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Galazov A.T.

Russian University of Medicine

Drobyshev A.Yu.

Russian University of Medicine

Redko N.A.

Russian University of Medicine

Dibirov T.M.

Russian University of Medicine

Mikhailyukov V.M.

Russian University of Medicine

Miterev A.A.

Russian University of Medicine

The significance of using the method of shared decision-making in preparing patients for orthognathic surgery

Authors:

Galazov A.T., Drobyshev A.Yu., Redko N.A., Dibirov T.M., Mikhailyukov V.M., Miterev A.A.

More about the authors

Journal: Stomatology. 2025;104(4): 26‑32

DOI: 10.17116/stomat202510404126

Read: 412 times

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Table of contents

THE SIGNIFICANCE OF USING THE METHOD OF SHARED DECISION-MAKING IN PREPARING PATIENTS FOR ORTHOGNATHIC SURGERY
THE SIGNIFICANCE OF USING THE METHOD OF SHARED DECISION-MAKING IN PREPARING PATIENTS FOR ORTHOGNATHIC SURGERY

To cite this article:

Galazov AT, Drobyshev AYu, Redko NA, Dibirov TM, Mikhailyukov VM, Miterev AA. The significance of using the method of shared decision-making in preparing patients for orthognathic surgery. Stomatology. 2025;104(4):26‑32. (In Russ.)
https://doi.org/10.17116/stomat202510404126

 
Подписка 2026 Стоматология (Stomatology)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

Evaluation of the effectiveness and impact of the shared decision-making method on patient satisfaction with the quality of preoperative preparation for combined (orthodontic and surgical) treatment.

MATERIAL AND METHODS

The study included 97 patients with skeletal forms of distal and mesial occlusion, who were prepared for combined (orthodontic and surgical) treatment using the shared decision-making method. The effectiveness of the shared decision-making technique used in preparing patients for combined treatment was assessed by means of a questionnaire developed.

RESULTS

On the 2nd day after surgery, a patient survey revealed 25 different complaints related to the clinical manifestations of the effects of orthognathic surgery and rehabilitation features. The most frequently reported complaints were difficulty breathing (60.8%), swelling in the face (38.1%), difficulty eating (37.1%), bimaxillary splinting (21.7%), weakness/drowsiness (20.6%), numbness (19.6%), facial pain (15.5%). A survey conducted 6 months after orthognathic surgery showed that only 5.2% of patients were not satisfied with their preoperative consultation and considered the information provided to them about the postoperative consequences and rehabilitation features insufficiently comprehensive. 91.8% of patients noted that the information provided at the preoperative consultation stage helped them adapt to the specifics of the rehabilitation period, and only 1% would like to be unaware of the postoperative consequences.

CONCLUSION

The use of the shared decision-making method allows patients to successfully adapt to the consequences of orthognathic surgery and to the specifics of rehabilitation after it.

Keywords:

orthognathic surgery
shared decision making
preparation for orthognathic surgery
rehabilitation after orthognathic surgery

Authors:

Galazov A.T.

Russian University of Medicine

Drobyshev A.Yu.

Russian University of Medicine

Redko N.A.

Russian University of Medicine

Dibirov T.M.

Russian University of Medicine

Mikhailyukov V.M.

Russian University of Medicine

Miterev A.A.

Russian University of Medicine

Received:

15.12.2024

Accepted:

05.04.2025

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