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Indications and Frequency of Orthognathic Surgery in Sweden – A Questionnaire Survey
Umeå University, Faculty of Medicine, Department of Odontology.
2015 (English)Other (Refereed)
Abstract [en]

Orthognathic surgery, a standard procedure used to improve intermaxillary relationship, surgically moves either one or both jaws. However, statistics for frequency and indications for orthognathic surgery in Sweden are non-existent. This study examines indications, frequency, and surgical techniques for orthognathic surgery performed in Oral and Maxillofacial Surgery (OMFS) clinics in Sweden. In 2011, a questionnaire survey was sent to all OMFS clinics in Sweden to collect data on gender and age of patients, surgical techniques, indications, frequency of operations, and whether patients underwent one- or two-jaw surgery. Of the 50 OMFS clinics, 47 responded, revealing that 891 patients in 23 clinics were treated with orthognathic surgery, slightly more women than men were treated, and 91% of the patients were 26 years or younger. The results from our survey indicate that functional indication is the most common surgical indication. This is not in line with the literature, which describes the aesthetic component as the most common indication. One explanation could be that the treatment in Sweden is heavily subsidized by federal financial support if certain inclusions criteria are fulfilled. These criteria are mainly based on cephalometric analysis together with dental arch relationship and not on aesthetic components, which are harder to measure. It was also revealed that there was a great discrepancy among the Swedish counties concerning one- vs. two-jaw surgery. A possible reason for this can be differences in surgical experience and custom at each OMFS clinic.

Place, publisher, year, edition, pages
2015. Vol. 1, no 4
Keyword [en]
Orthognathic surgery, Sweden, Questionnaire, Indications, Frequency
National Category
Medical and Health Sciences
URN: urn:nbn:se:umu:diva-127022OAI: diva2:1040005
Available from: 2016-10-26 Created: 2016-10-26 Last updated: 2016-10-26

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Sjöström, Mats
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