Effect of non-syndromic cleft lip with or without cleft palate on oral health-related quality of life

doi:10.19438/j.cjoms.2020.03.013

Abstract

Abstract: PURPOSE: To investigate the effects of non-syndromic cleft lip with or without cleft palate (NSCL/P) on oral health-related quality of life. METHODS: The clinical data of 90 children with non-syndromic cleft lip with or without cleft palate treated from January 2017 to June 2019 were retrospectively analyzed, including 52 cases of cleft lip without cleft palate (cleft lip without cleft palate group) and 38 cases of cleft lip with cleft palate (cleft lip with cleft palate group).Meanwhile, 40 children with oral health who underwent routine oral examination in our hospital in the same period were selected as the control group. Oral health examinations were conducted in all children, questionnaires were used to assess the impact of oral health on daily life. SPSS 22.0 software package was used to analyze the correlation between oral health and quality of daily life. RESULTS: There were significant differences in the number of decay miss fill, tissue health index, caries and LOA ≥6 mm between cleft lip without cleft palate group and cleft lip with cleft palate group (P<0.05), and the scores of those two groups were significantly higher than the control group (P<0.05). The scores of each items and total OIDP scores in cleft lip with cleft palate group were significantly higher than those in cleft lip without cleft palate group (P<0.05), and the sores in cleft lip without cleft palate group was significantly higher than the control group (P<0.05). Spearman correlation analysis showed negative correlation between DMFT, MT and root caries, LOA≥6 mm teeth and OIDP score in cleft lip and palate without cleft palate group and cleft lip with cleft palate group, and a positive correlation between occlusal teethⅠand occlusal teethⅡand OIDP score (P<0.05). CONCLUSIONS: Oral health problems in children with NSCL/P have various impacts on their quality of daily life.

Key words: Non-syndromic cleft lip with or without cleft palate, Oral health, Quality of life

CLC Number:

R782.2

ZHANG Wen-jing, WANG Xia. Effect of non-syndromic cleft lip with or without cleft palate on oral health-related quality of life[J]. China Journal of Oral and Maxillofacial Surgery, 2020, 18(3): 255-259.

References

[1] Mostowska A, Gaczkowska A, Zukowski K, et al.Common variants in DLG1 locus are associated with non-syndromic cleft lip with or without cleft palate[J]. Clin Genet, 2017, 93(4): 784-793.
[2] 贾金铃, 贾凝. 同伴支持对中重度牙周病患者口腔保健自我效能和口腔健康生活质量的影响[J]. 中国医药导报, 2017, 14(2): 158-161.
[3] Jara-Palacios MÁ, Cornejo AC, Narváez-Caicedo C, et al.Plasma zinc levels in Ecuadorian mothers of infants with nonsyndromic cleft lip with or without cleft palate: A case series[J]. Birth Defects Res, 2018, 110(6): 495-501.
[4] 钱雅婧, 龚爱秀, 王宇婷. 江苏地区成人和青少年唇腭裂患者口腔健康状况及生活质量的调查比较研究[J]. 口腔医学, 2017, 37(12): 1104-1107.
[5] 世界卫生组织. 口腔健康调查基本方法 [M]. 北京: 人民卫生出版社, 1982.
[6] Saujanya K, Marjaliisa L, Manoj H, et al.Adaptation and validation of a nepali version of the Child-Oral Impacts on Daily Performances Index (C-OIDP)[J]. Community Dental Health, 2018, 35(2): 119-126.
[7] Khoun T, Malden P, Turton B.Oral health-related quality of life in young Cambodian children: a validation study with a focus on children with cleft lip and/or palate[J]. Int J Paediatr Dent , 2018, 28(3): 326-334.
[8] Alves MLM, Scarelli Lopes JF, de Almeida ALPF, et al. Orthognathic surgery or overlay prosthesis: quality of life in bilateral cleft lip and palate patients[J]. Ann Plast Surg , 2017, 7(2): 176-179.
[9] Ajami S, Toraby F, Shavakhi M, et al.The impact of type-D personality on oral health-related quality of life in cleft lip and palate adolescents[J]. J Craniofac Surg, 2018, 29(2): 289-292.
[10] Rando GM, Jorge PK, Vitor LLR, et al.Oral health-related quality of life of children with oral clefts and their families[J]. J Appl Oral Sci, 2018, 26: e20170106.
[11] Sundell AL, Törnhage CJ, Marcusson A.A comparison of health-related quality of life in 5‐ and 10-year-old Swedish children with and without cleft lip and/or palate[J]. Int J Paediatr Dent, 2017, 27(4): 238-246.
[12] Cook AK, Kerins CA, Heppner CE.Dental impacts on health-related quality of life of children with orofacial clefts[J]. Pediatr Dent, 2016, 38(3): 218-220.
[13] Beluci ML, Genaro KF.Quality of life of individuals with cleft lip and palate pre- and post-surgical correction of dentofacial deformity[J]. Rev Esc Enferm USP, 2016, 50(2): 217-223.
[14] Munz SM, Kim RY, Holley TJ, et al.Dental hygiene, dental, and medical students' OMFS/hospital dentistry-related knowledge/skills, attitudes, and behavior: an exploration[J]. Eur J Dent Educ, 2017, 81(2): 149-161.
[15] Kragt L, Tiemeier H, Wolvius E, et al.Measuring oral health-related quality of life in orthodontic patients with a short version of the Child Oral Health Impact Profile (COHIP)[J]. J Public Health Dent, 2016, 76(2): 105-112.
[16] Germec Cakan D, Nur Yilmaz RB, Bulut FN, et al.Dental anomalies in different types of cleft lip and palate: is there any relation?[J]. Int J Oral Maxillofac Surg, 2018, 29(5): 1316-1321.
[17] Nicholls W.Dental anomalies in children with cleft lip and palate in Western Australia[J]. Eur J Dent Educ, 2016, 10(2): 254-258.
[18] Franco A, Vitor L, Jorge P, et al.Evaluation of a new method of oral health education in children with cleft lip and palate[J]. Eur Arch Paediatr Dent, 2018, 19(4): 267-271.
[19] Haque S, Alam M, Khamis M.Factors responsible for unfavorable dental arch relationship in non syndromic unilateral cleft lip and palate children[J]. Int J Paediatr Dent, 2017, 41(3): 236-239.
[20] Broder HL, Crerand CE, Ruff RR, et al.Challenges in conducting multicentre, multidisciplinary, longitudinal studies in children with chronic conditions[J]. Community Dent Oral Epidemiol, 2017, 45(4): 317-322.