The importance of multi-professional, interdisciplinary care in rehabilitation and health promotion directed at patients with cleft lip/palate

Lorenzzoni, Daniela; Carcereri, Daniela Lemos; Locks, Arno

doi:10.1590/s1980-65232010000200018

Cited by 7 publications

(7 citation statements)

References 14 publications

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“…The best treatment approach is multidisciplinary, which includes teamwork and support from various specialties. During almost all phases of treatment, dental services are needed and orthodontists are almost always needed from early treatment until late adult life [ 19 ]. Good facial and dental aesthetics may have a beneficial role on behavior and self-esteem.…”

Section: Introductionmentioning

confidence: 99%

Psychological impact of visible differences in patients with congenital craniofacial anomalies

Singh

Moss

2015

Prog Orthod.

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BackgroundPatients with craniofacial anomalies often have appearance concerns and related social anxiety which can affect their quality of life. This study assessed the psychological impact of facial and dental appearance in patients with craniofacial anomalies in comparison to a general population control group.MethodsThe study involved 102 adult patients (51% male) with congenital craniofacial anomalies and 102 controls (49% male). Both groups completed the Nepali version of Derriford Appearance Scale (DAS) and the Psychological Impact of Dental Aesthetic Questionnaire (PIDAQ) in a clinical setting to assess appearance-related distress, avoidance, and anxiety.ResultsThere was a significant difference between patients and controls on both PIDAQ (mean score for patients 33.25 ± 9.45 while for controls 27.52 ± 5.67, p < 0.001) and DAS59 scores (mean score for patients 159.16 ± 31.54 while for controls 77.64 ± 6.57, p < 0.001), indicating that patients experienced greater negative psychological impact of living with their appearance (PIDAQ) and more appearance-related distress (DAS) than controls. DAS scores were not associated with gender. There was no association of the place of residence (rural vs. urban) with PIDAQ or DAS59 scores.ConclusionsThere is a significant psychological impact of altered facial and dental appearance in patients with craniofacial anomalies compared to controls. There was no effect of locality (rural/urban) on the psychological impact of facial and dental appearance in patients.

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Section: Introductionmentioning

confidence: 99%

Psychological impact of visible differences in patients with congenital craniofacial anomalies

Singh

Moss

2015

Prog Orthod.

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“…Cleft lip and cleft lip and palate determine a break in the alveolar ridge with an impact on the dentition and treatment prognosis. 4 In unilateral complete cleft lip and palate, the maxilla is divided into two segments, one bigger and one smaller segment; in bilateral cleft lip and palate, the maxilla is segmented into three parts, two posterior segments and the pre-maxilla. 5 Maxillary lateral incisors are critical teeth in individuals with clefts, considering the high prevalence of dental anomalies.…”

Section: Introductionmentioning

confidence: 99%

Dual embryonic origin of maxillary lateral incisors: clinical implications in patients with cleft lip and palate

Garib

Rosar

Sathler

et al. 2015

Dental Press J. Orthod.

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Introduction: Cleft lip and palate are craniofacial anomalies highly prevalent in the overall population. In oral clefts involving the alveolar ridge, variations of number, shape, size and position are observed in maxillary lateral incisors. The objective of this manuscript is to elucidate the embryonic origin of maxillary lateral incisors in order to understand the etiology of these variations. Contextualization: The hypothesis that orofacial clefts would split maxillary lateral incisor buds has been previously reported. However, recent studies showed that maxillary lateral incisors have dual embryonic origin, being partially formed by both the medial nasal process and the maxillary process. In other words, the mesial half of the lateral incisor seems to come from the medial nasal process while the distal half of the lateral incisor originates from the maxillary process. In cleft patients, these processes do not fuse, which results in different numerical and positional patterns for lateral incisors relating to the alveolar cleft. In addition to these considerations, this study proposes a nomenclature for maxillary lateral incisors in patients with cleft lip and palate, based on embryology and lateral incisors position in relation to the alveolar cleft. Conclusion: Embryological knowledge on the dual origin of maxillary lateral incisors and the use of a proper nomenclature for their numerical and positional variations renders appropriate communication among professionals and treatment planning easier, in addition to standardizing research analysis.

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“…A observação sistemática de protocolos assistenciais relacionados à qualidade da reabilitação de pacientes com fissura labiopalatina tem sido apontada como importante instrumento para o sucesso terapêutico 16 ; bem como, a importância do atendimento multiprofissional e interdisciplinar no processo de reabilitação e na promoção da saúde ao paciente com fissura labiopalatina 17 .…”

Section: Resultsunclassified

Diagnósticos e intervenções de enfermagem em pacientes no pós-operatório de enxerto ósseo alveolar [Nursing diagnoses and interventions in postoperative alveolar bone graft patients] [Diagnósticos e intervenciones de enfermería en pacientes en el postoperatorio de injerto óseo alveolar]

Beluci¹,

Barros²,

Fontes

et al. 2017

Rev. enferm. UERJ

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Objetivo: identificar a frequência dos diagnósticos de enfermagem relacionados à nutrição e as intervenções de enfermagem no pós-operatório de cirurgia de enxerto ósseo alveolar durante a internação. Método: estudo descritivo e quantitativo, realizado em um hospital público especializado. A amostra constituiu-se de 150 pacientes, avaliados por meio de anamnese e observação, com foco na aceitação alimentar. Resultados: os diagnósticos de enfermagem relacionados à nutrição foram elaborados segundo a taxonomia da North American Nursing Diagnosis Association-International (NANDA-I) e evidenciou-se predomínio da disposição para nutrição melhorada. As intervenções propostas de acordo com o referencial da Nursing Interventions Classifications (NIC) relacionaram-se ao ensino da dieta prescrita, promoção do autocuidado e monitoração nutricional. Conclusão: o presente estudo contribuiu para o trabalho interdisciplinar entre a nutrição e a enfermagem no processo de cuidar. ABSTRACTObjective: to identify the frequency of nutrition-related nursing diagnoses and postoperative nursing interventions in alveolar bone graft surgery during hospitalization. Method: this descriptive, quantitative study took place at a specialized public hospital in a sample of 150 patients evaluated by anamnesis and observation focusing on food acceptance. Results: the nutrition-related nursing diagnoses were prepared according to the taxonomy of the North American Nursing Diagnosis Association-International (NANDA-I), and displayed a predominant willingness to improve nutrition. The interventions proposed according to the frame of reference of Nursing Interventions Classifications (NIC) related to teaching prescribed diet, promoting self-care, and monitoring nutrition. Conclusion: this study contributed to interdisciplinary work between nutrition and nursing in the care process. RESUMENObjetivo: identificar la frecuencia de los diagnósticos de enfermería relacionados con la nutrición y las intervenciones de enfermería en el postoperatorio de cirugía de injerto óseo alveolar postoperatoria durante la hospitalización. Método: estudio descriptivo y cuantitativo, realizado en un hospital público especializado. La muestra consistió en 150 pacientes, evaluados mediante anamnesis y observación, enfocando la aceptación de alimentos. Resultados: los diagnósticos de enfermería relacionados con la nutrición se elaboraron según la taxonomía de la North American Nursing Diagnosis Association-International (NANDA-I) y pusieron en evidencia un predominio de la disposición de mejorar la nutrición. Las intervenciones propuestas de acuerdo con el marco de la Nursing Interventions Classifications (NIC) fueron relacionados con la enseñanza de la dieta prescrita, la promoción del autocuidado y el monitoreo nutricional. Conclusión: este estudio contribuyó al trabajo interdisciplinario entre la nutrición y la enfermería en el proceso de atención. DOI: http://dx.doi.org/10.12957/reuerj.2017.19872

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The importance of multi-professional, interdisciplinary care in rehabilitation and health promotion directed at patients with cleft lip/palate

Abstract: Conflict of Interest Statement: The authors state that there are no financial and personal conflicts of interest that could have inappropriately influenced their work.

Cited by 7 publications

References 14 publications

Psychological impact of visible differences in patients with congenital craniofacial anomalies

Psychological impact of visible differences in patients with congenital craniofacial anomalies

Dual embryonic origin of maxillary lateral incisors: clinical implications in patients with cleft lip and palate

Diagnósticos e intervenções de enfermagem em pacientes no pós-operatório de enxerto ósseo alveolar [Nursing diagnoses and interventions in postoperative alveolar bone graft patients] [Diagnósticos e intervenciones de enfermería en pacientes en el postoperatorio de injerto óseo alveolar]

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