Quality of Life and Temporomandibular Disorders in Patients With Skeletal Class III Malocclusion With Cleft Lip and Palate.

Autor:	Olsson B; Department of Stomatology, Department of Oral and Maxillofacial Surgery, 28122Federal University of Paraná, Curitiba, Brazil., Bergamaschi IP; Department of Stomatology, Department of Oral and Maxillofacial Surgery, 28122Federal University of Paraná, Curitiba, Brazil., Küchler EC; Department of Pediatric Dentistry, University of São Paulo, Ribeirão Preto, Brazil., Sebastiani AM; Department of Stomatology, Department of Oral and Maxillofacial Surgery, 28122Federal University of Paraná, Curitiba, Brazil.; Oral and Maxillofacial Surgeon at Cleft Lip and Palate Integral Care Center, Curitiba, Brazil., Dos Santos Trento G; Oral and Maxillofacial Surgeon at Cleft Lip and Palate Integral Care Center, Curitiba, Brazil., da Costa DJ; Department of Stomatology, Department of Oral and Maxillofacial Surgery, 28122Federal University of Paraná, Curitiba, Brazil., Rebellato NLB; Department of Stomatology, Department of Oral and Maxillofacial Surgery, 28122Federal University of Paraná, Curitiba, Brazil., Scariot R; Department of Stomatology, Department of Oral and Maxillofacial Surgery, 28122Federal University of Paraná, Curitiba, Brazil.; Oral and Maxillofacial Surgeon at Cleft Lip and Palate Integral Care Center, Curitiba, Brazil.
Jazyk:	angličtina
Zdroj:	The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association [Cleft Palate Craniofac J] 2022 Nov; Vol. 59 (11), pp. 1391-1399. Date of Electronic Publication: 2021 Oct 12.
DOI:	10.1177/10556656211043429
Abstrakt:	Objective: The aim of the study was to assess the quality of life (QOL), oral health-related QOL (OHRQOL), temporomandibular disorders (TMDs), and psychological factors in patients with skeletal Class III malocclusion with cleft lip and palate (CLP) and without CLP. Design: Case-control. Setting: Primary care, institutional practice. Patients: One hundred thirty-six patients with skeletal Class III malocclusion with CLP (n = 68) and without CLP (n = 68). Main Outcome Measures: QOL and OHRQOL were assessed using the World Health Organization Quality of Life-BREF (WHOQOL-BREF) questionnaire and the Oral Health Impact Profile-14 questionnaire, respectively. TMDs and psychological factors were assessed using the Research Diagnostic Criteria for TMD (RDC/TMD). Results: No differences in QOL were found between the groups ( P  >   0.05). Patients with CLP reported a better OHRQOL ( P  = 0.025) in the physical pain, physical disability, and psychological disability domains ( P  <   0.05). Patients with CLP presented with less myofascial pain (OR, 0.28; 95% CI, 0.11-0.71] and other articular conditions (OR 0.24; 95% CI 0.06-0.90]. More patients with CLP reported no chronic pain ( P  = 0.012). The QOL of patients with CLP with no depression or with no nonspecific physical symptoms including pain (NSPSIP) was better than that of patients without CLP. The OHRQOL of patients with CLP without TMDs or no psychological factors was better than that of patients without CLP. Conclusions: Patients with skeletal Class III malocclusion who require orthognathic surgery with CLP have better OHRQOL and present with fewer TMDs than those patients without CLP.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu