Abstract
Introduction
The aim of this research was to evaluate the level of satisfaction of patients who were undergoing distraction osteogenesis of mandible with extraoral distraction appliance.
Material and Methods
The prospective study was performed on 13 patients with facio-mandibular deformity reporting to the Oral Health Sciences Center, PGIMER, Chandigarh, India, who required surgical and orthodontic intervention for correction. A standardized multiple choice questionnaire was provided to all patients at 3 stages of treatment i.e. during predistraction, distraction and post distraction period.
Results
Predistraction evaluation showed that the main reason for patients to seek treatment was lack of facial esthetics and all of them were sure that there would be a change in their lives after they underwent this treatment procedure. During distraction phase the most common complaint was pain. None of the patients felt that they were suffering during active distraction phase and all felt that they made the right decision. In post distraction phase, all patients were satisfied with the treatment and felt that the treatment was worth it. Twelve out of 13 patients would recommend treatment to others without any hesitation.
Conclusion
Our study concludes that distraction osteogenesis of the mandible with extra-oral appliances is acceptable to patients, and improved facial appearance is a positive influence. The appliance and results of the procedure are socially accepted and appreciated.
Similar content being viewed by others
References
Cunnigham SJ, Feinmann C, Horrocks EN (1995) Psychological problems following orthognathic surgery. J Clin Orthod 29(12):755–757
Phillips C, Bennett ME, Broder HL (1998) Dentofacial disharmony: psychological status of patients seeking treatment consultation. Angle Orthod 68(6):547–556
Cunningham SJ, Gilthorpe MS, Hunt NP (2000) Are orthognathic patients different? Eur J Orthod 22(2):195–202
McCarthy JG, Stelnicki EF, Grayson BH (1999) Distraction osteogenesis of the mandible: a ten year experience. Sem Orthod 5(1):3–8
McCarthy JG, Schreiber J, Karp N, Thorne CH, Grayson BH (1992) Legthening of human mandible by gradual distraction. Plast Reconstr Surg 89(1):1–8
Hurmerinta K, Hukki J (2001) Vector control in lower jaw distraction osteogenesis using an extra-oral multidirectional device. J Craniomaxillofac Surg 29(5):263–270
Cai M, Lu X, Shen G, Wang X, Cheng AH (2011) Customized bifocal and trifocal transport distraction osteogenesis device for extensive mandibular reconstruction. J Craniofac Surg 22(2):562–565
Kim Y, Park S, Son W, Kim S, Kim Y, Mah J (2010) Treatment of an ankylosed maxillary incisor by intraoral alveolar bone distraction osteogenesis. Am J Orthod Dentofacial Orthop 138(2):215–220
Buis J, Rousseau P, Soupre V, Martinez H, Diner PA, Vazquez MP (2001) Distraction of grafted alveolar bone in cleft case using endosseous implant. Cleft Palate Craniofac J 38(4):405–409
Goldwaser BR, Papadaki ME, Kaban LB, Troulis MJ (2012) Automated continuous mandibular distraction osteogenesis: review of the literature. J Oral Maxillofac Surg 70(2):407–416
Pelo S, Gasparini G, Di Petrillo A, Tamburrini G, Di Rocco C (2007) Distraction osteogenesis in the surgical treatment of craniostenosis: a comparison of internal and external craniofacial distractor devices. Childs Nerv Syst 23(12):1447–1453
Primrose C, Broadfoot E, Diner PA, Molina F, Moos KF (2005) Patients’ responses to distraction osteogenesis: a multi-centre study. Int J Oral Maxillofac Surg 34(3):238–242
Ayoub AF, Duncan CM, McLean GR, Moos KF, Chibbaro PD (2002) Response of patients and families to lengthening of the facial bones by extraoral distraction osteogenesis: a review of 14 patients. Br J Oral Maxillofac Surg 40(5):397–405
McCarthy JG (2007) Principles of craniofacial distraction. In: Thorne CH (ed) Grabb and Smith’s plastic surgery. Wolters Kluwer, Netherlands, pp 96–102
Finlay PM, Atkinson JM, Moos KF (1995) Orthognathic surgery: patient expectations; psychological profile and satisfaction with outcome. Br J Oral Maxillofac Surg 33(1):9–14
Williams AC, Shah H, Sandy JR, Travess HC (2005) Patients’ motivations for treatment and their experiences of orthodontic preparation for orthognathic surgery. J Orthod 32(3):191–202
Rustemeyer J, Eke Z, Bremerich A (2010) Perception of improvement after orthognathic surgery: the important variables affecting patient satisfaction. J Oral Maxillofac Surg 14(3):155–162
Nurminen L, Pietila T, Vinkka-Puhakka H (1999) Motivation for and satisfaction with orthodontic-surgical treatment: a retrospective study of 28 patients. Eur J Orthod 21(1):79–87
Guyette TW, Polley JW, Figueroa A, Botts J, Smith BE (2001) Changes in speech following unilateral mandibular distraction osteogenesis in patients with hemifacial microsomia. Cleft Palate Craniofac J 38(2):179–184
Genecov DG, Barcelo’ CR, Steinberg D, Trone T, Sperry E (2009) Clinical experience with the application of distraction osteogenesis for airway obstruction. J Craniofac Surg 20(Suppl 2):1817–1821
Senders CW, Kolstad KK, Tollefson TT, Sykes JM (2010) Mandibular distraction osteogenesis used to treat upper airway obstruction. Arch Facial Plast Surg 12(1):11–15
Zhou YH, Hagg U, Rabie AB (2001) Patient satisfaction following orthognathic surgical correction of skeletal class III malocclusion. Int J Adult Orthodon Orthognath Surg 16(2):99–107
Lazaridou-Terzoudi T, Kiyak HA, Moore R, Athanasiou AE, Melson B (2003) Longterm assessment of psychologic outcomes of orthognathic surgery. J Oral Maxillofac Surg 61(5):545–552
Conflict of interests
None.
Author information
Authors and Affiliations
Corresponding author
Electronic Supplementary Material
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Datta, R., Utreja, A., Singh, S.P. et al. Satisfaction Audit of Patients Undergoing Mandibular Distraction Osteogenesis with Extra-Oral Distraction Appliances. J. Maxillofac. Oral Surg. 14, 212–218 (2015). https://doi.org/10.1007/s12663-013-0606-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12663-013-0606-4