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Jaw-wiring for obesity

P Castelnuovo-Tedesco, D C Buchanan, H D Hall

    General Hospital Psychiatry
    |June 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Jaw-wiring for weight reduction in obese women proved safe but largely ineffective. Most patients struggled with the treatment, leading to weight regain and discouragement, with few achieving significant long-term benefits.

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    Area of Science:

    • Bariatric medicine
    • Psychological aspects of weight management

    Background:

    • Obesity is a complex health issue requiring effective, sustainable weight reduction strategies.
    • Psychological factors and personality traits may influence treatment adherence and outcomes in weight management.
    • Jaw-wiring (mandibular wiring) has been explored as a restrictive method for short-term weight loss.

    Purpose of the Study:

    • To evaluate the efficacy and patient acceptance of jaw-wiring as a weight reduction method in obese women.
    • To explore the relationship between personality types and treatment outcomes in this cohort.

    Main Methods:

    • A cohort of 19 self-referred obese women underwent jaw-wiring for weight reduction over a six-month period.
    • Patient personality profiles were assessed, and adherence, weight changes, and psychological responses were monitored.

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  • Dental complications were also recorded.

    • Main Results:

    • Only 14 women completed the six-month study; one-third of the initial group finished.
    • While all patients experienced initial weight loss, approximately two-thirds regained some weight.
    • Most patients reported initial enthusiasm followed by discouragement and difficulty adhering to jaw-wiring, with only two achieving significant benefit. No dental complications were reported.

    Conclusions:

    • Jaw-wiring is a safe procedure regarding dental complications.
    • However, it demonstrates limited long-term effectiveness for weight control, particularly in patients with poor motivation or immature personality traits.
    • The psychological burden and adherence challenges significantly impact the success of this restrictive weight loss method.