International Journal of Medical Science and Public Health Research
78
https://ijmsphr.com/index.php/ijmsphr
TYPE
Original Research
PAGE NO.
78-82
DOI
10.37547/ijmsphr/Volume06Issue05-06
OPEN ACCESS
SUBMITED
23 March 2025
ACCEPTED
19 April 2025
PUBLISHED
21 May 2025
VOLUME
Vol.06 Issue05 2025
CITATION
Rakhmanov Shakhzod Alimovich, Boymuradov Shukhrat Abdujalilovich,
Khasanov Adkham Ibrokhimovich, & Yusupov Shokhrukh Shukhratovich.
(2025). Motivation of Patients with Skeletal Abnormalities of Pathologic Bite
to Surgical Treatment. International Journal of Medical Science and Public
Health Research, 6(05), 78
–
82.
https://doi.org/10.37547/ijmsphr/Volume06Issue05-06
COPYRIGHT
© 2025 Original content from this work may be used under the terms
of the creative commons attributes 4.0 License.
Motivation of Patients
with Skeletal
Abnormalities of
Pathologic Bite to Surgical
Treatment
Rakhmanov Shakhzod Alimovich
Clinical Resident, Tashkent Medical Academy, Republic of Uzbekistan,
Tashkent, Uzbekistan
Boymuradov Shukhrat Abdujalilovich
DSc, Professor, Tashkent Medical Academy, Republic of Uzbekistan,
Tashkent, Uzbekistan
Khasanov Adkham Ibrokhimovich
DSc, Professor, Tashkent State Dental Institute, Republic of Uzbekistan,
Tashkent, Uzbekistan
Yusupov Shokhrukh Shukhratovich
PhD, Associate professor, Tashkent Medical Academy, Republic of
Uzbekistan, Tashkent, Uzbekistan
Abstract:
Patients with skeletal malocclusions often first
seek treatment from dentists due to complaints of
improper occlusion. Some patients with jaw
underdevelopment consult otorhinolaryngologists or
neurologists with symptoms such as pain and noise in
the ear area, temporomandibular joint discomfort, and
masticatory muscle pain. These specialists ultimately
refer
patients
to maxillofacial
surgeons and
orthodontists.
Proper motivation is crucial for patients considering
orthognathic surgery, as some may spend years
undergoing orthodontic compensation, which often
leads to dissatisfaction. Over the past year, 87 patients
with skeletal malocclusions have undergone surgical
treatment after being motivated by a multidisciplinary
team consisting of a prosthodontist, orthodontist,
neurologist, otorhinolaryngologist, and maxillofacial
surgeon.
Statistical data show that 70
–
80% of patients choose
orthognathic
surgery
primarily
for
aesthetic
improvements, followed by functional correction, while
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International Journal of Medical Science and Public Health Research
10
–
30% seek treatment to resolve psychological
concerns related to their appearance. Among 100
consulted patients, 55 agreed to combined treatment,
including dental decompensation and orthognathic
surgery. However, 45 patients sought additional
opinions, researched complications, or chose
alternative orthodontic treatments. Ultimately, 15 of
them proceeded with surgical treatment. Additionally,
4 patients were discouraged from surgery by
maxillofacial surgeons due to minimal aesthetic or
functional benefits.
Keywords:
Orthognathic
surgery,
skeletal
malocclusion,
patient
motivation,
orthodontic
decompensation, facial aesthetics, maxillofacial
surgery.
Introduction:
Skeletal malocclusions can significantly
impact a patient’s quality of life, leading to both
functional and aesthetic concerns. While some
patients initially seek orthodontic treatment, others
present with symptoms related to temporomandibular
disorders, nasal breathing difficulties, or chronic
headaches. Due to the complexity of skeletal
discrepancies,
interdisciplinary
management
is
essential to guide patients toward the most effective
treatment plan.
Many patients hesitate to undergo orthognathic
surgery due to fear of surgical procedures, concerns
about postoperative recovery, and uncertainty about
aesthetic outcomes. A crucial factor in treatment
success is proper patient motivation and education
regarding the benefits of combined orthodontic-
surgical treatment. This study analyzes the motivation
of patients with skeletal malocclusions and the
decision-making
process
leading
to
surgical
intervention.
METHODS
A retrospective study was conducted among 87 patients
who underwent orthognathic surgery over one year.
The study examined the reasons patients initially sought
treatment, their referral pathways, and the role of
interdisciplinary specialists in their motivation.
Data collection included:
- Patient complaints and initial consultation details
- Duration of prior orthodontic treatment and
satisfaction levels
- Primary reasons for undergoing surgery (aesthetic,
functional, or psychological)
- Percentage of patients who proceeded with surgery
after consultation
- Cases where surgery was discouraged due to minimal
benefit
RESULTS
Among the 87 patients who underwent orthognathic
surgery:
- 70
–
80% primarily sought aesthetic improvements.
- 10
–
30% pursued surgery due to functional issues (e.g.,
chewing difficulties, speech problems, or breathing
impairments).
- 10
–
30% were motivated by psychological concerns
related to self-confidence and social acceptance.
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Fig 1: Reasons for choosing Orthognathic Surgery
Out of 100 patients initially consulted:
- 55 patients (55%) agreed to combined treatment
involving orthodontic decompensation and surgery.
- 45 patients (45%) hesitated, sought additional
consultations, or opted for orthodontic compensation
instead.
- Among those 45 patients, 15 eventually proceeded
with surgery after further consideration.
- 4 patients were advised against surgery by
maxillofacial surgeons due to minimal expected
benefits.
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Fig 2: Patient Decision-Making Process for Orthognathic Surgery.
DISCUSSION
The decision to undergo orthognathic surgery is
influenced by various factors, including perceived
aesthetic improvement, functional benefits, and
psychological well-being. Most patients prioritize
aesthetics over functional correction, highlighting the
importance of facial harmony in self-perception.
Patients who undergo orthodontic compensation
alone often experience long treatment durations with
suboptimal results. In contrast, those who opt for
surgical intervention benefit from comprehensive
correction, leading to greater satisfaction. However,
concerns about surgical risks, cost, and recovery
remain significant deterrents.
The role of a multidisciplinary team in patient
motivation
is
crucial.
Collaboration
between
orthodontists,
prosthodontists,
neurologists,
otorhinolaryngologists, and maxillofacial surgeons
ensures that patients receive comprehensive
information about their condition and treatment
options
CONCLUSION
Patient motivation for orthognathic surgery is primarily
driven by aesthetic concerns, followed by functional and
psychological factors. An interdisciplinary approach
plays a key role in guiding patients toward informed
decisions. Proper education and realistic expectations
are essential in ensuring treatment satisfaction. While
some patients initially hesitate, many proceed with
surgery after thorough consultation and motivation.
However, surgical intervention is not always necessary,
and individualized treatment planning is critical in
achieving the best outcomes.
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