ArticleOrthodontics & craniofacial research2026
Impact on Oral Health-Related Quality of Life in Skeletal Class III Patients Treated With Orthognathic Surgery-First Approach Using Orthodontic Aligners or Fixed Appliances: A Controlled Clinical Study.
Article in Orthodontics & craniofacial research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05822271 (Evaluation of Surgical Outcomes of Patients Treated With the Surgery First Approach and Aligners), which is not on this map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Evaluation of Surgical Outcomes of Patients Treated With the Surgery First Approach and Aligners
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Authors and funding
4 authors.
Funding
Abstract
objectiveThis prospective study aimed to evaluate the impact on oral health-related quality of life (OHRQoL) in skeletal Class III patients treated with the surgery-first approach using either orthodontic aligners or fixed appliances. MATERIALS AND
methodsPatients were treated using the Surgery-First Approach (SFA) combined with either clear aligner (CA) or conventional fixed appliances (FA). A total of 20 patients (male and female) were allocated to the CA group, while 14 were included in the FA group. OHRQoL was assessed using the Orthognathic Quality of Life Questionnaire (OQLQ), the Oral Health Impact Profile-14 (OHIP-14) and the SF-36 at different time periods: (T0) pre-treatment, (T1) 1 week after orthodontic appliance installation, (T2) 4 weeks post-surgery and (T3) 6 months post-surgery. Data analysis was conducted using the Friedman and Mann-Whitney tests, with a significance level of 5%.
resultsNo statistically significant differences were found in OHRQoL scores between the CA and FA groups at baseline and after 6 months of treatment. However, significant intra-group improvements were observed over time, particularly between the first and sixth months of treatment.
conclusionsBoth ortho-surgical approaches, using either clear aligners or fixed appliances, resulted in significant improvements in patient quality of life. These findings highlight the positive impact of orthognathic treatment on dentofacial correction and overall well-being, regardless of the appliance type. TRAIL REGISTRATION: ClinicalTrials.gov NCT05822271.
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