References
Dunbar C, McIntyre G, Laverick S. Orthodontic treatment and orthognathic surgery − Do we predict the length of treatment accurately?. Br Orthod Soc Clin Effect Bull. 2013; 31:8-9
Cunningham SJ, Sculpher M, Sassi F, Manca A. A cost-utility analysis of patients undergoing orthognathic treatment for the management of dentofacial disharmony. Br J Oral MaxillofacSurg. 2003; 41:32-35
Hunt NP, Cunningham SJ. The influence of orthognathic surgery on occlusal force in patients with vertical facial deformities. Int J Oral Maxillofac Surg. 2007; 26:87-91
Alanko OM, Svedström-Oristo AL, Tuomisto MT. Patients' perceptions of orthognathic treatment, well-being, and psychological or psychiatric status: a systematic review. Acta Odontol Scand. 2010; 68:249-260
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Can we justify combined orthodontic and orthognathic surgery treatment?
From Volume 11, Issue 3, July 2018 | Pages 100-104
Article
Orthognathic surgery in combination with orthodontic treatment requires a significant time commitment from both the surgeon and orthodontist, constituting 7% of patients' treatment by UK-based Orthodontic Consultants.1 Consequently, it also commands a great deal of funding from the NHS and, in a climate of spending cuts across our health service, a need has arisen to justify service provision.
Orthognathic surgery is defined as surgical treatment of various dentalfacial deformities and anomalies. Included in this group are certain syndromes and conditions including:
These patients often have associated malocclusions that are not amenable to orthodontic treatment alone and thus need a combined approach involving both orthodontic therapy and jaw surgery.
It is important that such patients are offered treatment, as there is a possibility of functional problems, aesthetic concerns, as well as psychological and social integration issues. The impact of orthognathic surgery on quality of life has been demonstrated, as has the quality-adjusted life year (QALY). QALY is a measurement of the burden of disease and incorporates both the quality and quantity of life lived. In addition to this it assesses the value of any medical intervention.2 This is often increased further as most patients undergoing such treatment are young and will therefore benefit from life-long effects of intervention.3
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