Gingival esthetics and oral health-related quality of life in patients with cleft lip and palate

Stelzle, Florian; Rohde, Maximilian; Oetter, Nicolai; Krug, Katja; Riemann, Max; Adler, Werner; Neukam, F. W.; Knipfer, Christian

doi:10.1016/j.ijom.2017.03.020

Cited by 21 publications

(22 citation statements)

References 29 publications

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“…By contrast, if there has been no dento-prosthetic treatment for multiple dental agenesis, OHRQoL is considerably worse [ 34 ]. Cleft lip and palate lead to aesthetic and functional impairments, especially in food intake and articulation and negatively affect OHRQoL [ 35 ]. It therefore seems plausible that, among people with anomalies of tooth formation, dental agenesis, and cleft lip and palate, not only aesthetic and psychosocial impairments but also functional limitations can negatively influence OHRQoL.…”

Section: Discussionmentioning

confidence: 99%

Oral Symptoms and Oral Health-Related Quality of Life in People with Rare Diseases in Germany: A Cross-Sectional Study

Wiemann

Baudisch²,

Jordan³

et al. 2018

IJERPH

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Background: The aim of this study was to collect information on oral health-related quality of life (OHRQoL) in people with rare diseases. Methods: A questionnaire comprising free text questions and the German version of the standardized Oral Health Impact Profile-14 (OHIP-14) questionnaire on OHRQoL was developed. All participants who indicated oral symptoms in the questionnaire were included in a cluster analysis. Different cluster analyses were performed (Ward’s, k-Means) to find symptom profile groups in the data. Results: A total of 484 questionnaires with 96 rare diseases were included in the study. The most reported symptoms were anomalies of the tooth formation, dysgnathia, changes in number of the teeth, and malocclusions. The OHIP mean values of the five resulting symptom clusters ranged from 15.1 to 19.9, which is very high compared to the general population in Germany, which has a mean value of 4.09. Discussion: All investigated symptoms show a negative association with OHRQoL, but the strongest were for symptoms of the oral mucosa and periodontal diseases. All the symptoms described in this cluster analysis can lead to considerably higher mean values of the OHIP total score among people with rare disease and thus to worse OHRQoL than reported in the general population.

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Section: Discussionmentioning

confidence: 99%

Oral Symptoms and Oral Health-Related Quality of Life in People with Rare Diseases in Germany: A Cross-Sectional Study

Wiemann

Baudisch²,

Jordan³

et al. 2018

IJERPH

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“…Неналежний естетичний стан порожнини рота, який формується після комплексного лікування, поряд із функціями жування й мовлення, найбільш суттєво впливає на якість життя. Stelzle, F.Rohde, M. Oetter, N. et al показали, що рівень якості життя корелює з естетикою саме в зонах незрощення [28].…”

Section: результати досліджень і їх обговоренняunclassified

Determination of the Quality of Life of Patients With Congenital Cleft of the Upper Lip and Palate Before and After Their Orthopedic Rehabilitation

Oliinyk

2020

Ukr. Dent. Alm.

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Abstract. Congenital malformations remain one of the most pressing medical and social problems, and their frequency is an important characteristic of the population health status. Unfortunately, the tendency to their decrease is not observed in recent years, on average from 450 to 500 newborns per year. In this regard, it is important to study different aspects of the life quality of patients of different ages and with different types of congenital malformations of the upper lip and palate. The positive dynamics of changes in the life quality can be evidenced by the survey data of these patients, which must be conducted after each stage of their rehabilitation with the use of special validated questionnaires. Objective. The aim of the study was to assess the life quality of patients with congenital malformations of the upper lip and palate before and after the final stage of orthopedic treatment with different types of aesthetic designs of dentures. Material and methods. An investigation of the life quality related to the oral health was proposed using data of 37 patients aged 17 to 36 years, including 26 men and 11 women with congenital malformations of the upper lip and palate, using the OHIP-14 (Oral health impact profile) questionnaire. Non-removable structures are made for 27 patients, combined (non-removable + removable) - for 10 patients. The questionnaire was conducted before treatment and one month after their orthopaedic its completion. The analysis was conducted on individual questions, which were grouped into separate blocks: questions related to problems with eating, questions related to communication problems, questions related to problems in everyday life. Research results. There was a significant improvement in the life quality of patients with congenital malformations of the upper lip and palate after completion of their orthopaedic rehabilitation as separate blocks of questions (Block I 12,703 ± 0,915 before, against 1,784 ± 0,165 after orthopaedic treatment; Block II 13,378 ± 0,672 before, against 1,405 ± 0,175 after orthopaedic treatment; Block III 9,919 ± 0,736 before, against 0,676 ± 0,155 after orthopaedic treatment), confirmed by statistical processing of the material (p <0,001) as well as the total number of points in the questionnaires (95,142 ± 1,405 before, against 10,214 ± 1,209 after orthopaedic treatment; p <0,001). It should be considered that the life quality of patients with congenital malformations of the upper lip and palate, as well as other dental patients is a non-permanent category. It usually changes with age, as well as a result of treatment and prevention measures, so it must always be assessed in the dynamics. As a rule, successful treatment improves the life quality. Inadequate aesthetic condition of the oral cavity, which is formed after a comprehensive treatment, along with the functions of chewing and speech, most significantly affects the life quality. Thus, a study of the life quality associated with oral health of patients in this category suggests that adequate orthopaedic rehabilitation can significantly improve their life quality. In addition, the presence of either a fixed or a combined prosthesis, including in the area of the split (mouthpiece) aesthetically raises the upper lip and allows you to perform additional plastic surgery on it if necessary. Conclusion. The life quality of patients with congenital malformations of the upper lip and palate associated with oral health is usually a temporary category and tends to change depending on the type of split, time and method of rehabilitation, especially orthopedic treatment. Adequate and high-quality prosthetics of defects and deformations of the teeth rows can significantly improve both the subjective assessment of the life quality and the objective improvement of the functional state of the dental-jaw system, as evidenced by these objective research methods.

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“…It was found that sites with patient's own teeth integrated into the cleft area showed superior esthetics and that this result was directly related with fewer problems regarding OHRWoL. 21 When evaluating the visibility of the periodontum (smile line) and the esthetics of smile (thickness of upper lip and curve of upper lip) in UCLP the authors concluded that the simile line varied according to the type of smile (natural or forced), being scored as average at the cleft and noncleft sides, with a low prevalence of high and very high smile line. 23 No previous research has evaluated the micro esthetics characteristics of anterior maxillary teeth in UCLP individuals, after orthodontic treatment with canine substitution of missing lateral incisors.…”

Section: Introductionmentioning

confidence: 96%

“…13,14 When compared to the use of implants, this conduct avoids potential complications around implantsupported crowns such as progressive infraocclusion [15][16][17] , disharmonious marginal gingival levels, 15 blue coloring of the gingiva and resorption of the labial bone. 18 In CLP individuals there is evidence that orthodontic space closure contributes also to periodontal health, to the maintenance of the SABG at the cleft area 19,20 and provide superior esthetics when compared to cases with implants or dental prosthetics 21 .…”

Section: Introductionmentioning

confidence: 99%

“…Few studies have been conducted in order to assess the anterior dental esthetics of CLP individuals. [21][22][23] In the evaluation of the smile soft tissue features in individuals with unilateral cleft lip and palate (UCLP) and the degree of satisfaction after complete rehabilitation only 13.3% of individuals considered their smile as esthetically unpleasant. The most common reasons for the dissatisfaction included the shape of teeth, tooth positioning, contour and color of teeth, lip shape or height.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of micro esthetics characteristics of maxillary anterior teeth after orthodontic treatment in UCLP: a digital dental model study

Manfio¹

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Gingival esthetics and oral health-related quality of life in patients with cleft lip and palate

Cited by 21 publications

References 29 publications

Oral Symptoms and Oral Health-Related Quality of Life in People with Rare Diseases in Germany: A Cross-Sectional Study

Oral Symptoms and Oral Health-Related Quality of Life in People with Rare Diseases in Germany: A Cross-Sectional Study

Determination of the Quality of Life of Patients With Congenital Cleft of the Upper Lip and Palate Before and After Their Orthopedic Rehabilitation

Evaluation of micro esthetics characteristics of maxillary anterior teeth after orthodontic treatment in UCLP: a digital dental model study

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