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Assessing the Levels of Demands and Needs for Comprehensive Rehabilitation of Patients with Congenital and Acquired Maxillofacial Deformities

The purpose of the research: to compare the levels of subjective demand and objective need of patients with congenital and acquired deformities of the maxillofacial area (CADMFA) in comprehensive pre- and post-treatment rehabilitation. 
Materials and methods: We used the diagnostic findings of 39 CADMFA patients before and after they underwent a comprehensive rehabilitation. To assess the patients objective need for treatment, the ICON index and the modified Helkimo index were used. To assess the patients subjective demand for treatment, a modified Slavicek questionnaire and a numerical version of the visual analogue scale (VAS) were used. The average values of the pre- and post-treatment indicators, as well as the average values of the differences between them were calculated. A t-test was applied with a significance level of 0.05 for the pre- and post-treatment indicators to confirm the clinical efficacy of treatment. The Spearman correlation coefficient was calculated to establish the relationship between the results of various methods for assessing treatment demands and needs. 
Results: The values of all the parameters used for assessing subjective demands and objective needs decreased after a comprehensive rehabilitation. The coefficient of correlation between the values of the modified Slavicek questionnaire and the Helkimo index was 0.73 and 0.51, before and after treatment, respectively. 
Conclusion: Helkimo index and a modified Slavicek questionnaire can be used in clinical practice to compare the patients real treatment need and demand.