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Publication
O impacto do tratamento com alinhadores invisíveis na qualidade de vida dos pacientes nas diferentes faixas etárias
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Advisor(s)
Abstract(s)
O estudo da qualidade de vida do paciente, tem tido cada vez mais importância na análise dos procedimentos médico-dentários. A preferência pelo tratamento ortodôntico com alinhadores tem aumentado substancialmente nos últimos anos, pela crescente valorização da estética e conforto, apesar de apresentar algumas limitações.
Este estudo descritivo transversal tem como objetivo avaliar se o tratamento com alinhadores influencia de forma significativa a qualidade de vida relacionada com a saúde oral (QVRSO) dos pacientes e se existem diferenças consideráveis entre o sexo, faixa etária e tempo de tratamento, considerando o critério de seleção para iniciar este tipo de tratamento.
A amostra foi constituída por 84 pacientes, 52 do sexo feminino e 32 do sexo masculino, com idade média de 25,93 anos. Foi aplicado o questionário “Perfil de Impacto na Saúde Oral” (OHIP-14) e também uma questão complementar: “Determinante de escolha do tratamento com alinhadores”. Os resultados foram agrupados em sexo (feminino e masculino), faixas etárias (≤16 anos, dos 17-30 anos e >30 anos) e tempo de tratamento (≤12 meses e >12 meses).
Neste trabalho verificou-se não existir relação entre o sexo e a QVRSO dos pacientes em tratamento com alinhadores, no entanto, verificou-se diferença estatisticamente significativa para as dimensões “limitação funcional” (p=0,028) e “desconforto psicológico” (p=0,021). Verificou-se que existe relação entre a faixa etária e a QVRSO dos pacientes (p=0,049), com diferença estatisticamente significativa em as dimensões “dor física” (p=0,010) e “incapacidade física” (p=0,006). Para o tempo de tratamento, não se verificaram diferenças estatisticamente significativas.
A escolha pelo tratamento com alinhadores foi motivada principalmente pela estética, opção selecionada por 56% da amostra, com relação estatisticamente significativa com a faixa etária dos 17-30 anos (p=0,0014).
Novos estudos poderão incorporar mais variáveis de forma a obter mais dados que nos permitam desenvolver estratégias que possam minimizar eventuais impactos negativos no decorrer do tratamento.
The study of patient quality of life has become increasingly important in the analysis of medical and dental procedures. The preference for orthodontic treatment with aligners has increased substantially in recent years, due to the growing appreciation of aesthetics and comfort, despite having some limitations. This descriptive cross-sectional study aims to assess whether treatment with aligners significantly influences patients' oral health-related quality of life (OHRQoL) and whether there are considerable differences between gender, age group and treatment time, considering the selection criteria for starting this type of treatment. The sample consisted of 84 patients, 52 female and 32 male, with an average age of 25.93 years. The “Oral Health Impact Profile” (OHIP-14) questionnaire was applied, as well as a supplementary question: “Determinant of choice of treatment with aligners”. The results were grouped into gender (female and male), age groups (≤16 years, 17-30 years and >30 years) and treatment time (≤12 months and >12 months). This study found that there was no relationship between gender and the OHRQoL of patients undergoing treatment with aligners; however, there was a statistically significant difference for the dimensions “functional limitation” (p=0.028) and “psychological discomfort” (p=0.021). There was a relationship between age group and patients' OHRQoL (p=0.049), with a statistically significant difference in the “physical pain” (p=0.010) and “physical disability” (p=0.006) dimensions. For treatment time, there were no statistically significant differences. The choice of treatment with aligners was motivated mainly by aesthetics, an option selected by 56% of the sample, with a statistically significant relationship with the 17-30 age group (p=0.0014). Further studies could incorporate more variables in order to obtain more data that will allow us to develop strategies that can minimize any negative impacts during treatment.
The study of patient quality of life has become increasingly important in the analysis of medical and dental procedures. The preference for orthodontic treatment with aligners has increased substantially in recent years, due to the growing appreciation of aesthetics and comfort, despite having some limitations. This descriptive cross-sectional study aims to assess whether treatment with aligners significantly influences patients' oral health-related quality of life (OHRQoL) and whether there are considerable differences between gender, age group and treatment time, considering the selection criteria for starting this type of treatment. The sample consisted of 84 patients, 52 female and 32 male, with an average age of 25.93 years. The “Oral Health Impact Profile” (OHIP-14) questionnaire was applied, as well as a supplementary question: “Determinant of choice of treatment with aligners”. The results were grouped into gender (female and male), age groups (≤16 years, 17-30 years and >30 years) and treatment time (≤12 months and >12 months). This study found that there was no relationship between gender and the OHRQoL of patients undergoing treatment with aligners; however, there was a statistically significant difference for the dimensions “functional limitation” (p=0.028) and “psychological discomfort” (p=0.021). There was a relationship between age group and patients' OHRQoL (p=0.049), with a statistically significant difference in the “physical pain” (p=0.010) and “physical disability” (p=0.006) dimensions. For treatment time, there were no statistically significant differences. The choice of treatment with aligners was motivated mainly by aesthetics, an option selected by 56% of the sample, with a statistically significant relationship with the 17-30 age group (p=0.0014). Further studies could incorporate more variables in order to obtain more data that will allow us to develop strategies that can minimize any negative impacts during treatment.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Qualidade de vida Alinhadores OHIP-14 Qualidade de vida relacionada com a saúde oral