may occur as well as the treatment proposed. In order to attain this objective, the method was description of the present clinical case and bibliographic revision, arriving at the result that the treatment for this type of lesion invariably is surgical removal (enucleation and curettage) and the prognosis is excellent. The surgical result was followed up in the post-operative period by radiographic exam, and it was possible to conclude that there was complete cicatrization and tissue repair.