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

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: Americ...

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Veröffentlicht in:Clinical oral investigations 2022-03, Vol.26 (3), p.2237-2251
Hauptverfasser: Basso, Isabela Bittencourt, Gonçalves, Flavio Magno, Martins, Agnes Andrade, Schroder, Angela Graciela Deliga, Taveira, Karinna Veríssimo Meira, Stechman-Neto, José, Santos, Rosane Sampaio, Guariza-Filho, Odilon, de Araujo, Cristiano Miranda
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container_end_page 2251
container_issue 3
container_start_page 2237
container_title Clinical oral investigations
container_volume 26
creator Basso, Isabela Bittencourt
Gonçalves, Flavio Magno
Martins, Agnes Andrade
Schroder, Angela Graciela Deliga
Taveira, Karinna Veríssimo Meira
Stechman-Neto, José
Santos, Rosane Sampaio
Guariza-Filho, Odilon
de Araujo, Cristiano Miranda
description 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 ( I 2 ). 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  
doi_str_mv 10.1007/s00784-021-04304-w
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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 ( I 2 ). 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  &lt; 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.</description><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-021-04304-w</identifier><identifier>PMID: 34817686</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Craniofacial Abnormalities - psychology ; Craniofacial Abnormalities - surgery ; Dentistry ; Depression ; Humans ; Medicine ; Orthognathic Surgery ; Orthognathic Surgical Procedures - psychology ; Review ; Surveys and Questionnaires</subject><ispartof>Clinical oral investigations, 2022-03, Vol.26 (3), p.2237-2251</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021</rights><rights>2021. 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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 ( I 2 ). 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  &lt; 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.</description><subject>Craniofacial Abnormalities - psychology</subject><subject>Craniofacial Abnormalities - surgery</subject><subject>Dentistry</subject><subject>Depression</subject><subject>Humans</subject><subject>Medicine</subject><subject>Orthognathic Surgery</subject><subject>Orthognathic Surgical Procedures - psychology</subject><subject>Review</subject><subject>Surveys and Questionnaires</subject><issn>1432-6981</issn><issn>1436-3771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1v3CAQhlHUKF_tH-ih4tgLKRgMuLcqSj-kSM2hPaNZe5wlss2WYbvyvy_Jpj32AkjvM--Ih7G3Sl4rKd0Hqoc3QjZKSKOlEYcTdqGMtkI7p149vxthO6_O2SXRo5TKWKfP2Lk2Xjnr7QXL97T220SpjzDxfgvLAxKPC99BibgU4rTfzLEUHHhJPOWyTUNaSuxrkB8wr7xkhDJX9iMHTisVnOEpz_g74oHDMvAZCwhYYFop0mt2OsJE-OblvmI_P9_-uPkq7r5_-Xbz6U702rgitNFtC0pttBsb1KbF0Trj2xGglZ00_TB03rb1960ZnFSIABs_jL61XeNB6yv2_ti7y-nXHqmEOVKP0wQLpj2FxkrVdV6rrqLNEe1zIso4hl2OM-Q1KBmeXIej61C3hWfX4VCH3r30V0M4_Bv5K7cC-ghQjarXHB7TPlcL9L_aP9RDjLA</recordid><startdate>20220301</startdate><enddate>20220301</enddate><creator>Basso, Isabela Bittencourt</creator><creator>Gonçalves, Flavio Magno</creator><creator>Martins, Agnes Andrade</creator><creator>Schroder, Angela Graciela Deliga</creator><creator>Taveira, Karinna Veríssimo Meira</creator><creator>Stechman-Neto, José</creator><creator>Santos, Rosane Sampaio</creator><creator>Guariza-Filho, Odilon</creator><creator>de Araujo, Cristiano Miranda</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0259-2420</orcidid><orcidid>https://orcid.org/0000-0001-9511-047X</orcidid><orcidid>https://orcid.org/0000-0002-1852-8423</orcidid><orcidid>https://orcid.org/0000-0003-1325-4248</orcidid><orcidid>https://orcid.org/0000-0001-6245-0742</orcidid><orcidid>https://orcid.org/0000-0002-7972-2844</orcidid><orcidid>https://orcid.org/0000-0001-9799-1223</orcidid><orcidid>https://orcid.org/0000-0001-6978-4083</orcidid><orcidid>https://orcid.org/0000-0001-6400-5706</orcidid></search><sort><creationdate>20220301</creationdate><title>Psychosocial changes in patients submitted to orthodontic surgery treatment: a systematic review and meta-analysis</title><author>Basso, Isabela Bittencourt ; 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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 ( I 2 ). 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  &lt; 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. 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subjects Craniofacial Abnormalities - psychology
Craniofacial Abnormalities - surgery
Dentistry
Depression
Humans
Medicine
Orthognathic Surgery
Orthognathic Surgical Procedures - psychology
Review
Surveys and Questionnaires
title Psychosocial changes in patients submitted to orthodontic surgery treatment: a systematic review and meta-analysis
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