Long-term changes in oral health-related quality of life of standard, cleft, and surgery patients after orthodontic treatment: A longitudinal study

Nichols, Grace A.L.; Antoun, Joseph; Fowler, Peter; Al-Ani, Azza H; Farella, Mauro

doi:10.1016/j.ajodo.2017.06.018

Cited by 24 publications

(14 citation statements)

References 38 publications

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“…All these features combined perpetuate the stigma of a cleft, as there are limits to the treatment even when it is completed satisfactorily (Eichenberger et al, 2014). This is corroborated by earlier longitudinal studies, which showed that cleft patients experienced little change in their OHRQoL or it even worsened, despite having concluded their orthodontic treatment (Antoun et al, 2015; Nichols et al, 2018).…”

Section: Discussionsupporting

confidence: 82%

“…Our study compared the OHIP-14, a generic oral health approach, of 2 groups with different etiological types of skeletal Class III malocclusion, one congenital and the other developmental, respectively, the nonsyndromic repaired cleft and noncleft groups. Previous studies have shown that both groups tended to have a lower OHRQoL than the general population, especially those patients with severe skeletal discrepancy requiring both orthodontic and orthognathic surgery treatment, but to date no direct comparison had been made between them (Antonarakis et al, 2013; Antoun et al, 2015; Queiroz et al, 2015; Javed and Bernabé, 2016; Nichols et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…Despite the heterogeneity among studies and conflicting evidence on quality of life of patients with cleft lip and/or palate, it seems reasonable to state that a cleft tends to negatively affect the quality of life of adults (Antonarakis et al, 2013; Queiroz et al, 2015). Previous studies have evaluated the quality of life in patients with cleft lip and palate using the Short-form 36 Health Questionnaire (Marcusson et al, 2001; Foo et al, 2002; Sinko et al, 2005) and Oral Health Impact Profile-14 (OHIP-14) (Marcusson et al, 2001; Foo et al, 2002; Antoun et al, 2015; Nichols et al, 2018), generic and oral health-related questionnaires, respectively. Oral health-related quality of life (OHRQoL) is a multidimensional concept focused on the subjective perception of oral health and assesses how functional and psychosocial factors interfere with an individual’s well-being (Locker et al, 2001).…”

Section: Introductionmentioning

confidence: 99%

“…OHRQoL comparisons between congenital malformation and developmental dentofacial deformities have previously been studied (Antoun et al, 2015; Nichols et al, 2018). However, in longitudinal studies, heterogeneous and small samples are common, and in addition, there has been no previous direct comparison between surgical Class III malocclusion and patients with UCLP, especially considering the influence of different skeletal discrepancies.…”

Section: Introductionmentioning

confidence: 99%

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

Barros

Jesuino²,

Paiva

et al. 2019

The Cleft Palate Craniofacial Journal

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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.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

Barros

Jesuino²,

Paiva

et al. 2019

The Cleft Palate Craniofacial Journal

View full text Add to dashboard Cite

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“…Since then, the American Cleft Palate-Craniofacial Association (ACPA) has designated orthodontic care, along with speech-language pathology and plastic surgery, as 1 of the 3 core specialties required for ACPA-approved cleft teams (American Cleft Palate-Craniofacial Association, 2018). Their contributions range from dental alignment and correction of malocclusion to palatal expansion to presurgical infant orthopedics (PSIO), making them integral to the delivery of care by other team members as well as overall patient well-being (Liao and Huang, 2015; Shay et al, 2015; Maillard et al, 2017; Nichols et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Cleft and Craniofacial Team Orthodontic Care in the United States: A Survey of the ACPA

Khavanin

Jenny

Jodeh

et al. 2019

The Cleft Palate-Craniofacial Journal

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Objective: To better understand the capacity for orthodontic care, service features, and finances among members of the American Cleft Palate-Craniofacial Association (ACPA). Design: Cross-sectional survey. Setting: ACPA-approved multidisciplinary cleft teams. Participants: Cleft team coordinators. Interventions: Coordinators were asked to complete the survey working together with their orthodontists. Main Outcome Measure: Model for orthodontic care. Results: Coordinators from 82 out of 167 teams certified by ACPA completed the survey (response rate = 49.1%). Most orthodontists were private practice volunteers (48%) followed by university/hospital employed (22.8%). Care was often delivered in community private practice facilities (44.2%) or combination of university and private practice facilities (39.0%). Half of teams reported offering presurgical infant orthopedics (PSIO), with nasoalveolar molding being the most common. Cleft/craniofacial patients typically comprise 25% or less of the orthodontists’ practices. The presence of a university/hospital-based orthodontist was associated with higher rates of offering PSIO ( P < .001) and an increased percentage dedication of their practice to cleft/craniofacial care ( P < .001). Conclusion: Orthodontic models across ACPA-certified teams are highly varied. The employment of full-time craniofacial orthodontists is less common but is highly correlated with a practice with a high percentage of cleft care and the offering of advanced services such as PSIO. Future work should focus on how to effectively promote such roles for orthodontists to ensure high-level care for cleft/craniofacial patients requiring treatment from infancy through skeletal maturity.

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Adult orthodontics in patients with clefts

Shetye¹

2022

Cleft and Craniofacial Orthodontics

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Long-term changes in oral health-related quality of life of standard, cleft, and surgery patients after orthodontic treatment: A longitudinal study

Cited by 24 publications

References 38 publications

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

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

Cleft and Craniofacial Team Orthodontic Care in the United States: A Survey of the ACPA

Adult orthodontics in patients with clefts

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