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Meta-Analysis
. 2019 Jul 8;19(1):136.
doi: 10.1186/s12903-019-0842-1.

The impact of surgery-first approach on the oral health-related quality of life: a systematic review and meta-analysis

Xinqi Huang  1   2 , Xiao Cen  1   3 , Wentian Sun  1   2 , Kai Xia  1   2 , Liyuan Yu  1   2 , Jun Liu  4   5 , Zhihe Zhao  6   7
Affiliations
Meta-Analysis

The impact of surgery-first approach on the oral health-related quality of life: a systematic review and meta-analysis

Xinqi Huang et al. BMC Oral Health. .

Abstract

Background: The oral health-related quality of life (OHRQoL) is affected by dentofacial deformity. Patients with dentofacial deformity are normally treated with orthognathic surgery, including conventional three-stage method (CTM) and surgery first approach (SFA). The aim of this systematic review and meta-analysis was to compare the impact of SFA with CTM on the OHRQoL of patients with severe dentofacial deformity.

Methods: Five English databases, three Chinese databases, and six grey literature databases were searched (January 2000 to July 2018). Randomized controlled trials, controlled clinical trials, and cohort studies assessing the OHRQoL of patients who underwent SFA or CTM were included. After selecting studies, extracting data, and assessing risk-of-bias according to the Cochrane Handbook for Systematic Reviews of Interventions and the Newcastle-Ottawa Scale, meta-analysis was performed to elucidate the effects of SFA on the changes of OHRQoL of patients with dentofacial deformity at each stage and made a comparison with CTM.

Results: There were 4 studies with 122 participants were selected for the final analysis. Three among these studies were included in meta-analysis, 2 of which were included in each forest plot. All the included studies were graded as moderate value of evidence according to GRADE quality analysis. Over the period of 2-year follow-up after bonding, the OHRQoL of the patients in SFA group showed an improving trend and was better than those in CTM group generally. After debonding, the summary scores of the 14-item Oral Health Impact Profile (OHIP-14) (- 2.92, P = 0.12) and Orthognathic Quality of Life Questionnaire (OQLQ) (- 5.59, P = 0.01) were smaller in SFA group than CTM group.

Conclusions: Clinical evidence indicates that SFA can contribute to the better OHRQoL in patients with dentofacial deformity immediately and persistently.

Keywords: Dentofacial deformity; Meta-analysis; Oral health-related quality of life; Surgery-first approach; Systematic review.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Flow of information through the different phases of the systematic review
Fig. 2
Fig. 2
Risk of bias summary
Fig. 3
Fig. 3
Risk of bias graph
Fig. 4
Fig. 4
The summary score of OHIP-14 in the SFA group and the CTM group on debonding
Fig. 5
Fig. 5
The score of OQLQ in the SFA group and the CTM group when the brackets were debonded through fixed model
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References

    1. Sischo L, Broder HL. Oral health-related quality of life: what, why, how, and future implications. J Dent Res. 2011;90(11):1264–1270. doi: 10.1177/0022034511399918. - DOI - PMC - PubMed
    1. Pattussi MP, Olinto MT, Hardy R, Sheiham A. Clinical, social and psychosocial factors associated with self-rated oral health in Brazilian adolescents. Community Dent Oral Epidemiol. 2007;35(5):377–386. doi: 10.1111/j.1600-0528.2006.00339.x. - DOI - PubMed
    1. Palomares NB, Celeste RK, Miguel JA. Impact of orthosurgical treatment phases on oral health-related quality of life. Am J Orthod Dentofac Orthop. 2016;149(2):171–181. doi: 10.1016/j.ajodo.2015.07.032. - DOI - PubMed
    1. Mohamed S, Vettore MV. Oral clinical status and oral health-related quality of life: is socioeconomic position a mediator or a moderator? Int Dent J. 2019;69(2):119–129. doi: 10.1111/idj.12420. - DOI - PMC - PubMed
    1. Kiyak HA, West RA, Hohl T, Mcneill RW. The psychological impact of orthognathic surgery: a 9-month follow-up. Am J Orthod. 1982;81(5):404–412. doi: 10.1016/0002-9416(82)90078-1. - DOI - PubMed

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