{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T14:23:47Z","timestamp":1783520627986,"version":"3.55.0"},"reference-count":50,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,9]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objectives<\/jats:title>\n To systematically evaluate the effect of the surgery-first approach (SFA) on oral health-related quality of life (OHRQoL) in patients with dentofacial deformities.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods<\/jats:title>\n An electronic database search and hand search of selected journals and references were carried out. Studies investigating the OHRQoL of patients receiving SFA with or without a control group were included. The risk of bias was assessed by the Cochrane risk of bias tool in randomized clinical trials (RCTs) and the Newcastle-Ottawa Scale in non-RCTs.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n A total of seven articles met the eligible criteria and were included, of which six were cohort studies and one was an RCT, and six assessed the OHRQoL of the SFA with conventional orthodontic\u2013surgical treatment (COST) as a control and one without. A total of 214 patients were examined, with sample sizes in studies ranging from 9 to 50. A total of 3 articles successfully measured the OHRQoL both before and after treatment in both the SFA and conventional orthodontic\u2013surgical treatment groups. A total of six cohort studies were classified as low to moderate risk of bias, and the RCT was classified as high.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The SFA could improve the OHRQoL of patients with dentofacial deformities similar to conventional orthodontic\u2013surgical treatment at the end of complete treatment. In addition, it increases OHRQoL immediately at the beginning of treatment without a deterioration.<\/jats:p>\n <\/jats:sec>","DOI":"10.2319\/112619-749.1","type":"journal-article","created":{"date-parts":[[2020,5,26]],"date-time":"2020-05-26T11:57:01Z","timestamp":1590494221000},"page":"723-733","source":"Crossref","is-referenced-by-count":26,"title":["Effect of surgery-first orthognathic approach on oral health-related quality of life:"],"prefix":"10.2319","volume":"90","author":[{"given":"Ke","family":"Yao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guanyin","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miao","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bo","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongzhi","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peilin","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"issue":"(2)","key":"i0003-3219-90-5-723-b01","series-title":"Oral Surg Oral Med Oral Pathol Oral Radiol","first-page":"107","article-title":"Surgery-first\/early-orthognathic approach may yield poorer postoperative stability than conventional orthodontics-first approach: a systematic review and meta-analysis","volume":"126","author":"Wei","year":"2018","unstructured":"Wei\n H,\n \n \n Liu\n Z,\n \n \n Zang\n J,\n \n \n Wang\n X.\n \n \n Surgery-first\/early-orthognathic approach may yield poorer postoperative stability than conventional orthodontics-first approach: a systematic review and meta-analysis.\n\t\t\t\t\tOral Surg Oral Med Oral Pathol Oral Radiol.\n\t\t\t\t\t2018;\n\t\t\t\t\t126(2):\n\t\t\t\t\t107\u2013\n\t\t\t\t\t116."},{"issue":"(6)","key":"i0003-3219-90-5-723-b02","series-title":"Oral Surg Oral Med Oral Pathol Oral Radiol","first-page":"457","article-title":"Dentofacial deformities and the quality of life of patients with these conditions: a comparative study","volume":"126","author":"Ribeiro-Neto","year":"2018","unstructured":"Ribeiro-Neto\n CA,\n \n \n Ferreira\n G,\n \n \n Monnazzi\n GCB,\n \n \n Gabrielli\n MFR,\n \n \n Monnazzi\n MS.\n \n \n Dentofacial deformities and the quality of life of patients with these conditions: a comparative study.\n\t\t\t\t\tOral Surg Oral Med Oral Pathol Oral Radiol.\n\t\t\t\t\t2018;\n\t\t\t\t\t126(6):\n\t\t\t\t\t457\u2013\n\t\t\t\t\t462."},{"issue":"(7)","key":"i0003-3219-90-5-723-b03","series-title":"Int J Pediatr Otorhinolaryngol","first-page":"1063","article-title":"A retrospective analysis of dentofacial deformities and orthognathic surgeries using the index of orthognathic functional treatment need (IOFTN)","volume":"79","author":"Harrington","year":"2015","unstructured":"Harrington\n C,\n \n \n Gallagher\n JR,\n \n \n Borzabadi-Farahani\n A.\n \n \n A retrospective analysis of dentofacial deformities and orthognathic surgeries using the index of orthognathic functional treatment need (IOFTN).\n\t\t\t\t\tInt J Pediatr Otorhinolaryngol.\n\t\t\t\t\t2015;\n\t\t\t\t\t79(7):\n\t\t\t\t\t1063\u2013\n\t\t\t\t\t1066."},{"issue":"(1)","key":"i0003-3219-90-5-723-b04","series-title":"Am J Orthod Dentofacial Orthop","first-page":"29","article-title":"Effect of conventional combined orthodontic-surgical treatment on oral health-related quality of life: a systematic review and meta-analysis","volume":"156","author":"Yi","year":"2019","unstructured":"Yi\n J,\n \n \n Lu\n W,\n \n \n Xiao\n J,\n \n \n Li\n X,\n \n \n Li\n Y,\n \n \n Zhao\n Z.\n \n \n Effect of conventional combined orthodontic-surgical treatment on oral health-related quality of life: a systematic review and meta-analysis.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2019;\n\t\t\t\t\t156(1):\n\t\t\t\t\t29\u2013\n\t\t\t\t\t43.e25."},{"issue":"(2)","key":"i0003-3219-90-5-723-b05","series-title":"J Clin Orthod","first-page":"97","article-title":"\u201cSurgery first\u201d skeletal class III correction using the Skeletal Anchorage System","volume":"43","author":"Nagasaka","year":"2009","unstructured":"Nagasaka\n H,\n \n \n Sugawara\n J,\n \n \n Kawamura\n H,\n \n \n Nanda\n R.\n \n \n \u201cSurgery first\u201d skeletal class III correction using the Skeletal Anchorage System.\n\t\t\t\t\tJ Clin Orthod.\n\t\t\t\t\t2009;\n\t\t\t\t\t43(2):\n\t\t\t\t\t97\u2013\n\t\t\t\t\t105."},{"issue":"(2)","key":"i0003-3219-90-5-723-b06","series-title":"J Oral Maxillofac Surg","first-page":"376","article-title":"Surgery first in orthognathic surgery: what have we learned? 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Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses.\n\t\t\t\t\tEur J Epidemiol.\n\t\t\t\t\t2010;\n\t\t\t\t\t25(9):\n\t\t\t\t\t603\u2013\n\t\t\t\t\t605."},{"key":"i0003-3219-90-5-723-b13","series-title":"Head Face Med","first-page":"2","article-title":"The changes of oral health-related quality of life and satisfaction after surgery-first orthognathic approach: a longitudinal prospective study","volume":"12","author":"Huang","year":"2016","unstructured":"Huang\n S,\n \n \n Chen\n W,\n \n \n Ni\n Z,\n \n \n Zhou\n Y.\n \n \n The changes of oral health-related quality of life and satisfaction after surgery-first orthognathic approach: a longitudinal prospective study.\n\t\t\t\t\tHead Face Med.\n\t\t\t\t\t2016;\n\t\t\t\t\t12:\n\t\t\t\t\t2."},{"issue":"(6)","key":"i0003-3219-90-5-723-b14","series-title":"Am J Orthod Dentofacial Orthop","first-page":"1048","article-title":"Oral health-related quality of life changes in patients with severe class III malocclusion treated with the 2-jaw surgery-first approach","volume":"151","author":"Feu","year":"2017","unstructured":"Feu\n D,\n \n \n de Oliveira\n BH,\n \n \n Palomares\n NB,\n \n \n Celeste\n RK,\n \n \n Mendes Miguel\n JA.\n \n \n Oral health-related quality of life changes in patients with severe class III malocclusion treated with the 2-jaw surgery-first approach.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2017;\n\t\t\t\t\t151(6):\n\t\t\t\t\t1048\u2013\n\t\t\t\t\t1057."},{"issue":"(7)","key":"i0003-3219-90-5-723-b15","series-title":"J Craniofac Surg","first-page":"2086","article-title":"Patient's satisfaction in skeletal class III cases treated with two-jaw surgery using orthognathic quality of life questionnaire: conventional three-stage method versus surgery-first approach","volume":"26","author":"Park","year":"2015","unstructured":"Park\n J-K,\n \n \n Choi\n J-Y,\n \n \n Yang\n I-H,\n \n \n Baek\n S-H.\n \n \n Patient's satisfaction in skeletal class III 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Orthop","first-page":"250","article-title":"Surgery-first orthognathic approach vs traditional orthognathic approach: oral health-related quality of life assessed with 2 questionnaires","volume":"152","author":"Pelo","year":"2017","unstructured":"Pelo\n S,\n \n \n Gasparini\n G,\n \n \n Garagiola\n U,\n \n et al.\n\t\t\t\t\t\n Surgery-first orthognathic approach vs traditional orthognathic approach: oral health-related quality of life assessed with 2 questionnaires.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2017;\n\t\t\t\t\t152(2):\n\t\t\t\t\t250\u2013\n\t\t\t\t\t254."},{"issue":"(3)","key":"i0003-3219-90-5-723-b18","series-title":"Am J Orthod Dentofacial Orthop","first-page":"565","article-title":"Timing of orthognathic surgery on the changes of oral health-related quality of life in Chinese orthognathic surgery patients","volume":"151","author":"Wang","year":"2017","unstructured":"Wang\n J,\n \n \n Chen\n W,\n \n \n Ni\n Z,\n \n et al.\n\t\t\t\t\t\n Timing of orthognathic surgery on the changes of oral health-related quality of life in Chinese orthognathic surgery patients.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2017;\n\t\t\t\t\t151(3):\n\t\t\t\t\t565\u2013\n\t\t\t\t\t571."},{"issue":"(1)","key":"i0003-3219-90-5-723-b19","series-title":"J Oral Maxillofac Surg","first-page":"157","article-title":"Psychodynamic features associated with orthognathic surgery: a comparison between conventional orthognathic treatment and \u201csurgery-first\u201d approach","volume":"77","author":"Brucoli","year":"2019","unstructured":"Brucoli\n M,\n \n \n Zeppegno\n P,\n \n \n Benech\n R,\n \n \n Boffano\n P,\n \n \n Benech\n A.\n \n \n Psychodynamic features associated with orthognathic surgery: a comparison between conventional orthognathic treatment and \u201csurgery-first\u201d approach.\n\t\t\t\t\tJ Oral Maxillofac 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Radiol","first-page":"107","article-title":"Surgery-first\/early-orthognathic approach may yield poorer postoperative stability than conventional orthodontics-first approach: a systematic review and meta-analysis","volume":"126","author":"Wei","year":"2018","unstructured":"Wei\n H,\n \n \n Liu\n Z,\n \n \n Zang\n J,\n \n \n Wang\n X.\n \n \n Surgery-first\/early-orthognathic approach may yield poorer postoperative stability than conventional orthodontics-first approach: a systematic review and meta-analysis.\n\t\t\t\t\tOral Surg Oral Med Oral Pathol Oral Radiol.\n\t\t\t\t\t2018;\n\t\t\t\t\t126(2):\n\t\t\t\t\t107\u2013\n\t\t\t\t\t116."},{"issue":"(6)","key":"i0003-3219-90-5-723-b02","series-title":"Oral Surg Oral Med Oral Pathol Oral Radiol","first-page":"457","article-title":"Dentofacial deformities and the quality of life of patients with these conditions: a comparative study","volume":"126","author":"Ribeiro-Neto","year":"2018","unstructured":"Ribeiro-Neto\n CA,\n \n \n Ferreira\n G,\n \n \n Monnazzi\n GCB,\n \n \n Gabrielli\n MFR,\n \n \n Monnazzi\n MS.\n \n \n Dentofacial deformities and the quality of life of patients with these conditions: a comparative study.\n\t\t\t\t\tOral Surg Oral Med Oral Pathol Oral Radiol.\n\t\t\t\t\t2018;\n\t\t\t\t\t126(6):\n\t\t\t\t\t457\u2013\n\t\t\t\t\t462."},{"issue":"(7)","key":"i0003-3219-90-5-723-b03","series-title":"Int J Pediatr Otorhinolaryngol","first-page":"1063","article-title":"A retrospective analysis of dentofacial deformities and orthognathic surgeries using the index of orthognathic functional treatment need (IOFTN)","volume":"79","author":"Harrington","year":"2015","unstructured":"Harrington\n C,\n \n \n Gallagher\n JR,\n \n \n Borzabadi-Farahani\n A.\n \n \n A retrospective analysis of dentofacial deformities and orthognathic surgeries using the index of orthognathic functional treatment need (IOFTN).\n\t\t\t\t\tInt J Pediatr Otorhinolaryngol.\n\t\t\t\t\t2015;\n\t\t\t\t\t79(7):\n\t\t\t\t\t1063\u2013\n\t\t\t\t\t1066."},{"issue":"(1)","key":"i0003-3219-90-5-723-b04","series-title":"Am J Orthod Dentofacial Orthop","first-page":"29","article-title":"Effect of conventional combined orthodontic-surgical treatment on oral health-related quality of life: a systematic review and meta-analysis","volume":"156","author":"Yi","year":"2019","unstructured":"Yi\n J,\n \n \n Lu\n W,\n \n \n Xiao\n J,\n \n \n Li\n X,\n \n \n Li\n Y,\n \n \n Zhao\n Z.\n \n \n Effect of conventional combined orthodontic-surgical treatment on oral health-related quality of life: a systematic review and meta-analysis.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2019;\n\t\t\t\t\t156(1):\n\t\t\t\t\t29\u2013\n\t\t\t\t\t43.e25."},{"issue":"(2)","key":"i0003-3219-90-5-723-b05","series-title":"J Clin Orthod","first-page":"97","article-title":"\u201cSurgery first\u201d skeletal class III correction using the Skeletal Anchorage System","volume":"43","author":"Nagasaka","year":"2009","unstructured":"Nagasaka\n H,\n \n \n Sugawara\n J,\n \n \n Kawamura\n H,\n \n \n Nanda\n R.\n \n \n \u201cSurgery first\u201d skeletal class III correction using the Skeletal Anchorage System.\n\t\t\t\t\tJ Clin Orthod.\n\t\t\t\t\t2009;\n\t\t\t\t\t43(2):\n\t\t\t\t\t97\u2013\n\t\t\t\t\t105."},{"issue":"(2)","key":"i0003-3219-90-5-723-b06","series-title":"J Oral Maxillofac Surg","first-page":"376","article-title":"Surgery first in orthognathic surgery: what have we learned? 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