Knowledge and Misconceptions of Orthognathic Surgery: A Quick Poll Survey of the National Dental Practice-Based Research Network

Abstract

Background: Orthognathic surgery is an underutilized resource in the treatment of congenital, developmental, and post-traumatic skeletal abnormalities in addition to obstructive sleep apnea. Despite the documented volume of patients who would benefit from orthognathic surgery, most fail to receive appropriate treatment. Purpose: The purpose of this study was to evaluate knowledge and attitudes within the dental community regarding orthognathic surgery via an anonymous electronic survey, and to explore whether misconceptions about orthognathic surgery represent potential barriers to care. Methods: This preliminary 5-question cross-sectional study was conducted via a “quick poll” distributed by the National Dental Practice-Based Research Network (PBRN). Results: The final sample size was 280 general dentists and dental specialists. The majority of respondents agreed that orthognathic surgery could correct malocclusions affecting a patient’s speech, function, and long-term dental health. However, few respondents agreed that orthognathic surgery is an evidence-based treatment for obstructive sleep apnea or positively affects upper airway size. Conclusions: Our survey demonstrates that while most dental providers consider orthognathic surgery as an effective treatment for the surgical correction of dentofacial deformities, many fail to recognize its potential role in the treatment algorithm for obstructive sleep apnea.