Qualidade de vida de pacientes com deformidade dentofacial
In the last decade, an increasing number of studies focusing on the impact of oral deformities on quality of life have been published. However, the evaluation of patients at different phases of the treatment has not been performed. Therefore, the purpose of this study was to determine the impact tha...
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| Formato: | Dissertação |
| Idioma: | por |
| Publicado em: |
Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/17830 |
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| Resumo: | In the last decade, an increasing number of studies focusing on the impact of oral deformities
on quality of life have been published. However, the evaluation of patients at different phases
of the treatment has not been performed. Therefore, the purpose of this study was to
determine the impact that dentofacial deformities have on patients` quality of life, as well as
the influence exerted by social, economic, demographic and orthodontic factors, type and
severity of malocclusion. A bicentric study - of the cross-sectional type of repeated panels -
involving two cities - Natal and Rio de Janeiro - was carried out. A total of 227 patients
participated in the study: 71 patients in the initial phase of the treatment (before any
orthosurgical procedure), 115 patients in the pre-surgical (with braces) phase and 41 patients
in the postoperative phase. The quality of life was measured using the Orthognatic Quality of
Life Questionnnaire - OQLQ, translated and validated into Portuguese. The normative and
aesthetic need for treatment was assessed with the Index of Orthodontic Treatment Need
(IOTN) and the Dental Aesthetic Index (DAI); the social, economic and demographic factors,
the type of service and malocclusion were also assessed. The data were analyzed through
χ2/ Fisher`s exact test to seek the association between the nominal categorical variables in
the three phases of treatment, Mann Whitney and Kruskal-Wallis test for gauging the
existence of significant differences between two and three groups regarding each domain of
OQLQ, respectively. For all tests, it was adopted a significance level of 5%. There was a
statistically significant difference (p <0.001) in the general scores of OQLQ and in the
domains of social aspects, facial aesthetics and oral function, when the "postoperative
group" was compared to the "initial" and "orthodontic preparation" groups. Women, single,
aged between 31 and 59 and living in Natal had the greatest impact on quality of life among
patients in the "orthodontic preparation" group. Only the variable "income" (2 to 3 minimum
wages), for the "initial" group, and gender (female) for the "postoperative" group, showed
significant association with quality of life. The normative variable IOTN (DHC and AC)
showed significant association with the OQLQ for the "initial" group, and the IOTN-AC-auto in
the group of orthodontic preparation, being less important to women. We conclude that the
ortho-surgical therapy has positive effects on quality of life after orthognathic surgery |
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