Document Detail


Motives for surgical-orthodontic treatment and effect of treatment on psychosocial well-being and satisfaction: a prospective study of 118 patients.
MedLine Citation:
PMID:  21050649     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: A prospective, controlled study of consecutive surgical-orthodontic patients was performed to assess how treatment affects the patients' psychosocial well-being. We evaluated patients' treatment motivations and motive fulfillment in relation to their satisfaction with the treatment and assessed the correlation between their satisfaction and their psychosocial well-being.
PATIENTS AND METHODS: A total of 118 adult patients (51 men and 67 women, mean age 25 years) who had undergone surgical-orthodontic treatment were examined before the preoperative orthodontic treatment and 12 months after surgery or later. The motives for treatment, fulfillment of those motives, psychosocial well-being, and degree of post-treatment satisfaction were assessed using questionnaires validated for Danish patients. A total of 47 age- and gender-matched subjects without any current or previous need for orthodontic or surgical-orthodontic treatment served as the controls.
RESULTS: The patients stated oral function and appearance as their main treatment motives, and most reported that their motives had been fulfilled. Both their motives and the actual fulfillment of their motives influenced their treatment satisfaction. Another significant outcome of treatment was improved self-concept and social interaction. The more self-concept and social interaction were improved by treatment, the greater the post-treatment satisfaction the patients expressed.
CONCLUSIONS: Surgical-orthodontic treatment has significant potential to improve patients' psychosocial well-being. Patients' satisfaction with treatment correlated with the post-treatment psychosocial status. However, pretreatment motives significantly influenced the overall satisfaction after treatment. Thus, patients who weighted oral function motives greatest expressed the lowest degree of treatment satisfaction.
Authors:
Jesper Oland; John Jensen; Ask Elklit; Birte Melsen
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2010-11-02
Journal Detail:
Title:  Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons     Volume:  69     ISSN:  1531-5053     ISO Abbreviation:  J. Oral Maxillofac. Surg.     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2010-12-17     Completed Date:  2011-02-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8206428     Medline TA:  J Oral Maxillofac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  104-13     Citation Subset:  AIM; D; IM    
Copyright Information:
Copyright © 2011 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Oral and Maxillofacial Surgery, University Hospital of Copenhagen, Copenhagen, Denmark. jesper_oland@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Attitude to Health
Case-Control Studies
Dental Occlusion
Esthetics, Dental
Female
Follow-Up Studies
Health Status
Humans
Interpersonal Relations
Male
Mastication / physiology
Mental Health*
Motivation*
Orthodontics, Corrective / psychology*
Orthognathic Surgical Procedures / psychology*
Patient Satisfaction*
Periodontal Diseases / prevention & control
Prospective Studies
Self Concept
Sex Factors
Speech / physiology
Temporomandibular Joint Disorders / prevention & control
Tooth Loss / prevention & control

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


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