Reasons of orthodontic patients for not accepting orthognathic surgery: A qualitative study
Introduction: Surgical Orthodontics encompasses one of the four branches of Orthodontics intending to correct dentofacial anomalies. Patients with complex facial anomalies deal with many psychological issues, impairment of oral function and deteriorates mental health. The need of orthognathic surgery arises in patients that cannot be camouflaged with orthodontic treatment alone. Although orthognathic surgery has been accepted more often as a part of orthodontic treatment plan but still there is great percentage of refusal. The aim of this study was to find out the reasons of refusal for orthognathic surgery when offered to orthodontic patients as an ideal treatment plan
Material and Methods: Fifteen Orthodontic patients were interviewed that refused orthognathic surgery. For privacy, patients were interviewed in an isolated room. The structured interview was recorded lasting for for 10-15 minutes. The data collected was transcribed manually. Thematic analysis was carried out by identifying major themes from the transcribed data.
Results: Different reasons were found out for refusal of orthognathic surgery. These reasons were grouped under four main themes. One was core theme and the others was peripheral. The most prevalent reason for the refusal was the complexity of the treatment. The second major reason was fear. Other reasons included pressure from the family and increase in treatment cost.
Conclusions: Complexity of the treatment included longer duration of treatment, pre and post-surgical complications and treatment being invasive. The second reason was fear followed by treatment cost and family refusing for orthognathic surgery.