Institute of Orthodontics, Faculty of Medicine, University of Coimbra, 3000-075 Coimbra, Portugal.
Institute of Clinical and Biomedical Research of Coimbra (iCBR), Faculty of Medicine, University of Coimbra, 3000-075 Coimbra, Portugal.
Int J Environ Res Public Health. 2021 Dec 5;18(23):12826. doi: 10.3390/ijerph182312826.
(1) Background: It has been recognized that CLP condition may affect oral health-related quality of life (OHRQoL) due to dental anomalies and abnormal craniofacial development. Aim: To assess whether orthodontic treatment affected the levels of OHRQoL in CLP patients and their families. (2) Methods: 226 individuals (111 with cleft and 115 control) and their parents were invited to complete the Oral Health Impact Profile-14 (OHIP-14) and Family Impact Scale (FIS), respectively. The Mann-Whitney test was used for quantitative variables and the Fisher's exact test for categorical variables. The Spearman Rank Correlation Coefficient was used to correlate the results of the OHIP and FIS questionnaires. (3) Results: No significant difference was found between groups in OHIP-14 but FIS score revealed a significant difference between the two groups evaluated ( < 0.001). Only the social limitation in OHIP score revealed a significant difference ( = 0.001). Regarding FIS score, the most affected dimensions were family activities ( < 0.001), parental emotions ( = 0.001), and family conflict ( = 0.011). (4) Conclusion: Undergoing orthodontic treatment had a similar impact on the overall quality of life in CLP patients and non-cleft patients. Parents of cleft children had a poorer OHRQoL compared to what was perceived by their children and parents of non-cleft children.
（1）背景：已经认识到，由于牙齿异常和颅面发育异常，CLP 情况可能会影响口腔健康相关的生活质量（OHRQoL）。目的：评估正畸治疗是否会影响 CLP 患者及其家属的 OHRQoL 水平。（2）方法：邀请 226 名个体（111 名有腭裂和 115 名对照）及其父母分别完成口腔健康影响简表-14（OHIP-14）和家庭影响量表（FIS）。采用 Mann-Whitney 检验进行定量变量分析，采用 Fisher 确切检验进行分类变量分析。采用 Spearman 秩相关系数对 OHIP 和 FIS 问卷的结果进行相关性分析。（3）结果：OHIP-14 组间无显著差异，但 FIS 评分两组间有显著差异（<0.001）。仅 OHIP 评分中的社会限制维度有显著差异（=0.001）。FIS 评分方面，受影响最严重的维度为家庭活动（<0.001）、父母情绪（=0.001）和家庭冲突（=0.011）。（4）结论：正畸治疗对 CLP 患者和非腭裂患者的整体生活质量有相似的影响。腭裂儿童的父母比其子女和非腭裂儿童的父母对 OHRQoL 的感知更差。
