Perceptions of Young Adults Having Undergone Combined Orthodontic and Orthognathic Surgical Treatment: A Grounded Theory Approach. 2015

Zahra Sadat-Marashi, and Paolo Scolozzi, and Gregory S Antonarakis
Dental Student, School of Dental Medicine, University of Geneva, Geneva, Switzerland.

OBJECTIVE The present qualitative study aimed to explore the subjective perceptions and values of young adults having undergone combined orthodontic and orthognathic surgical treatment to resolve their dentofacial deformity. METHODS Ten participants (5 women and 5 men; 20 to 25 yr of age) whose combined orthodontic and orthognathic surgical treatment had been terminated 1 to 3 years before undertaking the present study were selected. Open in-depth interviews, of approximately 30 minutes' duration, were digitally recorded and transcribed verbatim. The interviews were analyzed using procedures inherent to the grounded theory approach, a qualitative approach to collecting and analyzing data that aims to develop a theoretical proposition grounded in real-world observations. RESULTS A core category was identified describing the participants' satisfaction with treatment outcome despite the difficult experiences that they lived through during the orthodontic and orthognathic surgical treatment. In association to the core category, 6 other categories emerged: experiences shared by those already having undergone similar treatment; shock for family and close friends at the hospital; difficulty eating; pain caused by orthodontic treatment; fears caused by swelling and complications; and smiling with self-confidence. CONCLUSIONS A better understanding of patients' views on combined orthodontic and orthognathic surgical treatment can assist health care professionals in properly counseling patients and their families and providing better patient-centered care.

UI MeSH Term Description Entries
D007407 Interviews as Topic Works about conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes works about school admission or job interviews. Group Interviews,Interviewers,Interviews, Telephone,Oral History as Topic,Group Interview,Interview, Group,Interview, Telephone,Interviewer,Interviews, Group,Telephone Interview,Telephone Interviews
D008297 Male Males
D008310 Malocclusion Such malposition and contact of the maxillary and mandibular teeth as to interfere with the highest efficiency during the excursive movements of the jaw that are essential for mastication. (Jablonski, Illustrated Dictionary of Dentistry, 1982) Angle's Classification,Crossbite,Tooth Crowding,Cross Bite,Angle Classification,Angles Classification,Bite, Cross,Bites, Cross,Classification, Angle's,Cross Bites,Crossbites,Crowding, Tooth,Crowdings, Tooth,Malocclusions
D009971 Orthodontics, Corrective The phase of orthodontics concerned with the correction of malocclusion with proper appliances and prevention of its sequelae (Jablonski's Illus. Dictionary of Dentistry). Corrective Orthodontics
D010149 Pain, Postoperative Pain during the period after surgery. Acute Post-operative Pain,Acute Postoperative Pain,Chronic Post-operative Pain,Chronic Post-surgical Pain,Chronic Postoperative Pain,Chronic Postsurgical Pain,Pain, Post-operative,Persistent Postsurgical Pain,Post-operative Pain,Post-operative Pain, Acute,Post-operative Pain, Chronic,Post-surgical Pain,Postoperative Pain, Acute,Postoperative Pain, Chronic,Postsurgical Pain,Postoperative Pain,Acute Post operative Pain,Chronic Post operative Pain,Chronic Post surgical Pain,Chronic Postsurgical Pains,Pain, Acute Post-operative,Pain, Acute Postoperative,Pain, Chronic Post-operative,Pain, Chronic Post-surgical,Pain, Chronic Postoperative,Pain, Chronic Postsurgical,Pain, Persistent Postsurgical,Pain, Post operative,Pain, Post-surgical,Pain, Postsurgical,Post operative Pain,Post operative Pain, Acute,Post operative Pain, Chronic,Post surgical Pain,Post-operative Pains,Post-surgical Pain, Chronic,Postsurgical Pain, Chronic,Postsurgical Pain, Persistent
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D001294 Attitude to Health Public attitudes toward health, disease, and the medical care system. Health Attitude,Attitude, Health,Attitudes, Health,Health Attitudes,Health, Attitude to
D017060 Patient Satisfaction The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial. Satisfaction, Patient

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