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Functional needs of subjects with dentofacial deformities : a study using the index of orthognathic functional treatment need (IOFTN)

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Borzabadi-Farahani, Ali, Eslamipour, Faezeh and Shahmoradi, Majid (2016) Functional needs of subjects with dentofacial deformities : a study using the index of orthognathic functional treatment need (IOFTN). Journal of Plastic, Reconstructive & Aesthetic Surgery, 69 (6). pp. 796-801. doi:10.1016/j.bjps.2016.03.008 ISSN 1748-6815.

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Official URL: http://dx.doi.org/10.1016/j.bjps.2016.03.008

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Abstract

Objectives: To assess the functional needs of orthognathic patients treated in Is- fahan University of Medical Sciences affiliated hospitals using the index of orthognathic func- tional treatment need (IOFTN).
Materials and methods: A retrospective study was conducted using 2011e2015 records of 103 patients [58 female, 45 males, 16e45 years, mean (SD) age Z 23.47 (6.44) years] who had orthognathic surgery. Malocclusion type (incisor classification), sagittal skeletal pattern (ANB angle), IOFTN score, and Dental Health Component of the IOTN [IOTN (DHC)] were recorded. Result: Overall, 92.2% and 82.5% of subjects scored 4 or 5 for IOFTN and IOTN (DHC), respec- tively, and no gender differences detected for both indices (P > 0.05). Gender differences de- tected for malocclusions/skeletal patterns (P < 0.05). Class III malocclusions (45.6%) and Class II skeletal patterns (51.5%) were the most prevalent type. Subjects with Class I, Class II, and Class III sagittal skeletal bases formed 4.9%, 51.5%, and 43.7% of the sample, respectively. IOFTN score of 5.3 (reverse OJ ! 3 mm, 27.2%) was the most prevalent, followed by 4.2(19.4%), 4.3(13.6%), 4.10 (12.6%), and 5.2 (8.7%). Subjects with Class III sagittal skeletal patterns or malocclusions had higher percentages of grade 5 IOFTN scores (62.2% and 59.6%), compared to Class II sagittal skel- etal patterns or malocclusions (18.9% and 21.3%) and the distribution of functional needs be- tween malocclusions or sagittal skeletal patterns were different (p < 0.01).
Conclusion: IOFTN identified 92.2% of orthognathic surgery patients as having great and very great functional needs and appeared to be reliable tool to identify patients in need of orthog- nathic surgery. Higher percentages of Class III subjects scored grade 5 of IOFTN, indicating higher functional need for orthognathic surgery in this group.

Item Type: Journal Article
Subjects: R Medicine > RD Surgery
R Medicine > RF Otorhinolaryngology
R Medicine > RK Dentistry
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: Journal of Plastic, Reconstructive & Aesthetic Surgery
Publisher: Elsevier Inc.
ISSN: 1748-6815
Official Date: June 2016
Dates:
DateEvent
June 2016Published
25 March 2016Available
6 March 2016Accepted
5 January 2016Submitted
Volume: 69
Number: 6
Page Range: pp. 796-801
DOI: 10.1016/j.bjps.2016.03.008
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
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