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Article

Self-Esteem and Oral Health-Related Quality of Life within a Cleft Lip and/or Palate Population: A Prospective Cohort Study

by
Antonia Aleksieva
1,
Giacomo Begnoni
1,
Anna Verdonck
1,
Annouschka Laenen
2,
Guy Willems
1 and
Maria Cadenas de Llano-Pérula
1,*
1
Department of Oral Health Sciences-Orthodontics, KU Leuven and Dentistry, University Hospitals Leuven, Kapucijnenvoer 7, Blok A, Bus 7001, 3000 Leuven, Belgium
2
Interuniversity Institute for Biostatistics and Statistical Bioinformatics, KU Leuven and University Hasselt, 3000 Leuven, Belgium
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2021, 18(11), 6078; https://doi.org/10.3390/ijerph18116078
Submission received: 13 April 2021 / Revised: 21 May 2021 / Accepted: 29 May 2021 / Published: 4 June 2021
(This article belongs to the Special Issue 2nd Edition of Oral Diseases and Public Health)
Versions Notes

Abstract

(1) Objective: To investigate the oral health-related quality of life (OHRQoL) and self-esteem (SE) of a population with cleft lip and/or palate (CLP) and to compare it with a non-affected control cohort. (2) Materials and methods: This study comprised 91 CLP patients and a control group of 790 individuals, seeking orthodontic treatment. OHRQoL and SE were assessed by the Child’s Perception Questionnaire (CPQ) and the Dutch adaptation of the Harter’s Self-Perception Profile for Adolescents. Treatment need and self-perception of oral aesthetic were assessed using the Index of Orthodontic Treatment Need (IOTN) and the Oral Aesthetic Subjective Impact Scale (OASIS). Patients’ expectations and motivation for treatment were also scored. Linear models were used for statistical comparisons between groups. (3) Results: The cleft group scored higher in all domains of the CPQ, OASIS, IOTN and regarding SE for the domains of scholastic competence, athletic competence, physical appearance and behavioral conduct. The cleft group was not only more motivated and expected less discomfort during treatment but also had higher expectations for the treatment outcome. (4) Conclusions: The OHRQoL of CLP patients is strongly correlated with the presence of an oral cleft, while SE remains a personal resource not influenced by the malocclusion or medical condition.
Keywords: orthodontics; self-esteem (SE); cleft lip and/or palate; oral health; OHRQoL; CPQ; IOTN; OASIS; motivation; patient’s expectations orthodontics; self-esteem (SE); cleft lip and/or palate; oral health; OHRQoL; CPQ; IOTN; OASIS; motivation; patient’s expectations

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MDPI and ACS Style

Aleksieva, A.; Begnoni, G.; Verdonck, A.; Laenen, A.; Willems, G.; Cadenas de Llano-Pérula, M. Self-Esteem and Oral Health-Related Quality of Life within a Cleft Lip and/or Palate Population: A Prospective Cohort Study. Int. J. Environ. Res. Public Health 2021, 18, 6078. https://doi.org/10.3390/ijerph18116078

AMA Style

Aleksieva A, Begnoni G, Verdonck A, Laenen A, Willems G, Cadenas de Llano-Pérula M. Self-Esteem and Oral Health-Related Quality of Life within a Cleft Lip and/or Palate Population: A Prospective Cohort Study. International Journal of Environmental Research and Public Health. 2021; 18(11):6078. https://doi.org/10.3390/ijerph18116078

Chicago/Turabian Style

Aleksieva, Antonia, Giacomo Begnoni, Anna Verdonck, Annouschka Laenen, Guy Willems, and Maria Cadenas de Llano-Pérula. 2021. "Self-Esteem and Oral Health-Related Quality of Life within a Cleft Lip and/or Palate Population: A Prospective Cohort Study" International Journal of Environmental Research and Public Health 18, no. 11: 6078. https://doi.org/10.3390/ijerph18116078

APA Style

Aleksieva, A., Begnoni, G., Verdonck, A., Laenen, A., Willems, G., & Cadenas de Llano-Pérula, M. (2021). Self-Esteem and Oral Health-Related Quality of Life within a Cleft Lip and/or Palate Population: A Prospective Cohort Study. International Journal of Environmental Research and Public Health, 18(11), 6078. https://doi.org/10.3390/ijerph18116078

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