{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T22:04:13Z","timestamp":1790114653329,"version":"4.0.1"},"reference-count":37,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2021,10,12]],"date-time":"2021-10-12T00:00:00Z","timestamp":1633996800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of the study was to assess the quality of life (QOL), oral health-related QOL (OHRQOL), temporomandibular disorders (TMDs), and psychological factors in patients with skeletal Class III malocclusion with cleft lip and palate (CLP) and without CLP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Case\u2013control.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Primary care, institutional practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>One hundred thirty-six patients with skeletal Class III malocclusion with CLP (n\u2009=\u200968) and without CLP (n\u2009=\u200968).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>QOL and OHRQOL were assessed using the World Health Organization Quality of Life-BREF (WHOQOL-BREF) questionnaire and the Oral Health Impact Profile-14 questionnaire, respectively. TMDs and psychological factors were assessed using the Research Diagnostic Criteria for TMD (RDC\/TMD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      No differences in QOL were found between the groups (\n                      <jats:italic toggle=\"yes\">P\u2009<\/jats:italic>\n                      &gt;\n                      <jats:italic toggle=\"yes\">\u2009<\/jats:italic>\n                      0.05). Patients with CLP reported a better OHRQOL (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.025) in the physical pain, physical disability, and psychological disability domains (\n                      <jats:italic toggle=\"yes\">P\u2009<\/jats:italic>\n                      &lt;\n                      <jats:italic toggle=\"yes\">\u2009<\/jats:italic>\n                      0.05). Patients with CLP presented with less myofascial pain (OR, 0.28; 95% CI, 0.11-0.71] and other articular conditions (OR 0.24; 95% CI 0.06-0.90]. More patients with CLP reported no chronic pain (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.012). The QOL of patients with CLP with no depression or with no nonspecific physical symptoms including pain (NSPSIP) was better than that of patients without CLP. The OHRQOL of patients with CLP without TMDs or no psychological factors was better than that of patients without CLP.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients with skeletal Class III malocclusion who require orthognathic surgery with CLP have better OHRQOL and present with fewer TMDs than those patients without CLP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656211043429","type":"journal-article","created":{"date-parts":[[2021,10,12]],"date-time":"2021-10-12T20:00:47Z","timestamp":1634068847000},"page":"1391-1399","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Quality of Life and Temporomandibular Disorders in Patients With Skeletal Class III Malocclusion With Cleft Lip and Palate"],"prefix":"10.1177","volume":"59","author":[{"given":"Bernardo","family":"Olsson","sequence":"first","affiliation":[{"name":"Federal University of Paran\u00e1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabela Polesi","family":"Bergamaschi","sequence":"additional","affiliation":[{"name":"Federal University of Paran\u00e1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika Calvano","family":"K\u00fcchler","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry, University of S\u00e3o Paulo, Ribeir\u00e3o Preto, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aline Monise","family":"Sebastiani","sequence":"additional","affiliation":[{"name":"Federal University of Paran\u00e1"},{"name":"Oral and Maxillofacial Surgeon at Cleft Lip and Palate Integral Care Center, Curitiba, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guilherme","family":"dos Santos Trento","sequence":"additional","affiliation":[{"name":"Oral and Maxillofacial Surgeon at Cleft Lip and Palate Integral Care Center, Curitiba, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Delson Joao","family":"da Costa","sequence":"additional","affiliation":[{"name":"Federal University of Paran\u00e1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nelson Luis Barbosa","family":"Rebellato","sequence":"additional","affiliation":[{"name":"Federal University of Paran\u00e1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4911-6413","authenticated-orcid":false,"given":"Rafaela","family":"Scariot","sequence":"additional","affiliation":[{"name":"Federal University of Paran\u00e1"},{"name":"Oral and Maxillofacial Surgeon at Cleft Lip and Palate Integral Care Center, Curitiba, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,10,12]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/bdra.23528"},{"issue":"3","key":"e_1_3_2_3_1","first-page":"189","article-title":"Oral health-related quality of life in nonsyndromic cleft lip and\/or palate patients: a systematic review","volume":"30","author":"Antonarakis G","year":"2013","unstructured":"Antonarakis G, Patel R, Tompson B. 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