Poster 03: Identification of Body Dysmorphic Disorder in Adult Patients Seeking Orthognathic and Facial Cosmetic Surgery From Oral and Maxillofacial Surgeons

Abstract

Statement of the Problem: Traditionally, Oral and Maxillofacial Surgeons have aided orthodontists in alignment of teeth by performing orthognathic surgery to correct misalignment of the jaws due to dentofacial deformities. While studies indicate that 90% of individuals who undergo orthognathic surgery are satisfied with their outcome and 80% would choose to do it again given the same circumstances and outcomes, approximately 10-15% of individuals are dissatisfied regardless of outcomes. These patients have typically been referred to as being “high maintenance” and dismissed. However, it is plausible that some of these individuals suffer from body dysmorphic disorder (BDD). No assessment tool is currently in place to screen patients seeking orthognathic surgery for BDD. Furthermore, as oral and maxillofacial surgeons expand the scope of their practice to include more cosmetic facial surgery, it will be important to screen this population of patients in order to identify individuals that have BDD. The purpose of the present study was to identify adult patients with BDD seeking orthognathic or facial cosmetic surgery procedures by utilizing a well documented, “user friendly” BDD screening tool, the BDD Questionnaire (BDDQ).