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      A Questionnaire Study of the Motive and Effectiveness of Treatment in Patients Treated with 2-Jaw Surgery

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      https://www.riss.kr/link?id=A108065525

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      다국어 초록 (Multilingual Abstract)

      Objective: To identify the effect of orthognathic surgery on patients’ self-esteem, effects of surgery, motivations, and perception of treatment methods. Methods: A survey was conducted in patients who received orthognathic surgery and orthodontic treatment, and the results of the survey were analyzed using the SAS System for Windows V 9.3 program. Results: Of the 208 respondents (83 men, 125 women), the majority of patients selected overcoming inferiority complexes and recovering self-confidence as motivations and improvements after the surgery. The improvements in self-esteem and masticatory function after orthognathic surgery were statistically significant. More than half of the respondents answered that the possibility of post-surgical effects was the factor they were most worried about before surgery. Moreover, the number of patients that felt change in pronunciation after surgery was 1.5 times more than those that did not. As for treatment methods, the majority preferred a surgery-first approach, and regarding considerations, most answered that choosing between surgery-first/orthodontic correction-first was not a decisive factor. Conclusion: The results could be used as a reference to explain treatment plans to patients requiring surgery. Subsequent studies about several variables related to the psychological effects caused by 2-jaw surgery are required.
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      Objective: To identify the effect of orthognathic surgery on patients’ self-esteem, effects of surgery, motivations, and perception of treatment methods. Methods: A survey was conducted in patients who received orthognathic surgery and orthodontic t...

      Objective: To identify the effect of orthognathic surgery on patients’ self-esteem, effects of surgery, motivations, and perception of treatment methods. Methods: A survey was conducted in patients who received orthognathic surgery and orthodontic treatment, and the results of the survey were analyzed using the SAS System for Windows V 9.3 program. Results: Of the 208 respondents (83 men, 125 women), the majority of patients selected overcoming inferiority complexes and recovering self-confidence as motivations and improvements after the surgery. The improvements in self-esteem and masticatory function after orthognathic surgery were statistically significant. More than half of the respondents answered that the possibility of post-surgical effects was the factor they were most worried about before surgery. Moreover, the number of patients that felt change in pronunciation after surgery was 1.5 times more than those that did not. As for treatment methods, the majority preferred a surgery-first approach, and regarding considerations, most answered that choosing between surgery-first/orthodontic correction-first was not a decisive factor. Conclusion: The results could be used as a reference to explain treatment plans to patients requiring surgery. Subsequent studies about several variables related to the psychological effects caused by 2-jaw surgery are required.

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      참고문헌 (Reference)

      1 Nagasaka H, "“Surgery first” skeletal Class III correction using the Skeletal Anchorage System" 43 : 97-105, 2009

      2 Pahkala RH, "Surgical-orthodontic treatment and patients’ functional and psychosocial wellbeing" 132 : 158-164, 2007

      3 Baek SH, "Surgery-first approach in skeletal class III malocclusion treated with 2-jaw surgery : evaluation of surgical movement and postoperative orthodontic treatment" 21 : 332-338, 2010

      4 Garvill J, "Psychological factors in orthognathic surgery" 20 : 28-33, 1992

      5 Gerzanic L, "Psychologic implications of orthognathic surgery in patients with skeletal Class II or Class Ⅲ malocclusion" 17 : 75-81, 2002

      6 O’Brien K, "Prospective, multi-center study of the effectiveness of orthodontic/orthognathic surgery care in the United Kingdom" 135 : 709-714, 2009

      7 Zhou YH, "Patient satisfaction following orthognathic surgical correction of skeletal Class III malocclusion" 16 : 99-107, 2001

      8 Mihalik CA, "Long-term follow-up of Class II adults treated with orthodontic camouflage : a comparison with orthognathic surgery outcomes" 123 : 266-278, 2003

      9 Rodrigues-Garcia RC, "Effects of major Class II occlusal corrections on temporomandibular signs and symptoms" 12 : 185-192, 1998

      10 Klages U, "Dental esthetics, orthodontic treatment, and oral-health attitudes in young adults" 128 : 442-449, 2005

      1 Nagasaka H, "“Surgery first” skeletal Class III correction using the Skeletal Anchorage System" 43 : 97-105, 2009

      2 Pahkala RH, "Surgical-orthodontic treatment and patients’ functional and psychosocial wellbeing" 132 : 158-164, 2007

      3 Baek SH, "Surgery-first approach in skeletal class III malocclusion treated with 2-jaw surgery : evaluation of surgical movement and postoperative orthodontic treatment" 21 : 332-338, 2010

      4 Garvill J, "Psychological factors in orthognathic surgery" 20 : 28-33, 1992

      5 Gerzanic L, "Psychologic implications of orthognathic surgery in patients with skeletal Class II or Class Ⅲ malocclusion" 17 : 75-81, 2002

      6 O’Brien K, "Prospective, multi-center study of the effectiveness of orthodontic/orthognathic surgery care in the United Kingdom" 135 : 709-714, 2009

      7 Zhou YH, "Patient satisfaction following orthognathic surgical correction of skeletal Class III malocclusion" 16 : 99-107, 2001

      8 Mihalik CA, "Long-term follow-up of Class II adults treated with orthodontic camouflage : a comparison with orthognathic surgery outcomes" 123 : 266-278, 2003

      9 Rodrigues-Garcia RC, "Effects of major Class II occlusal corrections on temporomandibular signs and symptoms" 12 : 185-192, 1998

      10 Klages U, "Dental esthetics, orthodontic treatment, and oral-health attitudes in young adults" 128 : 442-449, 2005

      11 Phillips C, "Contemporary treatment of dentofacial deformity" Mosby 2002

      12 Wewers ME, "A critical review of visual analogue scales in the measurement of clinical phenomena" 13 : 227-236, 1990

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