Barros Leandro Almeida Nascimento, Jesuino Flávia Aline Silva, de Paiva João Batista, Rino-Neto José, Valladares-Neto José
Division of Orthodontics, Post Graduate Program in Dentistry, School of Dentistry, Federal University of Goiás, Goiânia, Brazil.
Cleft Lip and Palate Center, Maternal and Child Hospital, Goiânia, Brazil.
Cleft Palate Craniofac J. 2019 Nov;56(10):1359-1365. doi: 10.1177/1055665619854567. Epub 2019 Jun 6.
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.
Cross sectional.
Cleft Lip and Palate Center and Clinic of Orthognathic Surgery from a School of Dentistry.
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.
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 and Kruskal-Wallis tests, and effect size. Bonferroni adjustment was used for post hoc tests ( < .017).
The OHIP-14 scores of the UCLP and Class III groups were significantly different ( = .001, η = 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.
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.
比较单侧唇腭裂（UCLP）成年患者与外科III类错牙合畸形患者治疗前的口腔健康相关生活质量（OHRQoL），并探讨需要不同正畸治疗方案的腭裂是否会影响人们的自我认知。
横断面研究。
一所牙科学院的唇腭裂中心和正颌外科诊所。
选取一组接受过非综合征性UCLP修复的成年患者（n = 52），其年龄和性别与寻求正颌手术的非腭裂III类错牙合畸形样本（n = 51）相匹配。反过来，腭裂组根据治疗计划细分为非手术正畸和手术正畸方法。
使用简化口腔健康影响量表（OHIP-14）对整个样本进行评估，得分越高表明OHRQoL越差。采用Mann-Whitney检验和Kruskal-Wallis检验以及效应量进行统计学比较。事后检验采用Bonferroni校正（P <.017）。
UCLP组和III类组的OHIP-14得分存在显著差异（P =.001，η = 0.108），III类组得分更高。最大的影响在于身体残疾、身体疼痛和心理残疾领域。此外，考虑UCLP治疗计划时未发现差异。
与UCLP患者相比，外科III类错牙合畸形患者的OHRQoL较差，无论他们接受的是手术治疗还是正畸治疗。因此，OHRQoL受更大影响似乎是由III类错牙合畸形的病因引起的，而非治疗方案。
