Treatment outcomes, symptoms of anxiety and depression, and satisfaction with life after orthognathic surgery.

Background: Psychological factors may affect surgical outcomes. This study aimed to evaluate the treatment results of orthognathic surgery, and to investigate how anxiety, depression and satisfaction with life affect overall patient satisfaction. Methods: Data was collected preoperatively and median 28 months postoperatively at a single center in 2016-2025. Treatment outcomes were assessed using The Peer Assessment Rating (PAR) index and cephalometric data, and complications were recorded. The Hospital Anxiety and Depression Scale (HADS), and the Satisfaction with Life Scale (SWLS) were used for psychological assessment. Satisfaction with treatment was assessed on a 5-point Likert scale. Results: Twenty-four patients were included in the study, all of whom underwent preoperative and postoperative psychological consultations. The majority of the participants were female (83%), with a median age (IQR) of 23 years (20-34). Dental occlusion, i.e., PAR-index score improved with 86% but did not correlate with satisfaction with treatment. Most cephalometric variables were normalized. Complications were common, occurring in 12 out of 24 cases, but were generally mild in severity. HADS and SWLS were within normal range and did not change significantly postoperatively. HADS did not correlate to satisfaction with treatment, however SWLS preoperatively correlated negatively with postoperative satisfaction with dental occlusion ( Conclusions: The study results underline the importance of comprehensive preoperative assessment and specific information regarding healing time, total treatment duration, and potential complications. This approach may enhance patient satisfaction and identify individuals who require additional support throughout the treatment process.