The psychosocial impact of orthognathic surgery: A systematic review

The aim of this study was to review the reported psychosocial benefits of orthognathic surgery. A systematic review of the literature was conducted using MEDLINE (1966 to December 2000), Web of Science (1981 to December 2000), and reference sections of identified articles. We also hand searched key...

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Bibliographic Details
Published in:American journal of orthodontics and dentofacial orthopedics 2001-11, Vol.120 (5), p.490-496
Main Authors: Hunt, Orlagh T., Johnston, Chris D., Hepper, Peter G., Burden, Donald J.
Format: Article
Language:English
Subjects:
Dentistry
Humans
Jaw Abnormalities - psychology
Jaw Abnormalities - surgery
Malocclusion - psychology
Malocclusion - surgery
Oral Surgical Procedures - psychology
Self Concept
Social Desirability
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Summary:The aim of this study was to review the reported psychosocial benefits of orthognathic surgery. A systematic review of the literature was conducted using MEDLINE (1966 to December 2000), Web of Science (1981 to December 2000), and reference sections of identified articles. We also hand searched key orthodontic, oral surgery, and psychology journals. No language limitations were imposed. Randomized controlled trials, other controlled clinical trials, prospective studies (with or without controls), and retrospective studies (with or without controls) were considered for inclusion. Two reviewers extracted the data and independently assessed the quality of the studies. In all, 29 studies, including a number of prospective and retrospective studies, were identified as relevant. The results of the review indicated that orthognathic patients experience psychosocial benefits as a result of orthognathic surgery, including improved self-confidence, body and facial image, and social adjustment. However, there were wide variations in the study designs and a lack of uniformity in measuring the psychosocial constructs. This made it difficult to quantify the extent and the duration of the psychosocial benefits. (Am J Orthod Dentofacial Orthop 2001;120:490-7)
ISSN:0889-5406
1097-6752
DOI:10.1067/mod.2001.118402