Oral Health-Related Quality of Life Changes in Patients with Dentofacial Deformities Class II and III after Orthognathic Surgery: A Systematic Review and Meta-Analysis
Por:
Duarte, V, Zaror, C, Villanueva, J, Andreo, M, Dallaserra, M, Salazar, J, Pont, A, Ferrer, M
Publicada:
1 feb 2022
Resumen:
Our aim was to assess the impact of combined orthodontic-surgical treatment on patients' oral health-related quality of life (OHRQoL) according to type of dentofacial deformities, by synthesizing the available evidence. Methods: Search was conducted in the PubMed, Embase/MEDLINE, Scopus, and Cochrane databases. The eligibility criteria were studies that measured OHRQoL before-after orthognathic surgery, with results disaggregated by Class II and III. Two researchers independently performed the selection process, data extraction, and methodological quality assessment. Meta-analysis of the standard mean differences (SMD) was performed using random effect models. Results: The search identified 1047 references. Thirteen studies met the inclusion criteria, and four were included in the meta-analysis. The SMD of OHRQL global score showed large improvement 4-7 months after surgery in Class II and III patients (2.09, 95% CI 0.68 to 3.49 and 1.96, 95% CI 1.22 to 2.70, respectively). The sensitivity analyses, excluding studies with weak methodological quality, showed that Class III patients' improvement in functional limitation was significantly higher than in Class II patients (SMD 0.57, 95% CI 0.12-1.02). Conclusions: There is not enough evidence to support differences between Class II and III patients in the OHRQoL impact after orthognathic surgery, but findings suggest lower improvement of some domains in Class II patients.
Filiaciones:
Duarte, V:
Pontificia Univ Catolica Valparaiso, Fac Sci, Valparaiso 2340000, Chile
Hosp Carlos Buren, Oral & Maxillofacial Surg, Valparaiso 2340000, Chile
Univ Autonoma Barcelona, Dept Paediat Obstet & Gynaecol & Prevent Med, Barcelona 08193, Spain
Zaror, C:
Univ La Frontera, Fac Dent, Dept Paediat Dent & Orthdnt, Temuco 4780000, Chile
Univ La Frontera, Ctr Res Epidemiol Econ & Oral Publ Hlth CIEESPO, Fac Dent, Temuco 4780000, Chile
Villanueva, J:
Univ Chile, Fac Dent, Dept Oral & Maxillofacial Surg, Santiago 8380000, Chile
Univ Chile, Fac Dent, Cochrane Associated Ctr, Santiago 8380000, Chile
Hosp Clin San Borja Arriaran, Dept Oral & Maxillofacial Surg, Santiago 8320000, Chile
Andreo, M:
Hosp Carlos Buren, Oral & Maxillofacial Surg, Valparaiso 2340000, Chile
Dallaserra, M:
Univ Chile, Fac Dent, Dept Oral & Maxillofacial Surg, Santiago 8380000, Chile
Univ Chile, Fac Dent, Cochrane Associated Ctr, Santiago 8380000, Chile
Salazar, J:
Iberoamer Cochrane Ctr, Barcelona 08025, Spain
Pont, A:
Hosp Mar Med Res Inst, Hlth Servi Res Grp IMIM, Barcelona 08003, Spain
CIBERESP, CIBER Epidmiol & Salud Publ, Madrid 28029, Spain
Ferrer, M:
Hosp Mar Med Res Inst, Hlth Servi Res Grp IMIM, Barcelona 08003, Spain
CIBERESP, CIBER Epidmiol & Salud Publ, Madrid 28029, Spain
Pompeu Fabra Univ, Dept Expt & Hlth Sci, Barcelona 08003, Spain
gold, Green Published
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