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Urgências na consulta assistencial de ortodontia na clínica dentária Egas Moniz e a sua respetiva frequência
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Abstract(s)
Introdução: A ortodontia é uma especialidade da Medicina Dentária que tem por finalidade promover a normoclusão, apresentando melhorias a nível funcional e estético, influenciando positivamente o padrão mastigatório e respiratório de um indivíduo. No decorrer do tratamento ortodôntico, por vezes ocorrem situações de urgência que exigem intervenção clínica para que o tratamento não seja comprometido.
Objetivo: O principal objetivo deste estudo é analisar quais os tipos de urgências ortodônticas que surgem na Consulta Assistencial de Ortodontia da Clínica Dentária Egas Moniz (CDEM), para que assim se possa avaliar a etiologia da urgência e definir medidas preventivas, no sentido de minimizar a frequência das mesmas.
Materiais e Métodos: Neste estudo foram analisados 137 processos clínicos aleatórios de doentes submetidos a tratamento ortodôntico na Clínica Dentária Egas Moniz. No total foram recolhidas 354 situações de urgências ortodônticas, sendo posteriormente formulados 11 grupos distintos: grupo 1 (Arco ortodôntico), grupo 2 (Tubos e Bandas ortodônticas), grupo 3 (Brackets), grupo 4 (Ligaduras), grupo 5 (Associadas a sensações subjetivas), grupo 6 (Relacionadas com dor, inflamação e infeção), grupo 7 (Aparelhos funcionais), grupo 8 (Aparelhos palatinos), grupo 9 (Mini-implantes), grupo 10 (Esclarecimento de dúvidas ao paciente), grupo 11 (Outras). De seguida, efetuou-se a análise estatística dos dados acima referidos, de acordo com o software Statistics Package for the Social Sciences (SPSS), versão 26.0 (IBM, Nova Iorque, EUA).
Resultados: Das 354 situações de urgência descritas nos diários clínicos, 106 dizem respeito ao grupo 1, 43 ao grupo 2, 83 ao grupo 3, 22 ao grupo 4, 2 ao grupo 5, 22 ao grupo 6, 5 ao grupo 7, 44 ao grupo 8, 13 ao grupo 9, 2 ao grupo 10 e 12 ao grupo 11.
Conclusão: Este estudo demonstrou que os doentes que se deslocaram de urgência à CDEM para solucionarem problemas ortodônticos, eram sobretudo mulheres e a faixa etária com maior representatividade é a dos 11-20 anos de idade. Os doentes eram maioritariamente residentes na região de Lisboa e Vale do Tejo, sendo na sua grande maioria estudantes. Registou-se um predomínio de urgências com aparatologia fixa, sendo que os grupos com maior nº de registos são: 1 (Arco ortodôntico) e 3 (Brackets).
Introduction: Orthodontics is a dentistry specialism that promotes normoocclusion, presenting functional and aesthetic improvement. It also has a beneficial effect on both the masticatory and respiratory patterns of an individual. During the orthodontic treatment, urgency situations sometimes occur, requiring clinical assistance to avoid putting the treatment at risk. Objective: The main goal of this study is to examine the types of medical urgencies which occur in the Orthodontics Assistance Consultation at Egas Moniz Dental Clinic (CDEM) to assess the urgency aetiology and to devise preventive measures in order to minimise its frequency. Materials and Methods: In this study, 137 medical files from patients who received orthodontic treatment at Egas Moniz Dental Clinic were analysed. In total, 354 orthodontic urgency situations were gathered, and later 11 different groups were formulated: group 1 (Orthodontic archwire), group 2 (Orthodontic Tubes and Bands), group 3 (Brackets), group 4 (Ligatures), group 5 (Associated with subjective sensations), group 6 (Related to pain, inflammation and infection), group 7 (Functional appliances), group 8 (Palatal appliances), group 9 (Microimplants), group 10 (Clearing patient’s doubts) and group 11 (Other situations). Then all data were statistically analysed, according to Statistics Package for the Social Sciences software (SPSS), version 26.0 (IBM, New York, USA). Results: From the urgency situations described in the clinical logs, 106 are related to group 1, 43 to group 2, 83 to group 3, 22 to group 4, 2 to group 5, 22 to group 6, 5 to group 7, 44 to group 8, 13 to group 9, 2 to group 10 and 12 to group 11. Conclusion: This study showed that the urgent patients who go to CDEM to solve orthodontic problems were mainly women from 11 to 20 years of age. Most of the patients were students and lived in Lisbon and Vale do Tejo. Most urgency situations concerned fixed orthodontic appliances predominantly related to group 1 (Orthodontic archwire) and to group 3 (Brackets).
Introduction: Orthodontics is a dentistry specialism that promotes normoocclusion, presenting functional and aesthetic improvement. It also has a beneficial effect on both the masticatory and respiratory patterns of an individual. During the orthodontic treatment, urgency situations sometimes occur, requiring clinical assistance to avoid putting the treatment at risk. Objective: The main goal of this study is to examine the types of medical urgencies which occur in the Orthodontics Assistance Consultation at Egas Moniz Dental Clinic (CDEM) to assess the urgency aetiology and to devise preventive measures in order to minimise its frequency. Materials and Methods: In this study, 137 medical files from patients who received orthodontic treatment at Egas Moniz Dental Clinic were analysed. In total, 354 orthodontic urgency situations were gathered, and later 11 different groups were formulated: group 1 (Orthodontic archwire), group 2 (Orthodontic Tubes and Bands), group 3 (Brackets), group 4 (Ligatures), group 5 (Associated with subjective sensations), group 6 (Related to pain, inflammation and infection), group 7 (Functional appliances), group 8 (Palatal appliances), group 9 (Microimplants), group 10 (Clearing patient’s doubts) and group 11 (Other situations). Then all data were statistically analysed, according to Statistics Package for the Social Sciences software (SPSS), version 26.0 (IBM, New York, USA). Results: From the urgency situations described in the clinical logs, 106 are related to group 1, 43 to group 2, 83 to group 3, 22 to group 4, 2 to group 5, 22 to group 6, 5 to group 7, 44 to group 8, 13 to group 9, 2 to group 10 and 12 to group 11. Conclusion: This study showed that the urgent patients who go to CDEM to solve orthodontic problems were mainly women from 11 to 20 years of age. Most of the patients were students and lived in Lisbon and Vale do Tejo. Most urgency situations concerned fixed orthodontic appliances predominantly related to group 1 (Orthodontic archwire) and to group 3 (Brackets).
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Tratamento ortodôntico Urgência Arco ortodôntico Descimentação de brackets