Oral health status and quality of life in children aged 6 - 12 with cleft lip and palate
Main Article Content
Abstract
A cross-sectional study was conducted on 140 children aged 6 to 12 with cleft lip and palate (CLP) at Children’s Hospital 1, aiming to describe their Oral Health Status (OHS) and Oral Health-Related Quality of Life (OHRQoL). OHS was assessed via clinical examination (DMFT/dmft index, OHI-S, IOTN), and OHRQoL was measured using the Child-OIDP tool. The results revealed poor OHS in this group, with the overall caries prevalence reaching 86.43% (mean dmft-s 3.72; mean DMFT-R 2.01). The Oral Hygiene Index-Simplified (OHI-S) was average (2.08 ± 0.15), and notably, nearly all children (99.3%) had severe malocclusion requiring treatment according to the IOTN-DHC index. This heavy disease burden led to significant negative impacts on OHRQoL, with 66.58% of children being affected in at least one daily life activity. The most affected activities included speech/pronunciation (74.29%), smiling (72.1%), and eating/chewing (69.3%). In conclusion, children with CLP aged 6 - 12 face a substantial burden of dental caries and gingivitis causing a marked decline in their OHRQoL. The study recommends implementing comprehensive, specialized intervention programs to improve OHS and enhance the quality of life for this specific group.
Article Details
Keywords
Cleft lip and palate, oral health, quality of life, Child-OIDP, children
References
2. Phan Quốc Dũng, Hoàng Tử Hùng. Tình hình dị tật bẩm sinh khe hở môi-hàm ếch tại bệnh viện Từ Dũ và Hùng Vương. Tuyển tập công trình nghiên cứu khoa học Răng Hàm Mặt, Nhà xuất bản Y học. 2007;
3. Wu Q, Li Z, Zhang Y, Peng X, Zhou X. Dental caries and periodontitis risk factors in cleft lip and palate patients. Front Pediatr. 2022; 10:1092809.doi:10.3389/fped.2022.1092809.
4. Antunes LS, Tannure PN, Antunes LA, et al. Genetic association for caries susceptibility among cleft lip and/or palate individuals. J Contemp Dent Pract. May 1 2014; 15(3): 288-93. doi:10.5005/jp-journals-10024-1530.
5. Sahoo AR, Singh Dheer S, P CM, Goyal P, Sidhu R, Deepalakshmi S. A Questionnaire Study to Assess Patients With Cleft Lip and Palate for Their Oral Health-Related Quality of Life. Cureus. May 2023; 15(5): e38712. doi:10.7759/cureus.38712.
6. Broder HL, Wilson-Genderson M, Sischo L. Oral health-related quality of life in youth receiving cleft-related surgery: self-report and proxy ratings. Qual Life Res. Apr 2017; 26(4): 859-867. doi:10.1007/s11136-016-1420-5.
7. Karki S, Horváth J, Laitala ML, et al. Validating and assessing the oral health-related quality of life among Hungarian children with cleft lip and palate using Child-OIDP scale. Eur Arch Paediatr Dent. Feb 2021; 22(1): 57-65. doi:10.1007/s40368-020-00525-x.
8. Montero J, Rosel E, Barrios R, López-Valverde A, Albaladejo A, Bravo M. Oral health-related quality of life in 6- to 12-year-old schoolchildren in Spain. Int J Paediatr Dent. May 2016; 26(3): 220-30. doi:10.1111/ipd.12193.
9. Van der Knaap-Kind LS, Ombashi S, Van Roey V, et al. Evaluation and recommendations of the oral health, oral function, and orofacial aesthetics-related measures of the ICHOM Standard Set for Cleft Lip and Palate. Int J Oral Maxillofac Surg. Jan 15 2024. doi:10.1016/j.ijom.2024.01.001.
10. Nguyễn Văn Minh, Nguyễn Hồng Lợi. Đánh giá tình hình sức khỏe răng miệng của trẻ khe hở môi - vòm miệng phẫu thuật ở khoa Răng hàm mặt Bệnh viện trung ương Huế. Tạp chí Y dược học. 2015; 27:6.
11. Nguyen H, Ngo K, Dien V. Dental caries status and risk factors among 1–5-year-old children with cleft lip and palate. Science & Technology Development Journal - Health Sciences. 04/18 2021; 2. doi:10.32508/stdjhs.v2i2.470.
12. King NM, Wong WL, Wong HM. Caries experience of chinese children with cleft lip and palate. Cleft Palate Craniofac J. Jul 2013; 50(4): 448-55. doi:10.1597/11-133.
13. Franco A, Vitor L, Jorge PK, Valarelli FP, Oliveira TM. Evaluation of a new method of oral health education in children with cleft lip and palate. Eur Arch Paediatr Dent. Aug 2018; 19(4): 267-271. doi:10.1007/s40368-018-0355-7.