Oral health related quality of life in cleft lip and palate patients rehabilitated with conventional prostheses or dental implants

• Published in: Journal of International Society of Preventive & Community Dentistry Vol. 5; no. 6; pp. 482 - 487
• Main Authors: Papi, Piero, Giardino, Rita, Sassano, Pierpaolo, Amodeo, Giulia, Pompa, Giorgio, Cascone, Piero
• Format: Journal Article
• Language: English
• Published: India Medknow Publications & Media Pvt. Ltd 01.11.2015; Medknow Publications & Media Pvt Ltd
• Subjects: Original; prosthetic rehabilitation; quality of life; congenital malformation; dental implants; Cleft lip and palate
• ISSN: 2231-0762; 2250-1002
• DOI: 10.4103/2231-0762.168645

Cleft lip and/or palate (CLP) is the most common congenital craniofacial abnormality, with a prevalence of 9.92 per 10,000 live births. In treating patients with CLP, oral rehabilitation is definitely a very important phase of the treatment in order to improve the patient's oral health related quality of life (OH-QoL). The aim of this retrospective study is to assess the OH-QoL in patients rehabilitated with different prosthetic options, thus comparing the conventional treatments, which include removable partial dentures and fixed partial dentures, with the implant-supported prostheses. Sixty-three patients were enrolled in this retrospective survey [44 females (69.84%) and 19 males (30.16%)] with a mean age of 34.93 ± 7.04 years (age range 21-53 years). They were all treated for CLP and rehabilitated with a conventional prosthesis or an implant-supported denture. Two different questionnaires were used in the present study to evaluate patients' OH-QoL: The Italian version of the 49-item Oral Health Impact Profile (OHIP-49) and the Italian version of the Cleft Evaluation Profile (CEP). Statistical analysis was performed using analysis of variance (ANOVA) test, with a significant P < 0,05. Data analysis revealed that patients rehabilitated with implant-supported dentures and fixed partial dentures showed a good level of satisfaction with their prostheses, scoring low values in the OHIP-49 and high values in the CEP, while subjects with removable partial dentures scored the highest values in the OHIP-49 and the lowest values in the CEP, which means an unsatisfactory feeling (P < 0.05). OH-QoL is a challenging demand for all prosthodontists. Our results show, clearly, that patients rehabilitated with implant-supported dentures are more satisfied compared to subjects with fixed partial dentures and removable partial dentures.