Impact of bone-anchored maxillary protraction on the quality of life of subjects with complete unilateral cleft lip and palate.

Autor: de Couto Nascimento V; Department of Orthodontics, Dental School, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil. Electronic address: vanessacouto3009@gmail.com., Martins E Martins M; Department of Orthodontics, Dental School, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil., de Souza Vilella B; Department of Orthodontics, Dental School, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil., Faco R; Department of Maxillofacial Surgery, Hospital of Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, SP, Brazil., Timmerman H; Private practice, Brussels, Belgium., De Clerck H; Department of Orthodontics, School of Dentistry, University of North Carolina, Chapel Hill, NC., Garib D; Department of Orthodontics, Bauru Dental School and Hospital of Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, SP, Brazil., de Vasconcellos Vilella O; Department of Orthodontics, Dental School, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil.
Jazyk: angličtina
Zdroj: American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics [Am J Orthod Dentofacial Orthop] 2023 Jan; Vol. 163 (1), pp. 102-108.e1. Date of Electronic Publication: 2022 Oct 13.
DOI: 10.1016/j.ajodo.2021.09.019
Abstrakt: Introduction: This study aimed to evaluate the influence of bone-anchored maxillary protraction (BAMP) on the oral health-related quality of life (OHRQOL) in subjects with complete unilateral cleft lip and palate (UCLP) and moderate-to-severe maxillary deficiency.
Methods: A longitudinal observational study was conducted with a sample of 20 patients (13 males, 7 females) aged 10-14 years (mean age, 11.8 years) with Goslon 3, 4, and 5. To assess the patient's perception of their OHRQOL, the Quality of Life Questionnaire for Orthosurgical Patients was administered in 2 stages: after the installation of the protraction plates (T1) and 18 months after the protraction therapy started (T2). The questionnaire was composed of 4 domains, distributed over 22 questions: social aspects, facial esthetics, oral function, and awareness of facial deformity.
Results: The treatment protocol improved the OHRQOL in 75% of the patients who presented UCLP. The domain social aspects of the deformity were the only one that showed a significant difference from T1 to T2 and indicated an improvement in self-esteem. The girls had worse OHRQOL than boys at T1, which was statistically significant only for the domains of social aspects of deformity and awareness of deformity. After BAMP therapy, the effect size indicated a larger change in OHRQOL in girls than in boys.
Conclusions: BAMP therapy positively impacted the OHRQOL and self-esteem of patients with UCLP during adolescence.
(Copyright © 2022 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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