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İskeletsel sınıf III maloklüzyonlu ortognatik cerrahi hastalarında sefalometrik değişimlerin yaşam kalitesinin ve postoperatif memnuniyetin değerlendirilmesi

Year 2020, Volume: 7 Issue: 3, 428 - 434, 27.12.2020
https://doi.org/10.15311/selcukdentj.712009

Abstract

Amaç: Çalışmamızın amacı; sınıf III maloklüzyona sahip ortognatik cerrahi hastalarında sefalometrik filmler üzerinde sert ve yumuşak doku değişimlerinin incelenmesi, ortognatik cerrahi sonrası yaşam kalitesinin ve cerrahi sonrası hasta memnuniyetinin değerlendirilmesidir.
Gereç ve Yöntemler: İskeletsel sınıf III maloklüzyona sahip ortognatik cerrahi prosedür geçirmiş 48 birey geçirdikleri cerrahi operasyona göre 2 gruba ayrılmıştır. Tek çene cerrahi operasyonu geçiren 14 birey (ortalama yaş 23,90) bilateral sagital split ramus osteotomisi operasyonu geçirmiştir. Çift çene cerrahi operasyonu geçiren 34 birey alt çene için bilateral sagital split ramus osteotomisi operasyonu üst çene için Le Fort I osteotomisi operasyonu geçirmiştir. Hastaların başlangıç ve bitim lateral sefalometrik röntgenleri dijital ortamda çizilmiştir. Postoperatif hasta memnuniyeti anketi (PSPSQ) ve oral sağlık etki profili (OHIP-14) anketleri ortalama 23,54 ay sonra (min 7ay, max 24 ay) hastalara uygulanmıştır. Sefalometrik ölçümlerin ve hasta memnuniyeti anketlerinin korelasyonu değerlendirilmiştir.
Bulgular: Sınıf III maloklüzyona sahip ortognatik cerrahi hastalarında her iki ankette ve her iki grupta yüksek memnuniyet skorları görülmektedir. Tek ve çift çene cerrahisi grubu hastalarında psikolojik rahatsızlıklar ile ilgili sorular haricinde farklılık bulunmamaktadır.
Sonuç: Çalışmamız sonucunda hastaların büyük çoğunluğunun ortognatik cerrahi sonrasında yaşam kalitelerinden ve cerrahinin estetik fonksiyonel ve psikolojik sonuçlarından memnun kaldıkları görülmüştür.

References

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  • 2. Profitt WR, Fields HW. Contemporary Orthodontics. 3rd Ed. St. Louis: Mo: Mosby Year Book. 526-551, 2000.
  • 3. Worms FW, Isaacson RJ, Speidel TM, 1976. Surgical orthodontic treatment planning: profile analysis and mandibular surgery. Angle Orthod, 1976;46:1-25.
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  • 5. Chen F, Terada K, Hua Y, Saito I. Effect of bimaxillary surgery and mandibular setback surgery on pharyngeal airway measurements in patients with Class III skeletal deformities Am J Dentofacial Orthop, 2007;131:372-7.
  • 6. Reyneke JP. Essentials of orthognathic surgery. First ed. Quintessence Publishing Co, Inc, Carol Stream, IL, p. 52-53, 2003.
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  • 8. Kiyak HA, McNeill RW, West RA, Hohl T, Bucher F, Sherrick P. Predicting psychological responses to orthognathic surgery J Oral Maxillofac Surg, 2002;40:150-5.
  • 9. Dantas, JFC, Neto JNN, de Carvalho, SHG, de Souza, RF, Sarmento VA. Satisfaction of skeletal class III patients treated with different types of orthognathic surgery. International journal of oral and maxillofacial surgery, 2015;44:195-202.
  • 10. Slade GD, Spencer AJ. Development and evaluation of the oral health impact profile Community Dent Health, 1994;11:3-11.
  • 11. Rustemeyer J, Martin A, Gregersen J. Changes in quality of life and their relation to cephalometric changes in orthognathic surgery patients. The Angle Orthodontist, 2011;82:235-41.
  • 12. Kiyak HA, Hohl T, West RA, McNeill RW. Psychologic changes in orthognathic surgery patients: a 24-month follow up. Journal of Oral and Maxillofacial Surgery, 1984;42:506-12.
  • 13. Lew KK, Low FC, Yeo JF, Loh HS. Evaluation of soft tissue profile following intraoral ramus osteotomy in Chinese adults with mandibular prognathism. Int J Adult Orthodon Orthog- nath Surg, 1990;5:189–97.
  • 14. Kiyak HA, McNeill RW, West RA. The emotional impact of orthognathic surgery and conventional orthodontics. American journal of orthodontics, 1985;88:224-34.
  • 15. Kobayashi T, Watanabe I, Ueda K, Nakajima T. Stability of the mandible after sagittal ramus osteotomy for correction of prognathism. Journal of Oral and Maxillofacial Surgery, 1986;44:698-702.
  • 16. Kitagawara, K., Kobayashi, T., Goto, H., Yokobayashi, T., Kitamura, N., & Saito, C. (2008). Effects of mandibular setback surgery on oropharyngeal airway and arterial oxygen saturation. International journal of oral and maxillofacial surgery, 2008;37:328-33.
  • 17. Reyneke JP. Essentials of orthognathic surgery. First ed. Quintessence Publishing Co, Inc, Carol Stream, IL, 2003.
  • 18. Naini FB. Historical evolution of orthognatic surgery In: Orthognatic surgery principles, planning and practice Eds: Naini FB, Gill DS, First ed. PalatinoLTStd by Aptara Inc., New Delhi, India, 2017.
  • 19. Lee S, McGrath C, Samman N. Impact of orthognathic surgery on quality of life. Journal of Oral and Maxillofacial Surgery, 2008;66:1194-9.
  • 20. Choi WS, Lee S, McGrath C, Samman N. Change in quality of life after combined orthodontic-surgical treatment of dentofacial deformities. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 2010;109:46-51.
  • 21. Marşan G, Cura N, Emekli U. Soft and hard tissue changes after bimaxillary surgery in Turkish female Class III patients. Journal of Cranio-Maxillofacial Surgery, 2009;37:8-17.
  • 22. Chew MT. Soft and hard tissue changes after bimaxillary surgery in Chinese Class III patients. The Angle Orthodontist, 2005;75:959-63.
  • 23. Lin SS, Kerr WJS. Soft and hard tissue changes in Class III patients treated by bimaxillary surgery. The European Journal of Orthodontics, 1998;20:25-33.
  • 24. Asada K, Motoyoshi M, Tamura T, Nakajima A, Mayahara K, Shimizu N. Satisfaction with orthognathic surgery of skeletal Class III patients. American Journal of Orthodontics and Dentofacial Orthopedics, 2015;148:827-37.
  • 25. Enacar A, Taner T, Toroğlu S. Analysis of soft tissue profile changes associated with mandibular setback and double-jaw surgeries. The International journal of adult orthodontics and orthognathic surgery, 1999;14:27-35.
  • 26. Posnick JC, Wallace J. Complex orthognathic surgery: assessment of patient satisfaction. Journal of Oral and Maxillofacial Surgery, 2008;66:934-42.
Year 2020, Volume: 7 Issue: 3, 428 - 434, 27.12.2020
https://doi.org/10.15311/selcukdentj.712009

Abstract

References

  • 1. Ackerman JL, Proffit WR, Sarver DM. The emerging soft tissue paradigm in orthodontic diagnosis and treatment planning. Clin Orthod Res, 1999;2;49-52.
  • 2. Profitt WR, Fields HW. Contemporary Orthodontics. 3rd Ed. St. Louis: Mo: Mosby Year Book. 526-551, 2000.
  • 3. Worms FW, Isaacson RJ, Speidel TM, 1976. Surgical orthodontic treatment planning: profile analysis and mandibular surgery. Angle Orthod, 1976;46:1-25.
  • 4. Soncul M, Bamber MA. Evaluation of facial soft tissue changes with optical surface scan after surgical correction of Class III deformities. J Oral Maxillofac Surg, 2004;62:1331-40.
  • 5. Chen F, Terada K, Hua Y, Saito I. Effect of bimaxillary surgery and mandibular setback surgery on pharyngeal airway measurements in patients with Class III skeletal deformities Am J Dentofacial Orthop, 2007;131:372-7.
  • 6. Reyneke JP. Essentials of orthognathic surgery. First ed. Quintessence Publishing Co, Inc, Carol Stream, IL, p. 52-53, 2003.
  • 7. Busby BR, Bailey LJ, Proffit WR, Phillips C, White Jr RP, 2002. Long term stability of surgical Class III treatment: a study of 5-year postsurgical results Int J Adult Orthod Orthognath Surg, 17 , 159-170.
  • 8. Kiyak HA, McNeill RW, West RA, Hohl T, Bucher F, Sherrick P. Predicting psychological responses to orthognathic surgery J Oral Maxillofac Surg, 2002;40:150-5.
  • 9. Dantas, JFC, Neto JNN, de Carvalho, SHG, de Souza, RF, Sarmento VA. Satisfaction of skeletal class III patients treated with different types of orthognathic surgery. International journal of oral and maxillofacial surgery, 2015;44:195-202.
  • 10. Slade GD, Spencer AJ. Development and evaluation of the oral health impact profile Community Dent Health, 1994;11:3-11.
  • 11. Rustemeyer J, Martin A, Gregersen J. Changes in quality of life and their relation to cephalometric changes in orthognathic surgery patients. The Angle Orthodontist, 2011;82:235-41.
  • 12. Kiyak HA, Hohl T, West RA, McNeill RW. Psychologic changes in orthognathic surgery patients: a 24-month follow up. Journal of Oral and Maxillofacial Surgery, 1984;42:506-12.
  • 13. Lew KK, Low FC, Yeo JF, Loh HS. Evaluation of soft tissue profile following intraoral ramus osteotomy in Chinese adults with mandibular prognathism. Int J Adult Orthodon Orthog- nath Surg, 1990;5:189–97.
  • 14. Kiyak HA, McNeill RW, West RA. The emotional impact of orthognathic surgery and conventional orthodontics. American journal of orthodontics, 1985;88:224-34.
  • 15. Kobayashi T, Watanabe I, Ueda K, Nakajima T. Stability of the mandible after sagittal ramus osteotomy for correction of prognathism. Journal of Oral and Maxillofacial Surgery, 1986;44:698-702.
  • 16. Kitagawara, K., Kobayashi, T., Goto, H., Yokobayashi, T., Kitamura, N., & Saito, C. (2008). Effects of mandibular setback surgery on oropharyngeal airway and arterial oxygen saturation. International journal of oral and maxillofacial surgery, 2008;37:328-33.
  • 17. Reyneke JP. Essentials of orthognathic surgery. First ed. Quintessence Publishing Co, Inc, Carol Stream, IL, 2003.
  • 18. Naini FB. Historical evolution of orthognatic surgery In: Orthognatic surgery principles, planning and practice Eds: Naini FB, Gill DS, First ed. PalatinoLTStd by Aptara Inc., New Delhi, India, 2017.
  • 19. Lee S, McGrath C, Samman N. Impact of orthognathic surgery on quality of life. Journal of Oral and Maxillofacial Surgery, 2008;66:1194-9.
  • 20. Choi WS, Lee S, McGrath C, Samman N. Change in quality of life after combined orthodontic-surgical treatment of dentofacial deformities. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 2010;109:46-51.
  • 21. Marşan G, Cura N, Emekli U. Soft and hard tissue changes after bimaxillary surgery in Turkish female Class III patients. Journal of Cranio-Maxillofacial Surgery, 2009;37:8-17.
  • 22. Chew MT. Soft and hard tissue changes after bimaxillary surgery in Chinese Class III patients. The Angle Orthodontist, 2005;75:959-63.
  • 23. Lin SS, Kerr WJS. Soft and hard tissue changes in Class III patients treated by bimaxillary surgery. The European Journal of Orthodontics, 1998;20:25-33.
  • 24. Asada K, Motoyoshi M, Tamura T, Nakajima A, Mayahara K, Shimizu N. Satisfaction with orthognathic surgery of skeletal Class III patients. American Journal of Orthodontics and Dentofacial Orthopedics, 2015;148:827-37.
  • 25. Enacar A, Taner T, Toroğlu S. Analysis of soft tissue profile changes associated with mandibular setback and double-jaw surgeries. The International journal of adult orthodontics and orthognathic surgery, 1999;14:27-35.
  • 26. Posnick JC, Wallace J. Complex orthognathic surgery: assessment of patient satisfaction. Journal of Oral and Maxillofacial Surgery, 2008;66:934-42.
There are 26 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Research
Authors

Ahmet Vural

Zehra İleri

Mehmet Akın 0000-0003-0776-7653

Publication Date December 27, 2020
Submission Date March 31, 2020
Published in Issue Year 2020 Volume: 7 Issue: 3

Cite

Vancouver Vural A, İleri Z, Akın M. İskeletsel sınıf III maloklüzyonlu ortognatik cerrahi hastalarında sefalometrik değişimlerin yaşam kalitesinin ve postoperatif memnuniyetin değerlendirilmesi. Selcuk Dent J. 2020;7(3):428-34.