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Evaluation of Cephalometric Changes and Its Relation to Changes in Patients’ Quality of Life After Mandibular Setback Surgery

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Abstract

Purpose

To find out if a relationship exists between the different cephalometric changes and the perception of patients before and after Bilateral Sagittal Split Osteotomy (BSSO) setback surgery.

Patients and Methods

Sample consisted of 28 patients (mean age 23.78 ± 1.36 years), Male:Female = 1:1.3, with a median follow-up of 10 ± 1.8 months, with skeletal class III malocclusion treated with BSSO setback surgery. Pre- and post-surgery lateral cephalograms were analysed. The Oral Health Impact Profile (OHIP) questionnaire was used to assess the patients’ quality of life after surgery. Cephalometric data were then correlated with the questionnaire results.

Results

The psychological and social aspects of OHIP questionnaire were most affected. The most significant correlation between OHIP score change and cephalometric parameters was found with reduction of ‘lower lip protrusion’; and significantly positive correlations were with increase in ANB angle and reduction in values of SND angle, N-B distance, lower lip length, lower facial height, mentolabial angle and angle of facial convexity.

Conclusions

A significant relationship exists between the subjective and objective parameters which should be considered while planning for orthognathic surgery. Results of this study could be beneficial, helping the clinicians, to emphasise on specific cephalometric variable with the patient-specific expectations.

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Authors and Affiliations

  1. Clinical Fellow in Orthognathic Surgery, Almas Hospital, Kottakkal, Kerala, India

    Divya Chadda

  2. Department of Oral and Maxillofacial Surgery, Dr. R. Ahmed Dental College and Hospital, Kolkata, India

    Swapan Kumar Majumdar

  3. Consultant Orthodontist, Kolkata, India

    Anirban Shome

  4. Department of Orthodontia and Dentofacial Orthopaedics, Dr. R. Ahmed Dental College and Hospital, Kolkata, India

    Rup Kumar Das

Authors
  1. Divya Chadda
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  2. Swapan Kumar Majumdar
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  3. Anirban Shome
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  4. Rup Kumar Das
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Corresponding author

Correspondence to Divya Chadda.

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There are no conflicts of interest.

Ethical Approval

All procedures performed in this study were in accordance with the institutional ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Chadda, D., Majumdar, S.K., Shome, A. et al. Evaluation of Cephalometric Changes and Its Relation to Changes in Patients’ Quality of Life After Mandibular Setback Surgery. J. Maxillofac. Oral Surg. 21, 1279–1285 (2022). https://doi.org/10.1007/s12663-021-01622-0

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  • DOI: https://doi.org/10.1007/s12663-021-01622-0

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