Research Article
BibTex RIS Cite

İSKELETSEL SINIF III MALOKLÜZYONA SAHİP ORTOGNATİK CERRAHİ HASTALARININ BENLİK SAYGISI, ELEŞTİRİYE DUYARLILIK VE SOSYAL GÖRÜNÜŞ KAYGISI DÜZEYLERİNİN UZUN DÖNEM TAKİBİ

Year 2018, Volume: 5 Issue: 1, 50 - 58, 01.04.2018

Abstract

Amaç: Bu
araştırmanın amacı ortodontik tedavileri yapılan iskeletsel sınıf III
maloklüzyona sahip hastaların ortognatik cerrahi öncesinde ve cerrahiden en az
6 ay sonrasındaki benlik saygısı, eleştiriye duyarlılık ve sosyal görünüş
kaygısının değerlendirilmesi ve cinsiyetin bu psikolojik durumlar üzerine
etkisinin incelenmesidir.

Gereç ve Yöntemler: Çalışmaya
iskeletsel sınıf III maloklüzyona sahip, ortognatik tedavi ihtiyacı olan ve herhangi
bir sendromu bulunmayan 45 hasta (18 erkek; 27 kız) dahil edilmiştir. Hastaların
ortalama yaşı 21.4±2.02 yıldır. Hastaların tümüne Le Fort 1 osteotomi ve
bilateral sagittal split ramus osteotomisi ile çift çene ortognatik cerrahi uygulanmıştır.
Hastalara ortognatik cerrahi olmadan önce ve cerrahiden en az 6 ay sonra
Rosenberg Benlik Saygısı Ölçeği ve Sosyal Görünüş Kaygısı Ölçeği uygulanmıştır.
Çalışmadan elde edilen verilerin istatistiksel analizinde bağımlı ve bağımsız
örneklem t testi kullanılmıştır ve
p<0.05
değeri anlamlı kabul edilmiştir.

Bulgular: Ortognatik
cerrahi sonrasında hastaların benlik saygısı cerrahi öncesine göre anlamlı
şekilde artarken, eleştiriye duyarlılık ve sosyal görünüş kaygısı anlamlı
şekilde azalmıştır (
p<0.05).
Cerrahi öncesinde ve cerrahi sonrasındaki benlik saygısı, eleştiriye duyarlılık
ve sosyal görünüş kaygısı düzeylerinde cinsiyetler arasında anlamlı farklılık
gözlenmemiştir.

Sonuçlar: Ortognatik
cerrahi sonrasında, hastaların benlik saygısı, eleştiriye duyarlılık ve sosyal
görünüş kaygısı gibi psikolojik durumları olumlu yönde etkilenmiş ve hastalar
cerrahi sonrasında psikososyal anlamda fayda görmüşlerdir.

Anahtar Kelimeler: Benlik saygısı, kaygı, ortognatik cerrahi

References

  • 1. Jensen S. The psychosocial dimensions of oral and maxillofacial surgery: A critical review of the literature. J Oral Surg 1978;36:447-53. 2. Berger JL, Pangrazio-Kulbersh V, Bacchus SN, Kaczynski R. Stability of bilateral sagittal split ramus osteotomy: rigid fixation versus transosseous wiring. Am J Orthod Dentofacial Orthop 2000;118:397-403. 3. Kiyak HA, McNeill RW, West RA, Hohl T, Bucher F, Sherrick P. Predicting psychologic responses to orthognathic surgery. J Oral Maxillofac Surg 1982;40:150-5. 4. Hutton CE. Patients' evaluation of surgical correction of prognathism: survey of 32 patients. J Oral Surg 1967;25:225. 5. Motegi E, Hatch JP, Rugh JD, Yamaguchi H. Health-related quality of life and psychosocial function 5 years after orthognathic surgery. Am J Orthod Dentofacial Orthop 2003;124:138-43. 6. Peppard PE, Austin D, Brown RL. Association of alcohol consumption and sleep disordered breathing in men and women. J Clin Sleep Med 2007;3:265. 7. Bennett M, Phillips CL. Assessment of health-related quality of life for patients with severe skeletal disharmony: a review of the issues. Int J Adult Orthodon Orthognath Surg 1998;14:65-75. 8. Phillips C, Bennett ME, Broder HL. Dentofacial disharmony: psychological status of patients seeking treatment consultation. Angle Orthod 1998;68:547-56. 9. Frost V, Peterson G. Psychological aspects of orthognathic surgery: how people respond to facial change. Oral Surg Oral Med Oral Pathol 1991;71:538-42. 10. Laufer D, Glick D, Gutman D, Sharon A. Patient motivation and response to surgical correction of prognathism. Oral Surg Oral Med Oral Pathol 1976;41:309-13. 11. Nurminen L, Pietilä T, Vinkka-Puhakka H. Motivation for and satisfaction with orthodontic-surgical treatment: a retrospective study of 28 patients. Eur J Orthod 1999;21:79-87. 12. Hoppenreijs T, Hakman E, Van't Hof M, Stoelinga P, Tuinzing D, Freihofer H. Psychologic implications of surgical-orthodontic treatment in patients with anterior open bite. Int J Adult Orthodon Orthognath Surg 1998;14:101-12. 13. Rittersma J, Casparie AF, Reerink E. Patient information and patient preparation in orthognathic surgery: a medical audit study. J Maxillofac Surg 1980;8:206-9. 14. Hillerström K, Sörensen S, Wictorin L. Biological and Psycho-Social Factors in Patients with Malformation of the Jaws: II. Twelve Months after Maxillo-Facial Surgery. Scand J Plast Reconstr Surg 1971;5:34-40. 15. Crowell N, Sazima H, Elder S. Survey of patients' attitudes after surgical correction of prognathism: study of 33 patients. J Oral Surg 1970;28:818. 16. Heldt L, Haffke EA, Davis LF. The psychological and social aspects of orthognathic treatment. Am J Orthod 1982;82:318-28. 17. Ouellette P. Psychological ramifications of facial change in relation to orthodontic treatment and orthognathic surgery. J Oral Surg 1978;36:787. 18. Hunt OT, Johnston CD, Hepper PG, Burden DJ. The psychosocial impact of orthognathic surgery: a systematic review. Am J Orthod Dentofacial Orthop 2001;120:490-6. 19. Nicodemo D, Pereira MD, Ferreira LM. Self-esteem and depression in patients presenting angle class III malocclusion submitted for orthognathic surgery. Med Oral Patol Oral Cir Bucal 2008;13:48. 20. Williams D, Bentley R, Cobourne M, et al. Psychological characteristics of women who require orthognathic surgery: comparison with untreated controls. Br J Oral Maxillofac Surg 2009;47:191-5. 21. Dion K, Berscheid E, Walster E. What is beautiful is good. J Pers Soc Psychol 1972;24:285. 22. Varela M, García-Camba J. Impact of orthodontics on the psychologic profile of adult patients: a prospective study. Am J Orthod Dentofacial Orthop 1995;108:142-8. 23. Kiyak HA, West RA, Hohl T, McNeill RW. The psychological impact of orthognathic surgery: a 9-month follow-up. Am J Orthod 1982;81:404-12. 24. Stirling J, Latchford G, Morris D, Kindelan J, Spencer R, Bekker H. Elective orthognathic treatment decision making: a survey of patient reasons and experiences. J Orthod 2007;34:113-27. 25. Robinson JP, Shaver PR, Wrightsman LS. Measures of Personality and Social Psychological Attitudes: Measures of Social Psychological Attitudes: Academic Press; 2013. 26. Kiyak HA, Hohl T, West RA, McNeill RW. Psychologic changes in orthognathic surgery patients: a 24-month follow up. J Oral Maxillofac Surg 1984;42:506-12. 27. Garvill J, Garvill H, Kahnberg K-E, Lundgren S. Psychological factors in orthognathic surgery. J Craniomaxillofac Surg 1992;20:28-33. 28. Cunningham S, Hunt N, Feinmann C. Perceptions of outcome following orthognathic surgery. Br J Oral Maxillofac Surg 1996;34:210-3. 29. Flanary CM, Barnwell GM, VanSickels JE, Littlefield JH, Rugh AL. Impact of orthognathic surgery on normal and abnormal personality dimensions: a 2-year follow-up study of 61 patients. Am J Orthod Dentofacial Orthop 1990;98:313-22. 30. Olson R, Laskin D. Expectations of patients from orthognathic surgery. J Oral Surg 1980;38:283-5. 31. Finlay PM, Moos SF, Atkinson JM. Orthognathic surgery: patient expectations; psychological profile and satisfaction with outcome. Br J Oral Maxillofac Surg 1995;33:9-14. 32. Forssell H, Finne K, Forssell K, Panula K, Blinnikka L. Expectations and perceptions regarding treatment: a prospective study of patients undergoing orthognathic surgery. Int J Adult Orthodon Orthognath Surg 1997;13:107-13. 33. Bertolini F, Russo V, Sansebastiano G. Pre-and postsurgical psycho-emotional aspects of the orthognathic surgery patient. Int J Adult Orthodon Orthognath Surg 1999;15:16-23. 34. Patzer Gl. Improving Self‐Esteem By Improving Physical Attractiveness. J Esthet Restor Dent 1997;9:44-6. 35. Fitts WH. Manual for the Tennessee self concept scale. Nashville, TN: Counselor Recordings and Tests 1965. 36. Reichmuth M, Greene KA, Orsini MG, Cisneros GJ, King GJ, Kiyak HA. Occlusal perceptions of children seeking orthodontic treatment: impact of ethnicity and socioeconomic status. Am J Orthod Dentofacial Orthop 2005;128:575-82. 37. Williams DM, Bentley R, Cobourne MT, et al. The impact of idealised facial images on satisfaction with facial appearance: Comparing ‘ideal’and ‘average’faces. J Dent 2008;36:711-7. 38. Kovalenko A, Slabkovskaya A, Drobysheva N, Persin L, Drobyshev A, Maddalone M. The association between the psychological status and the severity of facial deformity in orthognathic patients. Angle Orthod 2011;82:396-402.
Year 2018, Volume: 5 Issue: 1, 50 - 58, 01.04.2018

Abstract

References

  • 1. Jensen S. The psychosocial dimensions of oral and maxillofacial surgery: A critical review of the literature. J Oral Surg 1978;36:447-53. 2. Berger JL, Pangrazio-Kulbersh V, Bacchus SN, Kaczynski R. Stability of bilateral sagittal split ramus osteotomy: rigid fixation versus transosseous wiring. Am J Orthod Dentofacial Orthop 2000;118:397-403. 3. Kiyak HA, McNeill RW, West RA, Hohl T, Bucher F, Sherrick P. Predicting psychologic responses to orthognathic surgery. J Oral Maxillofac Surg 1982;40:150-5. 4. Hutton CE. Patients' evaluation of surgical correction of prognathism: survey of 32 patients. J Oral Surg 1967;25:225. 5. Motegi E, Hatch JP, Rugh JD, Yamaguchi H. Health-related quality of life and psychosocial function 5 years after orthognathic surgery. Am J Orthod Dentofacial Orthop 2003;124:138-43. 6. Peppard PE, Austin D, Brown RL. Association of alcohol consumption and sleep disordered breathing in men and women. J Clin Sleep Med 2007;3:265. 7. Bennett M, Phillips CL. Assessment of health-related quality of life for patients with severe skeletal disharmony: a review of the issues. Int J Adult Orthodon Orthognath Surg 1998;14:65-75. 8. Phillips C, Bennett ME, Broder HL. Dentofacial disharmony: psychological status of patients seeking treatment consultation. Angle Orthod 1998;68:547-56. 9. Frost V, Peterson G. Psychological aspects of orthognathic surgery: how people respond to facial change. Oral Surg Oral Med Oral Pathol 1991;71:538-42. 10. Laufer D, Glick D, Gutman D, Sharon A. Patient motivation and response to surgical correction of prognathism. Oral Surg Oral Med Oral Pathol 1976;41:309-13. 11. Nurminen L, Pietilä T, Vinkka-Puhakka H. Motivation for and satisfaction with orthodontic-surgical treatment: a retrospective study of 28 patients. Eur J Orthod 1999;21:79-87. 12. Hoppenreijs T, Hakman E, Van't Hof M, Stoelinga P, Tuinzing D, Freihofer H. Psychologic implications of surgical-orthodontic treatment in patients with anterior open bite. Int J Adult Orthodon Orthognath Surg 1998;14:101-12. 13. Rittersma J, Casparie AF, Reerink E. Patient information and patient preparation in orthognathic surgery: a medical audit study. J Maxillofac Surg 1980;8:206-9. 14. Hillerström K, Sörensen S, Wictorin L. Biological and Psycho-Social Factors in Patients with Malformation of the Jaws: II. Twelve Months after Maxillo-Facial Surgery. Scand J Plast Reconstr Surg 1971;5:34-40. 15. Crowell N, Sazima H, Elder S. Survey of patients' attitudes after surgical correction of prognathism: study of 33 patients. J Oral Surg 1970;28:818. 16. Heldt L, Haffke EA, Davis LF. The psychological and social aspects of orthognathic treatment. Am J Orthod 1982;82:318-28. 17. Ouellette P. Psychological ramifications of facial change in relation to orthodontic treatment and orthognathic surgery. J Oral Surg 1978;36:787. 18. Hunt OT, Johnston CD, Hepper PG, Burden DJ. The psychosocial impact of orthognathic surgery: a systematic review. Am J Orthod Dentofacial Orthop 2001;120:490-6. 19. Nicodemo D, Pereira MD, Ferreira LM. Self-esteem and depression in patients presenting angle class III malocclusion submitted for orthognathic surgery. Med Oral Patol Oral Cir Bucal 2008;13:48. 20. Williams D, Bentley R, Cobourne M, et al. Psychological characteristics of women who require orthognathic surgery: comparison with untreated controls. Br J Oral Maxillofac Surg 2009;47:191-5. 21. Dion K, Berscheid E, Walster E. What is beautiful is good. J Pers Soc Psychol 1972;24:285. 22. Varela M, García-Camba J. Impact of orthodontics on the psychologic profile of adult patients: a prospective study. Am J Orthod Dentofacial Orthop 1995;108:142-8. 23. Kiyak HA, West RA, Hohl T, McNeill RW. The psychological impact of orthognathic surgery: a 9-month follow-up. Am J Orthod 1982;81:404-12. 24. Stirling J, Latchford G, Morris D, Kindelan J, Spencer R, Bekker H. Elective orthognathic treatment decision making: a survey of patient reasons and experiences. J Orthod 2007;34:113-27. 25. Robinson JP, Shaver PR, Wrightsman LS. Measures of Personality and Social Psychological Attitudes: Measures of Social Psychological Attitudes: Academic Press; 2013. 26. Kiyak HA, Hohl T, West RA, McNeill RW. Psychologic changes in orthognathic surgery patients: a 24-month follow up. J Oral Maxillofac Surg 1984;42:506-12. 27. Garvill J, Garvill H, Kahnberg K-E, Lundgren S. Psychological factors in orthognathic surgery. J Craniomaxillofac Surg 1992;20:28-33. 28. Cunningham S, Hunt N, Feinmann C. Perceptions of outcome following orthognathic surgery. Br J Oral Maxillofac Surg 1996;34:210-3. 29. Flanary CM, Barnwell GM, VanSickels JE, Littlefield JH, Rugh AL. Impact of orthognathic surgery on normal and abnormal personality dimensions: a 2-year follow-up study of 61 patients. Am J Orthod Dentofacial Orthop 1990;98:313-22. 30. Olson R, Laskin D. Expectations of patients from orthognathic surgery. J Oral Surg 1980;38:283-5. 31. Finlay PM, Moos SF, Atkinson JM. Orthognathic surgery: patient expectations; psychological profile and satisfaction with outcome. Br J Oral Maxillofac Surg 1995;33:9-14. 32. Forssell H, Finne K, Forssell K, Panula K, Blinnikka L. Expectations and perceptions regarding treatment: a prospective study of patients undergoing orthognathic surgery. Int J Adult Orthodon Orthognath Surg 1997;13:107-13. 33. Bertolini F, Russo V, Sansebastiano G. Pre-and postsurgical psycho-emotional aspects of the orthognathic surgery patient. Int J Adult Orthodon Orthognath Surg 1999;15:16-23. 34. Patzer Gl. Improving Self‐Esteem By Improving Physical Attractiveness. J Esthet Restor Dent 1997;9:44-6. 35. Fitts WH. Manual for the Tennessee self concept scale. Nashville, TN: Counselor Recordings and Tests 1965. 36. Reichmuth M, Greene KA, Orsini MG, Cisneros GJ, King GJ, Kiyak HA. Occlusal perceptions of children seeking orthodontic treatment: impact of ethnicity and socioeconomic status. Am J Orthod Dentofacial Orthop 2005;128:575-82. 37. Williams DM, Bentley R, Cobourne MT, et al. The impact of idealised facial images on satisfaction with facial appearance: Comparing ‘ideal’and ‘average’faces. J Dent 2008;36:711-7. 38. Kovalenko A, Slabkovskaya A, Drobysheva N, Persin L, Drobyshev A, Maddalone M. The association between the psychological status and the severity of facial deformity in orthognathic patients. Angle Orthod 2011;82:396-402.
There are 1 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Research
Authors

Mükerrem Özge Ağırnaslıgil

Nisa Gül Amuk

Publication Date April 1, 2018
Submission Date April 25, 2017
Published in Issue Year 2018 Volume: 5 Issue: 1

Cite

Vancouver Ağırnaslıgil MÖ, Gül Amuk N. İSKELETSEL SINIF III MALOKLÜZYONA SAHİP ORTOGNATİK CERRAHİ HASTALARININ BENLİK SAYGISI, ELEŞTİRİYE DUYARLILIK VE SOSYAL GÖRÜNÜŞ KAYGISI DÜZEYLERİNİN UZUN DÖNEM TAKİBİ. Selcuk Dent J. 2018;5(1):50-8.