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Stomatologija 2020; 22 (4): 116-9 245 KB

The relationship between congenital cleft lip and palate malformation, skeletal and dental occlusal anomalies, and the influence of its treatment on affected patients’ oral health-related quality of life (OHRQoL)

Reda Vaiciunaite*, Austeja Mitalauskiene*, Arunas Vasiliauskas*

Summary

Objective. Non-syndromic (N/S) cleft lip and/or palate is the most common congenital anomaly to undergo long multidisciplinary treatment. This study investigates patients living with orofacial anomaly and having prolonged treatment by evaluating OHRQoL. It is essential to understand its influence on affected patients’ daily life to prepare the most appropriate care for the complete physical, mental, and social well-being of an individual.

Materials and methods. In order to evaluate the influence of undergoing treatment and living with an orofacial anomaly on patients’ OHRQoL, randomly selected patients with N/S cleft lip and (or) palate treated in the Clinic of Orthodontics of Lithuanian University of Health Sciences filled a modified CPQ questionnaire. The questionnaire of 60 closed questions was about undergoing treatment and its effect on patients’ self-confidence level, mastication, fluent pronunciation, discomfort, ability to socialize, emotions, etc. Statistical data was expressed as a frequency and percentage.

Results. Of the 20 patients 13-24 year-old (mean age 16.2±3.25) 50% were males, 50% were females, 80% wore orthodontic braces, other 20% wore Quadhelix appliance. All 20 patients experienced pain during treatment, 60% of all patients avoided being among people, were bullied. 65% of respondents felt more confident and happy after orthodontic treatment began. 70% of all patients experienced difficulty in speaking, biting hard food.

Conclusion. The questionnaire showed no difference between different orthodontic appliance types and patients’ OHRQoL, although overall prolonged treatment and orofacial anomaly does affect a patient's regular daily functions, oral hygiene habits, self-confidence level, social life, and mental well-being.

Key words: Cleft lip and palate, orthodontic treatment, OHRQoL, dental occlusion.

Received: 20 09 2020

Accepted for publishing: 21 12 2020

*Lithuanian University of Health Sciences, Medical Academy, Faculty of Odontology, Kaunas, Lithuania

Address correspondence to Arunas Vasiliauskas, Lithuanian University of Health Sciences, Medical Academy, Faculty of Odontology, Kaunas, Lithuania, A. Mickevčiaus g. 9, Kaunas, Lithuania.

E-mail address: arunas.vasiliauskas@lsmuni.lt



	Baltic Dental and Maxillofacial Journal

December, 2020, Vol. 22, No. 4 CONTENTS SCIENTIFIC ARTICLES Musculomandibular morphology in individuals with different vertical skeletal growth patterns: an MRI and cone beam computed tomography study Katrina Gardovska, Ilga Urtane, Gaida Krumina 99-106 REVIEWS Various wound closure ways after impacted lower wisdom teeth removal: A review Žygimantas Petronis, Jonas Zigmantavičius, Albinas Gervickas 107-115 SCIENTIFIC ARTICLES The relationship between congenital cleft lip and palate malformation, skeletal and dental occlusal anomalies, and the infl uence of its treatment on affected patients’ oral health-related quality of life (OHRQoL) Reda Vaiciunaite, Austeja Mitalauskiene, Arunas Vasiliauskas 116-119 Family nurses, oral hygiene, and educational implications: a cross-sectional study Pablo Varela-Centelles, Rosendo Bugarín-González, Andrés Blanco-Hortas, Ana Estany-Gestal, Almudena Varela-Centelles, Juan M. Seoane-Romero 120-124 Stress in the bone and prosthetic components due to "all-on-4" system with polyether-ether-ketone screwing prosthesis. Analysis using 3D fi nite element method Ignas Vaitiekūnas, Justina Klimenko, Eglė Ivanauskienė, Juozas Žilinskas 125-128 © 2021 Stomatologija		Stomatologija 2020; 22 (4): 116-9 245 KB The relationship between congenital cleft lip and palate malformation, skeletal and dental occlusal anomalies, and the influence of its treatment on affected patients’ oral health-related quality of life (OHRQoL) Reda Vaiciunaite, Austeja Mitalauskiene, Arunas Vasiliauskas* Summary Objective. Non-syndromic (N/S) cleft lip and/or palate is the most common congenital anomaly to undergo long multidisciplinary treatment. This study investigates patients living with orofacial anomaly and having prolonged treatment by evaluating OHRQoL. It is essential to understand its influence on affected patients’ daily life to prepare the most appropriate care for the complete physical, mental, and social well-being of an individual. Materials and methods. In order to evaluate the influence of undergoing treatment and living with an orofacial anomaly on patients’ OHRQoL, randomly selected patients with N/S cleft lip and (or) palate treated in the Clinic of Orthodontics of Lithuanian University of Health Sciences filled a modified CPQ questionnaire. The questionnaire of 60 closed questions was about undergoing treatment and its effect on patients’ self-confidence level, mastication, fluent pronunciation, discomfort, ability to socialize, emotions, etc. Statistical data was expressed as a frequency and percentage. Results. Of the 20 patients 13-24 year-old (mean age 16.2±3.25) 50% were males, 50% were females, 80% wore orthodontic braces, other 20% wore Quadhelix appliance. All 20 patients experienced pain during treatment, 60% of all patients avoided being among people, were bullied. 65% of respondents felt more confident and happy after orthodontic treatment began. 70% of all patients experienced difficulty in speaking, biting hard food. Conclusion. The questionnaire showed no difference between different orthodontic appliance types and patients’ OHRQoL, although overall prolonged treatment and orofacial anomaly does affect a patient's regular daily functions, oral hygiene habits, self-confidence level, social life, and mental well-being. Key words: Cleft lip and palate, orthodontic treatment, OHRQoL, dental occlusion. Received: 20 09 2020 Accepted for publishing: 21 12 2020 *Lithuanian University of Health Sciences, Medical Academy, Faculty of Odontology, Kaunas, Lithuania Address correspondence to Arunas Vasiliauskas, Lithuanian University of Health Sciences, Medical Academy, Faculty of Odontology, Kaunas, Lithuania, A. Mickevčiaus g. 9, Kaunas, Lithuania. E-mail address: arunas.vasiliauskas@lsmuni.lt