Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Evaluation of Quality of Life in Orthognathic Surgery Patients with Class II and Class III Malocclusions
Sınıf II ve Sınıf III Maloklüzyona Sahip Ortognatik Cerrahi Hastalarında Yaşam Kalitesinin Değerlendirilmesi
Emine Fulya AKKOYUNa , Taha PERGELa , Güniz KAŞARCIOĞLUb , Ömer ÖZBEKb
aBezmialem Vakıf University Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, İstanbul, Türkiye
bBezmialem Vakıf University Institute of Health Sciences, Department of Oral and Maxillofacial Surgery, İstanbul, Türkiye
Turkiye Klinikleri J Dental Sci. 2025;31(2):182-8
doi: 10.5336/dentalsci.2024-106016
Article Language: EN
Full Text
ABSTRACT
 Objective: Orthognathic surgery is a treatment that combines orthodontic and surgical approaches to correct skeletal discrepancies. The aim of this study was to evaluate the Quality of Life (QoL) of patients with Class II and Class III skeletal malocclusions who underwent orthognathic surgery using the Orthognathic QoL Questionnaire (OQLQ), and to determine the impact of the preoperative malocclusion type on patient satisfaction. Material and Methods: This prospective cross-sectional observational study included patients with Class II and Class III dentofacial deformities who underwent orthognathic surgery at Bezmialem Vakıf University Faculty of Dentistry between 2022-2023, with at least 6 months of follow-up after surgery. These patients completed the Turkish version of the OQLQ online. The relationship between the scores and the type of deformity was statistically evaluated. Results: A total of 69 patients (41 female, 28 male) were included in the study, with a mean age of 24.8±5.17 years. The mean OQLQ score for all patients was 13.6±15.3 (15.00±12.90 for Class II patients and 12.76±16.88 for Class III patients). No significant difference was observed in the mean scores between Class II and Class III patients, except for questions 4-12, where significant differences were noted (p=0.032, p=0.03). Conclusion: The results indicate that Class III patients were generally more satisfied after surgery, which was reflected in their lower scores. In contrast, Class II patients had more difficulty adapting to the new occlusion and experienced greater challenges with eating.

Keywords: Orthognathic surgery; quality of life; treatment outcome; patient comfort; dentofacial deformities
ÖZET
 Amaç: Ortognatik cerrahi, iskelet farklılıklarını düzeltmek için uygulanan, ortodontik ve cerrahi bir yaklaşımın bir kombinasyonudur. Bu çalışmanın amacı, ortognatik cerrahi geçiren Sınıf II ve Sınıf III iskeletsel maloklüzyona sahip hastaların yaşam kalitesini [Quality of Life (QoL)] Ortognatik Yaşam Kalitesi Anketi [Orthognathic QoL Questionnaire (OQLQ)] ile değerlendirmek ve preoperatif maloklüzyon tipinin hasta memnuniyeti üzerindeki etkisini ortaya koymaktır. Gereç ve Yöntemler: Bu prospektif kesitsel gözlemsel çalışmaya Bezmialem Vakıf Üniversitesi Diş Hekimliği Fakültesi'nde 2022-2023 yılları arasında ortognatik cerrahi operasyonu geçirmiş ve ameliyat sonrası en az 6 ay geçmiş Sınıf II ve Sınıf III dentofasiyal deformiteye sahip hastalar dâhil edilmiştir. Bu hastalardan çevrim içi olarak Türkçe versiyonu kullanılan OQLQ'yu doldurmaları istenmiştir. Anket sorularına verilen cevapların skorları ile deformite tipi arasındaki korelasyon istatistiki olarak değerlendirilmiştir. Bulgular: Çalışmaya 69 hasta (41 kadın, 28 erkek) dâhil edilmiştir. Ortalama yaş 24,8±5,17 yıl olup tüm hastaların ortalama OQLQ skoru 13,6±15,3 (Sınıf II hastalarda 15,00±12,90 ve Sınıf III hastalarda 12,76±16,88) olarak bulunmuştur. Sınıf II ve Sınıf III deformiteli hastalar arasında ortalama skorlar açısından anlamlı bir fark bulunmamış, yalnızca 4 ve 12. sorularda anlamlı farklar gözlemlenmiştir (p=0,032, p=0,03). Sonuç: Sonuçlar, ameliyat sonrası Sınıf III deformiteli hastaların genellikle daha memnun olduğunu ve bu durumun daha düşük skorlarla yansıdığını göstermektedir. Buna karşılık, Sınıf II deformiteli hastaların yeni oklüzyon düzenine uyum sağlamada daha fazla zorlandığı ve yemek yeme konusunda daha fazla sıkıntı yaşadığı görülmüştür.

Anahtar Kelimeler: Ortognatik cerrahi; yaşam kalitesi; tedavi sonucu; hasta konforu; dentofasiyal deformiteler
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