The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 21 , ISSUE 2 ( February, 2020 ) > List of Articles

ORIGINAL RESEARCH

Impact of Presurgical Nasoalveolar Molding on the Parental Perceptions of Oral Health-related Quality of Life of Children with Cleft Lip and Palate

Fahad N AlAnazi, Wasmiya A AlHayyan, Sharat C Pani

Keywords : Cleft lip and palate, Oral health-related quality of life, Presurgical nasoalveolar molding

Citation Information : AlAnazi FN, AlHayyan WA, Pani SC. Impact of Presurgical Nasoalveolar Molding on the Parental Perceptions of Oral Health-related Quality of Life of Children with Cleft Lip and Palate. J Contemp Dent Pract 2020; 21 (2):152-155.

DOI: 10.5005/jp-journals-10024-2761

License: CC BY-NC 4.0

Published Online: 01-02-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: The study aimed to examine the oral health-related quality of life (OHRQoL) of children with cleft lip and palate who were treated with presurgical nasoalveolar molding (PNAM) and to compare the results to age- and gender-matched controls without cleft lip and palate. Materials and methods: Parents of 51 children with cleft lip and palate who were treated with PNAM were administered a validated Arabic version of the short-form child oral health impact profile (COHIP-SF) and were asked to rate their experience with PNAM. The children with treated cleft lip and palate (study group) were age- and gender-matched to children with no cleft lip and palate (control group). The differences in COHIP-SF domains were compared between groups using the Mann–Whitney U test. Results: The children in the test group had significantly higher COHIP-SF scores than in the test group (p < 0.001). However, there were no significant differences in the oral health (p = 0.532) or the oral function (0.232) domains. There were, however, significant differences in the socioemotional domain (p < 0.001). Most of the parents (86%) of children with cleft lip or palate felt that they would recommend PNAM to other parents. Conclusion: While there are no differences in the oral health and functional domains of OHRQoL, children with cleft lip and palate treated with PNAM have significantly lower scores in the socioemotional domain of OHRQoL when compared to age- and gender-matched controls. Clinical significance: Presurgical nasoalveolar molding does not have any negative impact on the OHRQoL of children with cleft lip and palate.


PDF Share
  1. Ezzat CF, Chavarria C, Teichgraeber JF, et al. Presurgical nasoalveolar molding therapy for the treatment of unilateral cleft lip and palate: a preliminary study. Cleft Palate Craniofac J 2007;44(1):8–12. DOI: 10.1597/06-009.
  2. Mossey PA, Catilla EE, Global registry and database on craniofacial anomalies: Report of a WHO Registry Meeting on Craniofacial Anomalies; 2003.
  3. Matsuo K, Hirose T, Otagiri T, et al. Repair of cleft lip with nonsurgical correction of nasal deformity in the early neonatal period. Plast Reconstr Surg 1989;83(1):25–31. DOI: 10.1097/00006534-198901000-00006.
  4. Matsuo K, Hirose T. Preoperative non-surgical over-correction of cleft lip nasal deformity. Br J Plast Surg 1991;44(1):5–11. DOI: 10.1016/0007-1226(91)90168-J.
  5. Grayson BH, Wood R. Preoperative columella lengthening in bilateral cleft lip and palate. Plast Reconstr Surg 1993;92(7):1422–1423.
  6. Grayson BH, Cutting CB. Presurgical nasoalveolar orthopedic molding in primary correction of the nose, lip, and alveolus of infants born with unilateral and bilateral clefts. Cleft Palate Craniofac J 2001;38(3): 193–198. DOI: 10.1597/1545-1569_2001_038_0193_pnomip_2.0.co_2.
  7. Keçik D, Enacar A. Effects of nasoalveolar molding therapy on nasal and alveolar morphology in unilateral cleft lip and palate. J Craniofac Surg 2009;20(6):2075–2080. DOI: 10.1097/SCS.0b013e3181be88cf.
  8. Murthy PS, Deshmukh S, Bhagyalakshmi A, et al. Pre surgical nasoalveolar molding: changing paradigms in early cleft lip and palate rehabilitation. J Int Oral Health 2013;5(2):70–80.
  9. Cho BC. Unilateral complete cleft lip and palate repair using lip adhesion combined with a passive intraoral alveolar molding appliance: surgical results and the effect on the maxillary alveolar arch. Plast Reconstr Surg 2006;117(5):1510–1529. DOI: 10.1097/01.prs.0000209467.98050.20.
  10. Ruíz-Escolano MG, Martínez-Plaza A, Fernández-Valadés R, et al. Nasoalveolar molding therapy for the treatment of unilateral cleft lip and palate improves nasal symmetry and maxillary alveolar dimensions. J Craniofac Surg 2016;27(8):1978–1982. DOI: 10.1097/SCS.0000000000003047.
  11. Lamb CE, Whelan AK, Michaels C. Refugees and oral health: lessons learned from stories of Hazara refugees. Aust Health Rev 2009;33(4):618–627. DOI: 10.1071/AH090618.
  12. Abebe ME, Deressa W, Oladugba V, et al. Oral health-related quality of life of children born with orofacial clefts in Ethiopia and their parents. Cleft Palate Craniofac J 2018; 1055665618760619. DOI: 10.1177/1055665618760619.
  13. Naros A, Brocks A, Kluba S, et al. Health-related quality of life in cleft lip and/or palate patients - a cross-sectional study from preschool age until adolescence. J Craniomaxillofac Surg 2018;46(10):1758–1763. DOI: 10.1016/j.jcms.2018.07.004.
  14. Rando GM, Jorge PK, Vitor LLR, et al. Oral health-related quality of life of children with oral clefts and their families. J Appl Oral Sci 2018;26:e20170106. DOI: 10.1590/1678-7757-2017-0106.
  15. Zeraatkar M, Ajami S, Nadjmi N, et al. Impact of oral clefts on the oral health-related quality of life of preschool children and their parents. Niger J Clin Pract 2018;21(9):1158–1163. DOI: 10.4103/njcp.njcp_426_17.
  16. Arheiam AA, Baker SR, Ballo L, et al. The development and psychometric properties of the Arabic version of the child oral health impact profile-short form (COHIP-SF 19). Health Qual Life Outcomes 2017;15(1):218. DOI: 10.1186/s12955-017-0796-4.
  17. Pani SC, Badea L, Mirza S, et al. Differences in perceptions of early childhood oral health-related quality of life between fathers and mothers in Saudi Arabia. Int J Paediatr Dent 2012;22(4):244–249. DOI: 10.1111/j.1365-263X.2011.01185.x.
  18. Emeka CI, Adeyemo WL. A comparative study of quality of life of families with children born with cleft lip and/or palate before and after surgical treatment. J Korean Assoc Oral Maxillofac Surg 2017;43(4):247–255. DOI: 10.5125/jkaoms.2017.43.4.247.
  19. Farsi NJ, El-Housseiny AA, Farsi DJ, et al. Validation of the Arabic version of the early childhood oral health impact scale (ECOHIS). BMC Oral Health 2017;17(1):60. DOI: 10.1186/s12903-017-0353-x.
  20. Farsi DJ, Farsi NJ, El-Housseiny AA, et al. Responsiveness of the Arabic version of the ECOHIS to dental rehabilitation under general anaesthesia. Int J Paediatr Dent 2018;28(1):52–61. DOI: 10.1111/ipd.12307.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.