The Quality of Life of Cleft Lip-Cleft Palate Patients Following Alveolar Cleft Bone Grafting

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Pakawan Nualsiri
Wipada Boonprakom
Apakorn Worahan
Saowaluck Limmonthol
Araya Pisek
Supaporn Kongsomboon


Dentofacial deformities in cleft lip and palate patients affect their quality of life in many aspects. Alveolar cleft bone grafting is a step of treatment in these patients which aims to reconstruct the continuity of alveolar bone, to provide bony support for erupting teeth and to close an oronasal communication. This study thus aimed to investigate the effect of alveolar cleft bone grafting on quality of life before and after treatment including patients’ satisfaction of the treatment service. This prospective study recruited 14 patients in an age range of 9-15 years with either unilateral or bilateral alveolar cleft at the Faculty of dentistry, Khon Kaen University during February to June 2014. Patients were interviewed using the Child Oral Impacts on Daily Performances (Child-OIDP) to compare the quality of life 2 weeks before as well as 3 months after alveolar cleft bone grafting. Our results demonstrated that an average of overall impact score of patients with cleft lip and palate at 2 weeks before alveolar bone grafting (12.5±13.7) was significantly higher than that derived from 3 months after bone grafting (2.2±6.6) (p<0.01). The speaking abilities in cleft lip and palate patients was less affected by such deformities after the surgery (p=0.03). A major cause of impact was rooted in an orofacial deformity due to cleft lip and palate. Patients’ satisfaction level of alveolar cleft bone graft was very high. This study revealed that cleft lip and palate patients had an improved quality of life i.e. speaking abilities after surgical treatment with alveolar cleft bone graft.


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Nualsiri P, Boonprakom W, Worahan A, Limmonthol S, Pisek A, Kongsomboon S. The Quality of Life of Cleft Lip-Cleft Palate Patients Following Alveolar Cleft Bone Grafting. KDJ [nternet]. 2021Aug.16 [cited 2021Nov.30];24(2):82-1. vailable from:
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Chuangsuwanich A, Aojanepong C, Muangsombut S, Tongpiew P. Epidemiology of cleft lip and palate in Thailand. Ann Plast Surg 1998;41(1):7-10.

Chowchuen B, Prathanee B, Thanapaisan C. Handbook of treatment guideline in cleft lip and palate patients for parent. Khonkaen: Research center of cleft lip and plalate and craniofacial anomalies; 2011.1-12.

Chowchuen B, Kiatchoosaun P. Handbook of prevalence rate, cause and prevention of cleft lip and palate and craniofacial anomalies. Khonkaen: Research center of cleft lip and plalate and craniofacial anomalies; 2011.

Locker D. Measuring oral health: a conceptual framework. Community Dent Health 1988;5:3-18.

Gherunpong S, Tsakos G, Sheiham A. Developing and evaluating an oral health-related quality of life index for children; the CHILD-OIDP. Community Dent Health 2004;21(2):161-9.

Gherunpong S, Tsakos G, Sheiham A. The prevalence and severity of oral impacts on daily performances in Thai primary school children. Health Qual Life Outcomes 2004;2:57.

Jokovic A, Locker D, Stephens M, Kenny D, Tompson B, Guyatt G. Validity and reliability of a questionnair for measuring child oral health-related quality of life. J Dent Res 2002;81:459-63

Adulyanon S, Sheiham A. Oral Impacts on Daily Performances. In : Measuring oral health and quality of life. Slade GD, editor, Chapel Hill: University of North Carolina, Dental Ecology, 1997;151-60.

Mashoto KO, Astrom AN, Skeie MS, Masalu JR. Chante in the quality of life of Tanzania school children after treatment interventions using the Child-OIDP. Eur J Oral Sci 2010;118(6):626-34

Tsakos G, Bernabe E, D Aiuto F, Pikhart H, Tonetti M, Sheiham A, et al. Assessing the minimally important difference in the Oral Impact on Daily Performances index in patients treated for periodontitis. J Clin Periodontol 2010;37(10):903-9 .

Broder HL, Wilson-Genderson M. Reliability and convergent and discriminant validity of the Child Oral Health Impact Profile (COHIP Child's version). Community Dent Oral Epidemiol 2007;35(Suppl 1):20-31.

Sinko K, Jagsch R, Prechtl V, Watzinger F, Hollmann K, Baumann A. Evaluation of esthetic, functional, and quality-of-life outcome in adult cleft lip and palate patients. Cleft Palate Craniofac J 2005;42(4):355-61.

Patjanasoontorn N, Pradaubwong S, Rongbutsri S, Mongkholthawornchai S, Chowchuen B, Tawanchai Cleft Center quality of life outcomes: one of studies of patients with cleft lip and palate in Thailand and the Asia Pacific Region. J Med Assoc Thai 2012; 95(11):141-7.

Leekumnerdthai P, Pimkhaokham A, Krisdapong S, Subbalekha K, Jansisyanont P, Sastravaha P. Oral Health-Related Quality of Life (OHRQoL) in cleft Lip and palate patients before and after alveolar bone grafting. IJOR 2014;5(1):1-11.

Pisek A, Pititphat W, Chowchuen B, Pradubwong S. Oral health status and oral impacts on Quality of life in early adolescent cleft patients. J Med Assoc Thai 2014; 97(10):7-16.

Prathanee B. Speech and language problems in cleft palate. Srinagarind Med J 2001;16(1):8-26.

Daw JL Jr, Patel PK. Management of alveolar clefts. Clin Plast Surg 2004;31:303-313.

Papi T, Giardino R, Sassano P, Amodeo G, Pompa F, Cascone P. Oral health related quality of life in cleft lip and palate patients rehabitated with conventional prosthesis or dental implant. J Int Soc Prev Community Dent 2015;5(6):482-7.

Krisdapong S, Sheiham A, Tsakos G. Impacts of recurrent aphthous stomatitis on quality of life of 12 and 15 year-old Thai Children. Qual Life Res 2012;21:71-6.

Mashoto KO, Astrom AN, David J, Masalu JR. Dental pain, oral impacts and perceived need for dental treatment in Tanzanian school students: a cross-sectional study. Health Qual Life Outcomes