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Year : 2020  |  Volume : 7  |  Issue : 4  |  Page : 182-186

Attitude of patients/parents with cleft lip and palate toward orthodontic treatment: A survey

1 Department of Orthodontics and Dentofacial Orthopedics, Armed Forces Medical College, Pune, Maharashtra, India
2 Department of Oral and Maxillofacial Surgery, Armed Forces Medical College, Pune, Maharashtra, India

Correspondence Address:
Shiv Shankar Agarwal
Department of Dental Surgery and Oral Health Sciences, Armed Forces Medical College, Pune, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jdrr.jdrr_46_20

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Background: Assessment of attitude among patients with cleft lip and palate (CLP) and their parents is vital for successful orthodontic treatment outcome. The study of variability of attitude toward orthodontic treatment among patients with CLP and non-CLP may reveal requirement of any additional care to the CLP patients. Materials and Methods: Part I of the study surveyed 50 CLP patients and their parents regarding their attitude toward orthodontic care. Part II of the study compared CLP patients with their non-CLP counterparts regarding attitude toward treatment duration, oral hygiene, dietary, and other difficulties faced during the treatment. Results: No difference in attitude toward requirement of orthodontic treatment and adequacy of number of appointments planned was observed between CLP patients and their parents (P > 0.05). The CLP parents showed a higher satisfaction with improvement in smile, overall looks, and changes in overall personality of their children (P < 0.05). Both CLP and non-CLP patients showed a similar experience with orthodontic treatment duration and difficulties experienced during treatment (P > 0.05). The CLP group had a higher difficulty in brushing with braces and required extra time for brushing than the non-CLP group (P < 0.05). Conclusions: Although the patients with CLP are emotionally comparable to their non-CLP counterparts, still special attention may be given to them during treatment because of low self-esteem secondary to impaired facial esthetics and difficulty in brushing and oral hygiene maintenance during treatment owing to various anatomical complexities in these patients.

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