The Impact of Professional Oral Hygiene in Orthognathic Surgery.

Abstract

Oral hygiene represents a fundamental element with regard to outcomes in oral and maxillofacial surgery. Both basic hygiene that the patient must perform daily at home and obviously professional hygiene aimed at preventing any complications in the surgical field. Patients undergoing orthognathic surgery in our Department of Maxillofacial Surgery in Ancona, in a total number of 137 in the period studied (2016-2021), were divided into 2 groups: period 1, (2016-2018) and period 2 (2019-2021). The division into 2 groups derives from the establishment of a professional oral hygiene protocol established starting from January 2019 and put into practice by dental hygienists. The protocol consists of preoperative counseling and above all very precise instructions in the postoperative so as to optimize the oral hygiene process, assist in the best possible wound healing and reduce possible postoperative complications. Anamnestic, cephalometric data, measurements of the distances between certain landmarks for the evaluation of facial edema, patient-referred pain, accurate intraoral and extraoral physical examination both pre and postoperative, and complications were collected for each patient. The main goal of the study authors set is to evaluate the effective impact of professional oral hygiene in the pre and postoperative management of patients undergoing orthognathic surgery, taking into account parameters, such as facial edema and pain, and using evaluation scales, making a comparison with the data reported in the 3 years before and after the establishment of the protocol applied by the authors.