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June 20, 2026HealthcareOpen Access

Comparing the Cost-Effectiveness of Orthognathic Surgery Treatment Between Orthodontics-First and Surgery-First Approaches in Thammasat University Hospital: A Retrospective Study

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Authors

PCPhetcharat ChatmongkhonkitNCNarissaporn ChaiprakitASArthessarat Sirisa-Ard

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Overview

Retrospective study compares cost-effectiveness of treatment approaches in Thai patients with deformities.

Key Points

  • The aim is to evaluate the cost-effectiveness of surgery-first versus orthodontic-first approaches in treating dentofacial deformities.
  • Retrospective cohort study of 30 Thai patients divided into surgery-first (n=15) and orthodontic-first (n=15) groups.
  • Data collected on costs, operative time, treatment duration, and hospital stay.
  • Cost-effectiveness assessed using incremental cost-effectiveness ratio and Thai Orthognathic Quality of Life Questionnaire.
  • The surgery-first approach showed greater cost-effectiveness with significantly lower orthodontic costs and treatment duration (p < 0.05).
  • No significant differences in operative costs, hospital costs, or length of stay between groups (p > 0.05).
  • Surgery-first group incurred slightly higher overall hospital costs but improved certain quality of life aspects.

Cite This Study

Chatmongkhonkit et al. (2026) studied this question.

synapsesocial.com/papers/6a3631a1db0793dc1a53868chttps://doi.org/10.3390/healthcare14121778
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Presurgical Orthodontics versus No Presurgical Orthodontics: Treatment Outcome of Surgical-Orthodontic Correction for Skeletal Class III Open Bite2010 · 156 citations
  2. 2Comparison of “Orthodontic First” and “Surgery First” Approaches to Quality of Life in Orthognathic Surgery Patients: A Prospective Cohort Study2022 · 10 citations
  3. 3Willingness to pay per quality-adjusted life year for life-saving treatments in Thailand2015 · 48 citations