Psychological considerations in orthognathic surgery and orthodontics

The perceived needs and self-image of patients often differ from those of the orthodontists and oral surgeons who are treating them. Unfortunately, some patients may have unreasonable expectations of the treatment outcomes, so a thorough assessment of patient perception is an important initial step during the treatment planning stage in order to ensure patient satisfaction. Clinicians should also be aware that patients experience various psychological and emotional challenges during the course of the pre-surgical, surgical, and postsurgical stages of treatment. Many factors can influence the patient’s level of anxiety, emotional instability, and postoperative satisfaction, so understanding the patient’s state of mind during each stage of treatment is essential. Numerous studies have suggested ways to minimize negative feelings and the relationship between surgeon and orthodontist plays an important role in building patient confidence and trust in the entire process. The mutual respect and close collaboration between them can prevent undesirable psychological distress.