Psychosocial and physiological assessments of orthognathic patients

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dc.contributor.advisor Millett, Declan en Paul Cheruvathur, Raphy 2018-11-14T09:43:29Z 2018-11-14T09:43:29Z 2018 2018
dc.identifier.citation Paul Cheruvathur, R. 2018. Psychosocial and physiological assessments of orthognathic patients. PhD Thesis, University College Cork. en
dc.identifier.endpage 147 en
dc.description.abstract Aims: The primary aim was to compare, in the RoI, generic oral health-related quality of life (OHIP14), condition-specific quality of life (OQLQ), the fear of negative evaluation (BFNES) and self-reported BMI of patients seeking surgical-orthodontic correction of their malocclusion versus those of the general population. A secondary aim was to assess the IOFTN in the orthognathic cohort and to investigate any correlation between the functional domain of OQLQ and IOFTN. Materials and Methods: Orthognathic patients prior to commencing pre-surgical orthodontics from five regional HSE orthodontic units within the RoI and randomly selected age-matched subjects from the general population were invited to complete a telephone interview. Participants were asked questions regarding general characteristics and then asked to respond to the validated questionnaires OHIP-14, OQLQ, and BFNES. IOFTN grades of the orthognathic sample were also assessed. Results: Eighty orthognathic patients (39 males; 41 females) with an overall mean age of 17.5 (SD 1.6) years and 213 subjects from the general population (95 males; 118 females) with an overall mean age of 17.8 (SD 1.5) years completed a telephone interview. Orthognathic patients had significantly higher mean scores for OHIP-14, OQLQ and S-BFNES than the general population (p < 0.001). The mean score of OHIP-14 for the orthognathic patients and the general population were 14 (SD 8.6) and 5 (SD 5.9) respectively. Corresponding group scores for OQLQ were 40.9 (SD 19.3) and 19.9 (SD 14.9), and for S-BFNES were 23.2 (SD 7.2) and 18.8 (SD 8.1). Females had higher overall OQLQ and S-BFNES scores than males in both groups (p < 0.0001). There was no significant difference in the distribution of self-reported BMI categories between the groups (p = 0.8931). More than 90 per cent of the orthognathic sample were in IOFTN grade 4 and grade 5 showing ‘great’ and ‘very great’ functional need for surgery respectively. No association was found between the functional domain of OQLQ and IOFTN categories (p=0.5530). Conclusion: Orthognathic patients reported significantly poorer oral-health related and condition-specific quality of life as well as higher levels of social anxiety than the general population. Females in both groups had higher scores than males for OQLQ and S-BFNES. There was no correlation between the functional domain of OQLQ and IOFTN. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher University College Cork en
dc.rights © 2018, Raphy Paul Cheruvathur. en
dc.rights.uri en
dc.subject BMI en
dc.subject IOFTN en
dc.subject Orthognathic en
dc.subject Quality of life en
dc.subject Psychosocial en
dc.subject Dentofacial deformity en
dc.subject Social anxiety en
dc.title Psychosocial and physiological assessments of orthognathic patients en
dc.type Doctoral thesis en
dc.type.qualificationlevel Doctoral en
dc.type.qualificationname DClinDent - Doctor of Clinical Dentistry en
dc.internal.availability Full text available en Not applicable en
dc.description.version Accepted Version
dc.contributor.funder Health Service Executive, Ireland en
dc.description.status Not peer reviewed en Dental School and Hospital en
dc.check.type No Embargo Required
dc.check.reason Not applicable en
dc.check.opt-out Not applicable en
dc.thesis.opt-out false
dc.check.embargoformat Embargo not applicable (If you have not submitted an e-thesis or do not want to request an embargo) en
dc.internal.conferring Autumn 2018 en

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