<abstract xmlns="http://www.w3.org/1999/xhtml"><sec><h3>Background</h3><p>Children with cleft lip and/or palate (CL/P) are a special group of orthodontic patients. Oral health-related quality of life (OHRQoL) is an important aspect of treatment outcome that is becoming popular in its application in orthodontics, but its relationship with clinical treatment outcomes remains unclear.</p></sec><sec><h3>Objectives</h3><p>To compare OHRQoL and clinical treatment outcomes of a sample of children with cleft lip and/or palate and non-cleft children before and after orthodontic treatment in order to determine whether there is an association between the two outcome measures.</p></sec><sec><h3>Methods</h3><p>A prospective observational longitudinal study was conducted of 60 consecutive adolescent patients (33 CL/P and 27 non-cleft) who received orthodontic treatment at Christchurch Hospital, New Zealand. The two outcome measures were a self-reported OHRQoL outcome assessed by the short form 8 item Child Perception Questionnaire (CPQ-ISF 8) and an orthodontic treatment outcome assessed by the Peer Assessment Rating (PAR) index.</p></sec><sec><h3>Results</h3><p>Both CL/P and non-cleft groups had comparable pretreatment malocclusion severity with similar baseline and end of treatment OHRQoL. Although both groups showed similar improvements in OHRQoL following orthodontic treatment, the non-cleft group had significantly greater improvement in their PAR outcome. There was no association detected between OHRQoL and the PAR improvement.</p></sec><sec><h3>Conclusion</h3><p>Both study groups had similar OHRQoL changes following orthodontic treatment despite the non-cleft group having better orthodontic treatment outcomes. There is a lack of correlation between the patient’s self-assessment OHRQoL and clinically based orthodontic treatment outcomes.</p></sec></abstract>

BackgroundChildren with cleft lip and/or palate (CL/P) are a special group of orthodontic patients. Oral health-related quality of life (OHRQoL) is an important aspect of treatment outcome that is becoming popular in its application in orthodontics, but its relationship with clinical treatment outcomes remains unclear.ObjectivesTo compare OHRQoL and clinical treatment outcomes of a sample of children with cleft lip and/or palate and non-cleft children before and after orthodontic treatment in order to determine whether there is an association between the two outcome measures.MethodsA prospective observational longitudinal study was conducted of 60 consecutive adolescent patients (33 CL/P and 27 non-cleft) who received orthodontic treatment at Christchurch Hospital, New Zealand. The two outcome measures were a self-reported OHRQoL outcome assessed by the short form 8 item Child Perception Questionnaire (CPQ-ISF 8) and an orthodontic treatment outcome assessed by the Peer Assessment Rating (PAR) index.ResultsBoth CL/P and non-cleft groups had comparable pretreatment malocclusion severity with similar baseline and end of treatment OHRQoL. Although both groups showed similar improvements in OHRQoL following orthodontic treatment, the non-cleft group had significantly greater improvement in their PAR outcome. There was no association detected between OHRQoL and the PAR improvement.ConclusionBoth study groups had similar OHRQoL changes following orthodontic treatment despite the non-cleft group having better orthodontic treatment outcomes. There is a lack of correlation between the patient’s self-assessment OHRQoL and clinically based orthodontic treatment outcomes.

The impact of orthodontic treatment on the dental occlusion and oral health-related quality of life of individuals with cleft lip and/or palate

Australasian Orthodontic Journal

This work is licensed under the Creative Commons Attribution 4.0 International License.

BackgroundChildren with cleft lip and/or palate (CL/P) are a special group of orthodontic patients. Oral health-related quality of life (OHRQoL) is an...

The impact of orthodontic treatment on the dental occlusion and oral health-related quality of life of individuals with cleft lip and/or palate

Published Online: Jul 20, 2021

Page range: 119 - 126

Received: Oct 01, 2018

Accepted: Mar 01, 2019

DOI: https://doi.org/10.21307/aoj-2020-040

© 2019 Rebecca Chapman et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.