Document Detail

Medical necessity of orthognathic surgery for the treatment of dentofacial deformities associated with temporomandibular disorders.
MedLine Citation:
PMID:  9511486     Owner:  NLM     Status:  MEDLINE    
This retrospective study assessed the medical necessity of orthognathic surgery for the treatment of dentofacial deformities associated with temporomandibular joint disorders from a perspective of cost effectiveness, myofascial and masticatory function, and quality of life. Questionnaires were mailed to 385 orthognathic surgical patients from one oral and maxillofacial surgery practice. Each questionnaire consisted of three sections: medical costs associated with the patient's orofacial symptoms, symptoms associated with the patient's condition, and the patient's quality of life. One hundred fifty patients responded to the questionnaire. On average, patients spent less money per month on costs associated with their orofacial problem after surgery, and there were fewer visits to the doctor postoperatively. All temporomandibular symptoms were significantly reduced postoperatively, with the exception of facial pain. Quality of life also showed improvement postoperatively. Although orthognathic surgery may be of slightly greater benefit to specific groups of patients based on occlusal relationship and age, all patients in this study showed significant postoperative improvement.
J E Moenning; D A Bussard; P M Montefalco; T H Lapp; B T Garrison
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The International journal of adult orthodontics and orthognathic surgery     Volume:  12     ISSN:  0742-1931     ISO Abbreviation:  Int J Adult Orthodon Orthognath Surg     Publication Date:  1997  
Date Detail:
Created Date:  1998-07-14     Completed Date:  1998-07-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8610335     Medline TA:  Int J Adult Orthodon Orthognath Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  153-61     Citation Subset:  D    
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MeSH Terms
Cost-Benefit Analysis
Face / abnormalities*
Health Services Needs and Demand / economics,  statistics & numerical data,  utilization*
Quality of Life
Retrospective Studies
Surgery, Oral / economics,  statistics & numerical data,  utilization*
Temporomandibular Joint Disorders / economics,  surgery*
Tooth Abnormalities / economics,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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