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Clinical Psychology and its role in the Orthognathic Surgical Pathway Matoula Taloumtzi Charlotte Priestley Michael Millwaters Dental Update 2024 14:4, 707-709.
Authors
MatoulaTaloumtzi
DDS, MSc, MJDF
Clinical Fellow in Oral and Maxillofacial Surgery, The Royal London Hospital
Orthognathic surgery is a major elective procedure that can pose a significant amount of psychological distress to patients before, during and after surgery. These patients tend to have higher levels of state anxiety and a poor (facial) body image of themselves. Patients less satisfied by their outcomes tend to have had particularly high expectations of surgery beforehand. Therefore, it is important to ensure that there are effective and supportive psychology services in place. Here, we assess the utility and the role of clinical psychology in modern, holistic orthognathic surgery and the tools used to assess patients for further psychological intervention.
CPD/Clinical Relevance: Clinicians should be aware of the services available to patients who are transitioning through the orthognathic surgery pathway.
Article
Orthognathic surgery is a major elective procedure that can place a significant amount of psychological distress on patients before, during and after their surgery. It requires patients to adapt quickly to their new facial features, which can be very challenging for some individuals.1 Patients often describe unpleasant experiences related to their post-surgical appearances. They may have difficulties in adjusting to their new facial image and the differences that these changes make to their overall body image.2
Orthognathic patients have also been shown to have poorer facial body image and higher levels of state anxiety (ie a temporary emotional state that arises from a particular situation, this differs from trait anxiety which can be described as a consistent personality attribute).3 It has been shown that those with particularly high expectations of surgery are less satisfied by post-surgical outcomes.2 Therefore, it is important to ensure that effective supportive mechanisms, such as psychology services, are in place for all patients.
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