Silva Maria Augusta Ramires da, Balderrama Isis de Fátima, Wobeto Ana Paula, Werneck Renata Iani, Azevedo-Alanis Luciana Reis
Pontifícia Universidade Católica do Paraná, Escola de Ciências da Vida, Curitiba, PR, Brasil.
Universidade de São Paulo, Faculdade de Odontologia de Bauru, Bauru, SP, Brasil.
J Appl Oral Sci. 2018 Apr 5;26:e20170145. doi: 10.1590/1678-7757-2017-0145.
Nonsyndromic cleft lip with or without cleft palate (NSCL±P) compromises oral health, leading to missing or malformed teeth, and hampering oral hygiene. Apart from anatomic damages, NSCL±P also culminates in an impact on the routine quality of life with social privation and psychological embarrassment.
To evaluate the impact of NSCL±P on oral health-related quality of life.
The study was classified as exploratory and descriptive, with quantitative approach. Patients with NSCL±P treated between August 2013 and September 2014 at the Cleft Lip and Palate Integral Care Center (CAIF), Curitiba, Brazil, were invited to participate. Age and sex-related data were collected, as well as level of education, financial income, type of orofacial cleft, use of orthodontic and prosthetic appliances, and number of previous orofacial surgeries. Selected patients were asked to answer the Oral Impact on Daily Performance (OIDP) questionnaire designed to measure the impact of oral health on daily performances.
The sample was composed of 103 (44.59%) women and 128 (55.41%) men, with mean age of 19.74 ± 10.20 (7-65) years. The OIDP values ranged from 1 to 175 in 114 (49.35%) patients (mean: 22.38), whereas 117 patients (50.65%) presented total OIDP value equal to zero. High negative impact of NSCL±P on daily performances was detected when associated with the female sex (p=0.037). Daily performances related to phonetics (OIDP2; 2.63) and aesthetics (OIDP5; 2.48) presented the highest average values when compared to other daily performances, except OIDP6. The main symptoms and reported oral problems comprised the aesthetic dissatisfaction.
Almost half of the patients evaluated in this study showed negative impact of NSCL±P in the performance of daily activities.
非综合征性唇裂伴或不伴腭裂（NSCL±P）会损害口腔健康，导致牙齿缺失或畸形，并妨碍口腔卫生。除了解剖学损伤外，NSCL±P还最终会对日常生活质量产生影响，造成社交缺失和心理尴尬。
评估NSCL±P对口腔健康相关生活质量的影响。
本研究归类为探索性和描述性研究，采用定量方法。邀请了2013年8月至2014年9月在巴西库里蒂巴唇腭裂综合护理中心（CAIF）接受治疗的NSCL±P患者参与。收集了年龄和性别相关数据，以及教育程度、经济收入、口面部裂隙类型、正畸和修复器具的使用情况，以及既往口面部手术的次数。选定的患者被要求回答旨在测量口腔健康对日常表现影响的《口腔对日常表现的影响》（OIDP）问卷。
样本由103名（44.59%）女性和128名（55.41%）男性组成，平均年龄为19.74±10.20（7 - 65）岁。114名（49.35%）患者的OIDP值在1至175之间（平均：22.38），而117名患者（50.65%）的OIDP总值等于零。当与女性性别相关时，检测到NSCL±P对日常表现有高度负面影响（p = 0.037）。与其他日常表现（OIDP6除外）相比，与语音（OIDP2；2.63）和美学（OIDP5；2.48）相关的日常表现平均值最高。主要症状和报告出的口腔问题包括美学上的不满。
本研究中评估的几乎一半患者显示NSCL±P对日常活动表现有负面影响。
