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. 2015 Nov-Dec;5(6):482-7.
doi: 10.4103/2231-0762.168645.

Oral health related quality of life in cleft lip and palate patients rehabilitated with conventional prostheses or dental implants

Piero Papi  1 , Rita Giardino  1 , Pierpaolo Sassano  1 , Giulia Amodeo  1 , Giorgio Pompa  1 , Piero Cascone  1
Affiliations

Oral health related quality of life in cleft lip and palate patients rehabilitated with conventional prostheses or dental implants

Piero Papi et al. J Int Soc Prev Community Dent. 2015 Nov-Dec.

Abstract

Objectives: Cleft lip and/or palate (CLP) is the most common congenital craniofacial abnormality, with a prevalence of 9.92 per 10,000 live births. In treating patients with CLP, oral rehabilitation is definitely a very important phase of the treatment in order to improve the patient's oral health related quality of life (OH-QoL). The aim of this retrospective study is to assess the OH-QoL in patients rehabilitated with different prosthetic options, thus comparing the conventional treatments, which include removable partial dentures and fixed partial dentures, with the implant-supported prostheses.

Materials and methods: Sixty-three patients were enrolled in this retrospective survey [44 females (69.84%) and 19 males (30.16%)] with a mean age of 34.93 ± 7.04 years (age range 21-53 years). They were all treated for CLP and rehabilitated with a conventional prosthesis or an implant-supported denture. Two different questionnaires were used in the present study to evaluate patients' OH-QoL: The Italian version of the 49-item Oral Health Impact Profile (OHIP-49) and the Italian version of the Cleft Evaluation Profile (CEP). Statistical analysis was performed using analysis of variance (ANOVA) test, with a significant P < 0,05.

Results: Data analysis revealed that patients rehabilitated with implant-supported dentures and fixed partial dentures showed a good level of satisfaction with their prostheses, scoring low values in the OHIP-49 and high values in the CEP, while subjects with removable partial dentures scored the highest values in the OHIP-49 and the lowest values in the CEP, which means an unsatisfactory feeling (P < 0.05).

Conclusions: OH-QoL is a challenging demand for all prosthodontists. Our results show, clearly, that patients rehabilitated with implant-supported dentures are more satisfied compared to subjects with fixed partial dentures and removable partial dentures.

Keywords: Cleft lip and palate; congenital malformation; dental implants; prosthetic rehabilitation; quality of life.

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Figures

Figure 1
Figure 1
OHIP-49 scores for patient population
Figure 2
Figure 2
Cleft Evaluation Profile scores for patient population
See this image and copyright information in PMC

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References

    1. Mossey PA, Shaw WC, Munger RG, Murray JC, Murthy J, Little J. Global oral health inequalities: Challenges in the prevention and management of orofacial clefts and potential solutions. Adv Dent Res. 2011;23:247–58. - PMC - PubMed
    1. Erickson RP. Genes, environment, and orofacial clefting: N-Acetyltransferase and folic acid. J Craniofac Surg. 2010;21:1384–7. - PubMed
    1. Dixon MJ, Marazita ML, Beaty TH, Murray JC. Cleft lip and palate: Understanding genetic and environmental influences. Nat Rev Genet. 2011;12:167–78. - PMC - PubMed
    1. Calzolari E, Pierini A, Astolfi G, Bianchi F, Neville AJ, Rivieri F. Associated anomalies in multi-malformed infants with cleft lip and palate: An epidemiologic study of nearly 6 million births in 23 EUROCAT registries. Am J Med Genet A. 2007;143A:528–37. - PubMed
    1. Millard DR., Jr The general care of cleft lip and palate patients. J Fla Med Assoc. 1965;52:623–30. - PubMed