Oral health-related quality of life (OHRQoL) is a multidimensional construct 
that measures well-being associated with the teeth, mouth, and face. This 
cross-sectional study examined OHRQoL, demographic data, and clinical indicators 
in 839 treatment-seeking youths with cleft from 6 geographically diverse cleft 
treatment centers. Individuals without health insurance and representing ethnic 
minorities had lower OHRQoL scores on the Child Oral Health Impact Profile and a 
higher rate of surgical recommendations. These findings imply a risk factor for 
reduced OHRQoL and unmet needs among vulnerable youths with clefts.