Abstract
Introduction: Surgical Orthodontics encompasses one of the four branches of Orthodontics
intending to correct dentofacial anomalies. Patients with complex facial anomalies deal with
many psychological issues, impairment of oral function and deteriorates mental health. The
need of orthognathic surgery arises in patients that cannot be camouflaged with orthodontic
treatment alone. Although orthognathic surgery has been accepted more often as a part of
orthodontic treatment plan but still there is great percentage of refusal. The aim of this study
was to find out the reasons of refusal for orthognathic surgery when offered to orthodontic
patients as an ideal treatment plan
Material and Methods: Fifteen Orthodontic patients were interviewed that refused
orthognathic surgery. For privacy, patients were interviewed in an isolated room. The
structured interview was recorded lasting for for 10-15 minutes. The data collected was
transcribed manually. Thematic analysis was carried out by identifying major themes from the
transcribed data.
Results: Different reasons were found out for refusal of orthognathic surgery. These reasons
were grouped under four main themes. One was core theme and the others was peripheral. The
most prevalent reason for the refusal was the complexity of the treatment. The second major
reason was fear. Other reasons included pressure from the family and increase in treatment
cost.
Conclusions: Complexity of the treatment included longer duration of treatment, pre and postsurgical complications and treatment being invasive. The second reason was fear followed by
treatment cost and family refusing for orthognathic surgery.
Alvina Shahida, Maham Niazib, Muzammil Waqarc, Haroon Shahid Qazid. (2020) Reasons of orthodontic patients for not accepting orthognathic surgery: A qualitative study, Pakistan Orthodontic Journal, Volume 12, Issue 1.
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