An Oral Health-Related Quality of Life Comparison Between Adults With Unilateral Cleft Lip and Palate and Class III Malocclusion

2019 ◽  
Vol 56 (10) ◽  
pp. 1359-1365
Author(s):  
Leandro Almeida Nascimento Barros ◽  
Flávia Aline Silva Jesuino ◽  
João Batista de Paiva ◽  
José Rino-Neto ◽  
José Valladares-Neto

Objective: To compare oral health-related quality of life (OHRQoL) before treatment of adults with unilateral cleft lip and palate (UCLP) and surgical Class III malocclusion, and to consider if clefts needing different orthodontic treatment protocols could influence people’s self-perception. Design: Cross sectional. Setting: Cleft Lip and Palate Center and Clinic of Orthognathic Surgery from a School of Dentistry. Participants: A sample of adults with repaired nonsyndromic UCLP (n = 52) which was age- and sex-matched with a noncleft Class III malocclusion sample seeking orthognathic surgery (n = 51). In turn, the cleft group was subdivided according to treatment planning into nonsurgical orthodontic and surgical orthodontic approaches. Main Outcome Measure: The whole sample was assessed using the short-form oral health impact profile (OHIP-14), with higher scores indicating a poorer OHRQoL. Statistical comparisons were performed with Mann-Whitney U and Kruskal-Wallis tests, and effect size. Bonferroni adjustment was used for post hoc tests ( P < .017). Results: The OHIP-14 scores of the UCLP and Class III groups were significantly different ( P = .001, η2 = 0.108), and higher in Class III. The largest commitment was in the physical disability, physical pain, and psychological disability domains. In addition, no differences were found when the UCLP treatment planning was considered. Conclusion: Surgical Class III malocclusion have a poorer OHRQoL when compared to patients with UCLP, irrespective of whether they are treated surgically or orthodontically. Therefore, the greater commitment of OHRQoL appears to be influenced by the etiology of Class III, and not by treatment plan.

2021 ◽  
pp. 105566562098769
Author(s):  
Mecheala Abbas Ali ◽  
Alwaleed Fadul Nasir ◽  
Shaza K. Abass

Objective: This study compared the oral health-related quality of life (OHRQoL) among children with a cleft lip with or without a cleft palate (CL±P) and a group of their peers. The reliability of the Arabic version of the Child Oral Health Impact Profile Questionnaire (COHIP) was also assessed. Design: A cross-sectional study. Settings: Cleft clinic in a private dental college in Omdurman City, Sudan. Patients: In all, 75 children (mean age 11.3 ± 2.5 years) with a history of CL±P and a group of 150 school children without CL±P (mean age 11.4 ± 2.6 years). Main Outcome Measures: Overall and subscale scores on the Arabic version of the COHIP. Results: Test–retest reliability of COHIP in Arabic was high with an interclass correlation coefficient >0.8. Cronbach α value internal consistency was 0.8 for the total scale and between 0.7 and 0.8 for the subscales. The COHIP score was 89.41 ± 19.97 in children with CL±P and 122.82 ± 9.45 for the control group. Children with CL±P had significantly lower scores on the overall and all subscales when compared to children without CL±P ( P ≤ .001). Among the children with CL±P, there were no statistically significant differences on the COHIP based on age and/or gender ( P ≥ .05). Conclusions: Children with CL±P had a relatively high OHRQoL, which was lower than that of their peers without CL±P in both the overall scale and all subscales. Gender and age differences had no significant impact on the OHRQoL. The COHIP Arabic version showed appropriate reliability.


2013 ◽  
Vol 24 (4) ◽  
pp. e340-e343 ◽  
Author(s):  
Neda Eslami ◽  
Mohammad Reza Majidi ◽  
Majid Aliakbarian ◽  
Nadia Hasanzadeh

2011 ◽  
Vol 81 (5) ◽  
pp. 865-871 ◽  
Author(s):  
Annemieke Bos ◽  
Charlotte Prahl

Abstract Objective: To investigate the oral health–related quality of life (OH-RQoL) of Dutch cleft lip and palate patients. It was hypothesized that (1) there is no difference between cleft patients' and their parents' reports of patients' OH-RQoL; (2) there are no gender differences; (3) there are no differences in OH-RQoL between cleft patients with regard to their symptoms; and (4) there is no difference between patients above and below 12 years of age. Materials and Methods: The sample consisted of 122 patients with clefts (age range, 8–15 years) and their parents. Respondents were recruited from the cleft palate team of Amsterdam. They completed the Child Oral Health–Related Quality of Life questionnaire (COHIP). Items were divided into five different subscales, and scores on all subscales were compared between and within groups. Results: Patients' and parents' perceptions differed significantly on three of the five subscales. Girls and boys did not differ significantly with regard to their perception of reported OH-RQoL. The cleft lip and cleft lip and alveolus [CL(A)] subgroup scored significantly higher on the functional well-being subscale. The cleft patients aged 12 years and older scored significantly lower on the emotional well-being and oral symptoms subscales when compared with their younger peers. Conclusions: Only the second hypothesis was not rejected in this study. This means that parents are not interchangeable with regard to reporting on their children's perceptions related to OH-RQoL, that OH-RQoL changes with age, and that it is important that subgroups are respected when investigating OH-RQoL in cleft patients.


2020 ◽  
Vol 9 (8) ◽  
pp. 4386
Author(s):  
Priyanka Priyadarshni ◽  
DevashishSingh Sawai ◽  
NishathSayed Abdul ◽  
GhousiaSayeed Rahman ◽  
Nafeesa Tabassum ◽  
...  

2015 ◽  
Vol 6 (3) ◽  
pp. 123-128
Author(s):  
Roosevelt S Bastos ◽  
TRL Galitesi ◽  
D Foger ◽  
SRM Velasco ◽  
LA Esper ◽  
...  

ABSTRACT Background Dental caries is a chronic disease caused by a set of biological and social factors. The aim of this study was to conduct a study of dental caries and oral health related quality of life (QoL) in Brazilian patients with cleft lip and palate. Materials and methods A cross-sectional study was conducted with cleft lip and palate patients with 12 years of age. Participants were examined for dental caries decayed, missing and filled teeth-World Health Organization (DMFT-WHO criteria). The dental impact on daily living (DIDL) instrument was used to collect data of oral health-related QoL. The Mann- Whitney test was used to present the differences between gender and the Spearman correlation was used with DIDL and DMFT. Results The 30 (30%) of the 50 children with cleft lip and palate were caries-free, and the DMFT was 1.70 (1.62), with 53.91% for the care index. The dimensions 'speak’ (34%) and ‘Hygiene’ (46%) represented the largest negative impact on QoL. The DIDL instrument correlated only among the missing component and dimensions 'stress’ (r = 0.35, p < 0.01) and 'study’ (r = 0.52, p < 0.01). Conclusion The presence of cleft lip and palate in subjects 12 years of age had a negative impact on QoL and this impact was also significant for tooth loss caused by dental caries. How to cite this article Galitesi TRL, Foger D, Velasco SRM, Esper LA, Honório HM, Almeida ALPF, Soares S, Carrara C Oliveira TM, Bastos JRM, Machado MAAM, Bastos RS. Dental Caries and Oral Health-related Quality of Life in Cleft Lip and Palate Patients: A Pilot Study. World J Dent 2015;6(3):123-128.


2018 ◽  
Vol 29 (6) ◽  
pp. 1505-1508 ◽  
Author(s):  
Fernanda Coelho da Silva ◽  
Thais Marchini de Oliveira ◽  
Ana Lúcia Pompéia Fraga de Almeida ◽  
Roosevelt da Silva Bastos ◽  
Karin Hermana Neppelenbroek ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document