Donald Nelinson, Lois Ko, Brian G Bass
Reading Between the Lines: Navigating Nuance in Medical Literature to Optimize Clinical Decision-Making and Health Care Outcomes
Advances in medical education and practice
assess association clinical orthodontic indicators oralhealthrelated quality life adjusted sociodemographic factors focusing 16yearold patients cleft lip andor palate clp one hundred twentytwo patients clp representing cleftlip cl cleftpalate cp unilateralbilateral cleftlippalate uclpbclp enrolled national clpteam bergen norway crosssectional study two orthodontists assessing number teeth intermaxillary sagittal relation anbangle dental arch occlusion 16yearold patients clp completed digital questionnaire including selfreported sociodemographic variables ohip14 questionnaire dental aesthetics crosstabulations pearsons chisquare test used identify associations selfreported ohrqol sociodemographic clinical indicators multiple variable analyses conducted binary logistic regression analysis using odds ratio 95 confidence interval ci assess associations ohrqol clinical indicators adjusted sociodemographic variables ethical approval granted regional ethics committee patients uclp bclp poorer clinical indicators compared patients cl cp p 005 total 80 patients ohip14 0 highest oral impact reported psychological domains articulation least functional domains respondents bclp poor intermaxillary relationships anb 0 reported high impact ohrqol p 005 statistically significant associations clinical indicators sociodemographic variables gender educational aspiration place residence reported study revealed association severe cleft diagnosis missing teeth misaligned teeth negative overjet poor ohrqol statistically significant association found ohrqol poor intermaxillary sagittal relations unfavorable profile improve ohrqol among patients clefts need individual followup prioritization oral healthcare