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Psychosocial changes in patients submitted to orthodontic surgery treatment: a systematic review and meta-analysis

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Abstract

Objective

This systematic review aims to answer the following question: What is the psychological impact of orthognathic surgery on patients with dentofacial deformities undergoing orthodontic-surgical treatment?

Material and methods

The search was adapted for each of the following databases: American and Caribbean Center on Health Sciences (LILACS), Cochrane Library, Embase, Psychinfo, PubMed/Medline, Scopus and Web of Science, and gray literature using Google Scholar, OpenGrey, and ProQuest. The risk of bias was assessed using the Joanna Briggs Institute Critical Assessment Checklist. This study performed estimates of interest, random-effects meta-analyses, and calculated heterogeneity using Higgins inconsistency index (I2).

Results

A total of 6751 references were found in all searches. After applying the eligibility criteria after full-text reading, 37 studies comprised the final qualitative synthesis. Thirteen studies were included in quantitative synthesis, and it was possible to meta-analyze data from the following questionnaires: GHQ-28, MMPI, RSES, and SCL-90-R. There was an improvement in psychological aspects related to depression, hysteria, self-esteem, anxiety, obsessive-compulsiveness, interpersonal sensitivity, paranoid ideas, and psychoticism (p < 0.05).

Conclusions

Correction of dentofacial deformity through orthodontic-surgical treatment is associated with improvements observed in several psychological domains, especially in relation to depressive states.

Clinical relevance.

This result highlights the importance of surgeons and orthodontists in promoting adequate control of patients’ expectations and treatment goals taking into account the individual's psychological aspects.

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Authors and Affiliations

  1. Postgraduate Program in Dentistry, Pontifícia Universidade Católica Do Paraná, Curitiba, Paraná, Brazil

    Isabela Bittencourt Basso

  2. Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Street Sydnei Antonio Rangel Santos, 238 - Santo Inacio, Curitiba, Brazil

    Flavio Magno Gonçalves, José Stechman-Neto, Rosane Sampaio Santos & Cristiano Miranda de Araujo

  3. Undergraduate Department of Dentistry, Federal University of Rio Grande Do Norte, Natal, Rio Grande do Norte, Brazil

    Agnes Andrade Martins

  4. Center for Advanced Studies in Systematic Review and Meta-Analysis - NARSM, Curitiba, Paraná, Brazil

    Angela Graciela Deliga Schroder

  5. Speech-Language Pathologist, Department of Morphology-Center of Biosciences, Federal University of Rio Grande Do Norte, Natal, Rio Grande do Norte, Brazil

    Karinna Veríssimo Meira Taveira

  6. Department of Orthodontics, Pontifícia Universidade Católica Do Paraná, Curitiba, Paraná, Brazil

    Odilon Guariza-Filho

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  1. Isabela Bittencourt Basso
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Basso, I., Gonçalves, F., Martins, A. et al. Psychosocial changes in patients submitted to orthodontic surgery treatment: a systematic review and meta-analysis. Clin Oral Invest 26, 2237–2251 (2022). https://doi.org/10.1007/s00784-021-04304-w

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