Psychosocial effects of mandibular prognathism treatment with the use of bilateral sagittal split osteotomy
Abstract
Mandibular prognathism is a dentofacial deformity, in which the most pronounced feature is mandibular anterior excess. Unfavorable psychosocial effect deriving from unaesthetic facial appearance is the major indication for treatment of dentofacial deformities but other important factors are disturbed mastication, speech, pain and temporomandibular joint dysfunction. Bilateral sagittal split osteotomy (BSSO) is a popular technique among several methods utilized in tratment of dentofacial deformities including mandibular prognathism. The aim of this paper was the evaluation of impact of surgical correction of mandibular prognathism with use of BSSO on self-assessment of facial esthetics, mastication, general health, social interactions in conjunction with improvement of wellbeing. The material was the medical records of 54 patients treated for mandibular prognathism in The Department of Oral and Maxillofacial Surgery at The Medical University of Lublin. Two questionnaires and one psychological test were utilized to assess the orthodontic-surgical impact on patients’ physical and psychological function. In the evaluated group of patients considerable increase in self-assessment and self-confidence was noted after surgical treatment. They also pointed at better social interactions postoperatively in comparison with the presurgical period as well as less constraint during meal consumption. Moreover, speech improvement was noted in the evaluated group of patients. In conclusion, it was found that in majority of evaluated patients there was improvement of self-acceptance which reflects high degree of satisfaction obtained from the treatment.
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