Esthetics, functional, and psychosocial satisfaction after orthognathic surgery in patients having dentofacial skeletal deformities

ABSTRACT

In this study, which was conducted at Armed Forces Institute of Dentistry Rawalpindi, the rate of satisfaction among patients who had dentofacial skeletal discrepancy and under gone orthognathic surgery along with orthodontic treatment from January 2010 till June 2015 was investigated. This retrospective study was conducted among fifty three patients who underwent Orthognathic surgery treatment from oral maxillofacial surgery department formed the study group. Patients were recalled for follow-up for their evaluation and to fill the questionnaire and those patients, who could not come for follow up were called on their personal phone numbers. Forty patients responded to fill the questionnaire. The questionnaire consisted of 19 questions. The survey response rate was 75.4%. Thirty five [87.5%] patients were satisfied with their final facial profile, and 37 [92.5%] were with their final esthetic profile. Related to the function 30 [75%] patients showed improvement in chewing ability, while 35 [87.5%] had no temporomandibular joint problem I pain post-operatively. The perception of patients for psychosocial benefits of treatment was positive, 27 [67.5%] patients stated that their social communication and 30 [75%] patient's self-confidence had improved a lot after treatment. It is concluded that orthognathic surgery was satisfactory and accepted treatment for dento-facial deformity, for improvement of appearance of individuals. On the other hand, any dissatisfaction that occurred in few individuals it was due to unrealistic expectations of the patients and expertise of surgeon and I or orthodontist