Effect of presurgical orthopedics on oral-health related quality of life in Chilean children with cleft lip and palate. A pilot study.
Abstract
Objective: The aim of this pilot study was to evaluate the effect of Presurgical Orthopedics (PSO) on the oral health-related quality of life (OHRQoL) in Children with Cleft Lip and Palate (CLP) treated in two hospitals in Chile using the Spanish version of the Child Oral Health Impact Profile (COHIP-Sp). Method: Cross-sectional study, involving 42 children with CLP (mean age 12 ± 2.1 years; 28 men) who attended their annual checkup at the main Hospital of Valdivia and at the Hospital Fundacion Gantz in Santiago, Chile, between March and April 2016. Those who met the selection criteria were applied the COHIP-Sp scale. Based on their medical records, patients who used PSO as treatment protocol were classified as "PSO". Those who did not receive treatment with the appliance were classified as "Non-PSO". The score of the COHIP-Sp scale and its domains between the two groups was compared (t-test, p <0.05). Results: Twenty-five patients (59.5%) used PSO. COHIP-Sp score was 91.7 ± 26.2 points in the PSO group, and 81.2 ± 30.9 points in the Non-PSO group. There was no statistically significant difference (p = 0.24). Conclusion: OHRQoL of patients with CLP treated with PSO was similar to that of patients not treated with PSO.
References
2. Shetye PR. Presurgical infant orthopedics. J Craniofac Surg. 2012;23(1):210–1.
3. Niranjane PP, Kamble RH, Diagavane SP, Shrivastav SS, Batra P, Vasudevan SD, Patil P. Current status of presurgical infant orthopaedic treatment for cleft lip and palate patients: A critical review. Indian J Plast Surg. 2014;47(3):293–302.
4. Mÿburgh HP, Bütow KW. Cleft soft palate reconstruction: prospective study on infection and antibiotics. Int J Oral Maxillofac Surg. 2009;38(9):928–32.
5. Antonarakis GS, Palaska PK, Herzog G. Caries prevalence in non-syndromic patients with cleft lip and/or palate: a meta-analysis. Caries Res. 2013;47(5):406–13.
6. Punga R, Sharma SM. Presurgical orthopaedic nasoalveolar molding in cleft lip and palate infants: a comparative evaluation of cases done with and without nasal stents. J Maxillofac Oral Surg. 2013;12(3):273–88.
7. Spencer AJ, Do LG. Evaluation of oral health-related quality of life questionnaires in a general child population. Community Dent Health. 2008;25(4):205–10.
8. Klassen AF, Tsangaris E, Forrest CR, Wong KW, Pusic AL, Cano SJ, Syed I, Dua M, Kainth S, Johnson J, Goodacre T. Quality of life of children treated for cleft lip and/or palate: a systematic review. J Plast Reconstr Aesthet Surg. 2012;65(5):547–57.
9. Ward JA, Vig KW, Firestone AR, Mercado A, da Fonseca M, Johnston W. Oral health-related quality of life in children with orofacial clefts. Cleft Palate Craniofac J. 2013;50(2):174–81.
10. Eslami N, Majidi MR, Aliakbarian M, Hasanzadeh N. Oral health-related quality of life in children with cleft lip and palate. J Craniofac Surg. 2013;24(4):e340–3.
11. Konan P, Manosudprasit M, Pisek P, Pisek A, Wangsrimongkol T. Oral Health-Related Quality of Life in Children and Young Adolescent Orthodontic Cleft Patients. J Med Assoc Thai. 2015;98(Suppl 7):S84–91.
12. Bos A, Prahl C. Oral health-related quality of life in Dutch children with cleft lip and/or palate. Angle Orthod. 2011;81(5):865–71.
13. Munz SM, Edwards SP, Inglehart MR. Oral health-related quality of life, and satisfaction with treatment and treatment outcomes of adolescents/young adults with cleft lip/palate: an exploration. Int J Oral Maxillofac Surg. 2011;40(8):790–6.
14. Aravena PC, Gonzalez T, Oyarzún T, Coronado C. Oral Health-Related Quality of Life in Children in Chile Treated for Cleft Lip and Palate: A Case-Control Approach. Cleft Palate Craniofac J. 2015;[Epub ahead of print]
15. Broder HL, Wilson-Genderson M. Reliability and convergent and discriminant validity of the Child Oral Health Impact Profile (COHIP Child's version). Community Dent Oral Epidemiol. 2007;35(Suppl 1):20–31.
16. de Ladeira PR, Alonso N. Protocols in cleft lip and palate treatment: systematic review. Plast Surg Int. 2012;2012:562892.
17. Noverraz RL, Disse MA, Ongkosuwito EM, Kuijpers-Jagtman AM, Prahl C. Transverse dental arch relationship at 9 and 12 years in children with unilateral cleft lip and palate treated with infant orthopedics: a randomized clinical trial (DUTCHCLEFT). Clin Oral Investig. 2015;19(9):2255–65.
18. González MC, Téllez-Merchán M, Canchano F, Rojas Y, Trujillo MI. Calidad de vida y salud oral en una población colombiana con labio y/o paladar fisurado. Univ Odontol. 2011;30(64):73–82.
19. Lucas VS, Gupta R, Ololade O, Gelbier M, Roberts GJ. Dental health indices and caries associated microflora in children with unilateral cleft lip and palate. Cleft Palate Craniofac J. 2000;37(5):447–52.
20. Bessell A, Hooper L, Shaw WC, Reilly S, Reid J, Glenny AM. Feeding interventions for growth and development in infants with cleft lip, cleft palate or cleft lip and palate. Cochrane Database Syst Rev. 2011;(2):CD003315.
21. Papadopoulos MA, Koumpridou EN, Vakalis ML, Papageorgiou SN. Effectiveness of pre-surgical infant orthopedic treatment for cleft lip and palate patients: a systematic review and meta-analysis. Orthod Craniofac Res. 2012;15(4):207–36.
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