Articles Vol. 67 No. 8 28/08/2026

CHANGES IN QUALITY OF LIFE ACCORDING TO ORTHODONTICS-FIRST AND SURGERY-FIRST PROTOCOLS IN PATIENTS WITH CLASS III SKELETAL DEFORMITY: A PROSPECTIVE CONTROLLED STUDY

Le Tan Hung1,2,3,4, Tran Ai Khiem5,6, Nguyen My Huyen1,3
1 Faculty of Odonto-Stomatology, School of Medicine and Pharmacy – Tra Vinh University
2 Department of Plastic and Aesthetic Surgery, School of Medicine and Pharmacy – Tra Vinh University
3 Khoa Răng Hàm Mặt, Trường Y Dược - Đại học Trà Vinh
4 Khoa Phẫu thuật Tạo hình Thẩm mỹ, Trường Y Dược - Đại học Trà Vinh
5 Faculty of Odonto-Stomatology, Hong Bang International University
6 Khoa Răng Hàm Mặt, Trường Đại học Quốc tế Hồng Bàng
DOI: 10.52163/yhc.v67i8.6264
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Abstract

Objective: To describe the trend of changes in quality of life (QoL), assessed using the OQLQ score, in patients with class III skeletal deformity treated with the orthodontics-first approach (OFA) and the surgery-first approach (SFA).

Methods: A retrospective study enrolled 40 patients (OFA n = 20, SFA n = 20). The OFA group was assessed at four timepoints: before orthodontic treatment (T0), immediately before surgery (T1), 3 months post-surgery (T2), and 6 months post-surgery (T3). The SFA group was assessed at T1, T2, and T3.

Results: Both groups were comparable in age, sex, and baseline cephalometric parameters (p > 0.05). OFA group total OQLQ increased from 34.12 ± 11.05 at T0 to 48.23 ± 12.34 at T1. At T1, the OFA group had a significantly higher total OQLQ score than the SFA group (48.23 ± 12.34 vs. 33.23 ± 10.32; p < 0.001). At T2 and T3, scores decreased significantly in both groups with no significant between-group differences (p > 0.05).

Conclusion: Both the conventional orthodontics-first approach (OFA) and the surgery-first approach (SFA) yielded outcomes in restoring long-term quality of life in patients with skeletal Class III deformities. However, SFA demonstrated a distinct clinical advantage by shortening the waiting period and eliminating the phase of psychological distress associated with presurgical orthodontic decompensation.

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