Avaliação da dor e qualidade de vida em pacientes classe II tratados com aparelhos Herbst e Powerscope
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Repositório do Centro Universitário Braz Cubas |
Texto Completo: | https://repositorio.cruzeirodosul.edu.br/handle/123456789/4050 |
Resumo: | Introduction: The aim of this study was to compare and evaluate pain and changes in quality of life during orthodontic therapy with a fixed orthodontic appliance in combination with two types of mandibular propulsion devices, one of the rigid type and one of the hybrid type. Methods: This prospective cohort study included a sample of 72 children with Class II malocclusion divided equally into 2 different groups, where participants in each group received therapy with the fixed orthodontic appliance and its respective propellants. To assess quality of life, participants answered the Child Perceptions Questionnaire (CPQ11-14) and to assess pain, they answered the Visual Analogue Scale (VAS). In the Herbst group, the CPQ11-14 questionnaire was applied in 3 stages: before the start of treatment (T0), three months after the installation of the propellant (T1) and three months after the installation of the fixed appliance (T2). The same group responded to the VAS: before the start of treatment (T0), after installing Herbst (T1) and after installing the .019 ”x.025” SS (T2) arch. In the PowerScope group, the questionnaire was also applied in 3 stages: before treatment (T0), three months after the installation of the fixed device (T1) and three months after the installation of the PowerScope (T2). In this group, the VAS was answered before the start of treatment (T0), after the installation of the .019 ”x.025” SS (T1) arch and when installing the mandibular propellant (T2). Results: For analysis of the data collected through the VAS, the Wilcoxon Mann-Whitney Independent test showed a reduction in the perception of pain between the 1st and the 15th day after the beginning of treatment, regardless of the type of device used. For analysis of the data collected through CPQ11-14, the Wilcoxon Mannxii Whitney Independent test and the Friedman test were applied. In the Herbst group (T1 to T2), there was a worsening in the “functional limitations” domain and, in the PowerScope group (T0 to T2), there was an improvement in the “emotional well-being” domain. In the comparison between the two groups, a difference was observed only in the “oral symptoms” domain, indicating that patients in the Herbst group have worsening in this domain when compared to patients in the PowerScope group. However, the differences observed in these domains did not influence the overall score of CPQ11-14. Conclusions: Both propulsion devices did not interfere in the perception of pain and in the quality of life of the patients in this study during the treatment of Class II malocclusion. |
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Avaliação da dor e qualidade de vida em pacientes classe II tratados com aparelhos Herbst e PowerscopeOdontologiaQualidade de vidaPercepção da dorEscala visual analógicaAparelhos ortodônticos fixosCNPQ::CIENCIAS DA SAUDE::ODONTOLOGIAIntroduction: The aim of this study was to compare and evaluate pain and changes in quality of life during orthodontic therapy with a fixed orthodontic appliance in combination with two types of mandibular propulsion devices, one of the rigid type and one of the hybrid type. Methods: This prospective cohort study included a sample of 72 children with Class II malocclusion divided equally into 2 different groups, where participants in each group received therapy with the fixed orthodontic appliance and its respective propellants. To assess quality of life, participants answered the Child Perceptions Questionnaire (CPQ11-14) and to assess pain, they answered the Visual Analogue Scale (VAS). In the Herbst group, the CPQ11-14 questionnaire was applied in 3 stages: before the start of treatment (T0), three months after the installation of the propellant (T1) and three months after the installation of the fixed appliance (T2). The same group responded to the VAS: before the start of treatment (T0), after installing Herbst (T1) and after installing the .019 ”x.025” SS (T2) arch. In the PowerScope group, the questionnaire was also applied in 3 stages: before treatment (T0), three months after the installation of the fixed device (T1) and three months after the installation of the PowerScope (T2). In this group, the VAS was answered before the start of treatment (T0), after the installation of the .019 ”x.025” SS (T1) arch and when installing the mandibular propellant (T2). Results: For analysis of the data collected through the VAS, the Wilcoxon Mann-Whitney Independent test showed a reduction in the perception of pain between the 1st and the 15th day after the beginning of treatment, regardless of the type of device used. For analysis of the data collected through CPQ11-14, the Wilcoxon Mannxii Whitney Independent test and the Friedman test were applied. In the Herbst group (T1 to T2), there was a worsening in the “functional limitations” domain and, in the PowerScope group (T0 to T2), there was an improvement in the “emotional well-being” domain. In the comparison between the two groups, a difference was observed only in the “oral symptoms” domain, indicating that patients in the Herbst group have worsening in this domain when compared to patients in the PowerScope group. However, the differences observed in these domains did not influence the overall score of CPQ11-14. Conclusions: Both propulsion devices did not interfere in the perception of pain and in the quality of life of the patients in this study during the treatment of Class II malocclusion.Introdução: O objetivo deste estudo foi avaliar a dor e as mudanças na qualidade de vida durante a terapia com aparelho ortodôntico fixo em combinação com dois tipos de aparelhos propulsores mandibulares. Métodos: Este ensaio clínico controlado randomizado (ECCR) incluiu uma amostra de 72 adolescentes (33 meninos e 39 meninas) com má oclusão Classe II divididos em dois grupos. Os participantes de cada grupo receberam terapia com o aparelho ortodôntico fixo e propulsor mandibular Herbst (n=36) ou PowerScope (n=36). Para avaliar a qualidade de vida os participantes responderam ao questionário de percepção Child Perceptions Questionnaire (CPQ11-14) e para avaliar a dor, responderam Escala Visual Analógica (EVA). No grupo Herbst o questionário CPQ11-14 foi aplicado em três tempos: antes do início do tratamento (T0), três meses após a instalação do propulsor (T1) e três meses após a instalação do aparelho fixo (T2). O mesmo grupo respondeu a EVA: antes do início do tratamento (T0), após a instalação do Herbst (T1) e após a instalação do arco .019”x.025”SS (T2). No grupo PowerScope a aplicação do questionário foi realizada também em três tempos: antes do tratamento (T0), três meses após a instalação do aparelho fixo (T1) e três meses após a instalação do PowerScope (T2). Neste grupo a EVA foi respondida antes do início do tratamento (T0), após a instalação do arco .019”x.025”SS (T1) e ao instalar o propulsor mandibular (T2). Resultados: Para análise dos dados coletados através da EVA, o teste de Wilcoxon Mann-Whitney Independente apontou uma redução da percepção da dor de 30% ao dia após as primeiras 24 horas independentemente do tipo de aparelho utilizado. Para análise dos dados coletados através do CPQ11-14, foram utilizados o teste de Wilcoxon Mannx Whitney Independente e o teste de Friedman. No grupo Herbst (T1 a T2), houve uma piora no domínio “limitações funcionais” e, no grupo PowerScope (T0 a T2), observouse uma melhora no domínio “bem-estar emocional”. Na comparação entre os dois grupos, observou-se diferença apenas no domínio “sintomas orais”, indicando que pacientes do grupo Herbst possuem piora neste domínio quando comparados aos pacientes do grupo PowerScope. Contudo, as diferenças observadas nestes domínios não influenciaram na pontuação geral do CPQ11-14. Conclusões: Ambos os aparelhos propulsores não interferiramna percepção da dor e na qualidade de vida dos pacientes deste estudo durante o tratamento da má oclusão Classe II.Universidade PositivoBrasilOdontologiaPPG1UPNolasco, Gisele Maria Correrhttp://lattes.cnpq.br/6612641373865783Morais, Nathaly Dias2022-10-03T18:51:45Z20212022-10-03T18:51:45Z2021info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisapplication/pdfhttps://repositorio.cruzeirodosul.edu.br/handle/123456789/4050porinfo:eu-repo/semantics/openAccessreponame:Repositório do Centro Universitário Braz Cubasinstname:Centro Universitário Braz Cubas (CUB)instacron:CUB2022-10-03T18:53:02Zoai:repositorio.cruzeirodosul.edu.br:123456789/4050Repositório InstitucionalPUBhttps://repositorio.brazcubas.edu.br/oai/requestbibli@brazcubas.edu.bropendoar:2022-10-03T18:53:02Repositório do Centro Universitário Braz Cubas - Centro Universitário Braz Cubas (CUB)false |
dc.title.none.fl_str_mv |
Avaliação da dor e qualidade de vida em pacientes classe II tratados com aparelhos Herbst e Powerscope |
title |
Avaliação da dor e qualidade de vida em pacientes classe II tratados com aparelhos Herbst e Powerscope |
spellingShingle |
Avaliação da dor e qualidade de vida em pacientes classe II tratados com aparelhos Herbst e Powerscope Morais, Nathaly Dias Odontologia Qualidade de vida Percepção da dor Escala visual analógica Aparelhos ortodônticos fixos CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA |
title_short |
Avaliação da dor e qualidade de vida em pacientes classe II tratados com aparelhos Herbst e Powerscope |
title_full |
Avaliação da dor e qualidade de vida em pacientes classe II tratados com aparelhos Herbst e Powerscope |
title_fullStr |
Avaliação da dor e qualidade de vida em pacientes classe II tratados com aparelhos Herbst e Powerscope |
title_full_unstemmed |
Avaliação da dor e qualidade de vida em pacientes classe II tratados com aparelhos Herbst e Powerscope |
title_sort |
Avaliação da dor e qualidade de vida em pacientes classe II tratados com aparelhos Herbst e Powerscope |
author |
Morais, Nathaly Dias |
author_facet |
Morais, Nathaly Dias |
author_role |
author |
dc.contributor.none.fl_str_mv |
Nolasco, Gisele Maria Correr http://lattes.cnpq.br/6612641373865783 |
dc.contributor.author.fl_str_mv |
Morais, Nathaly Dias |
dc.subject.por.fl_str_mv |
Odontologia Qualidade de vida Percepção da dor Escala visual analógica Aparelhos ortodônticos fixos CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA |
topic |
Odontologia Qualidade de vida Percepção da dor Escala visual analógica Aparelhos ortodônticos fixos CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA |
description |
Introduction: The aim of this study was to compare and evaluate pain and changes in quality of life during orthodontic therapy with a fixed orthodontic appliance in combination with two types of mandibular propulsion devices, one of the rigid type and one of the hybrid type. Methods: This prospective cohort study included a sample of 72 children with Class II malocclusion divided equally into 2 different groups, where participants in each group received therapy with the fixed orthodontic appliance and its respective propellants. To assess quality of life, participants answered the Child Perceptions Questionnaire (CPQ11-14) and to assess pain, they answered the Visual Analogue Scale (VAS). In the Herbst group, the CPQ11-14 questionnaire was applied in 3 stages: before the start of treatment (T0), three months after the installation of the propellant (T1) and three months after the installation of the fixed appliance (T2). The same group responded to the VAS: before the start of treatment (T0), after installing Herbst (T1) and after installing the .019 ”x.025” SS (T2) arch. In the PowerScope group, the questionnaire was also applied in 3 stages: before treatment (T0), three months after the installation of the fixed device (T1) and three months after the installation of the PowerScope (T2). In this group, the VAS was answered before the start of treatment (T0), after the installation of the .019 ”x.025” SS (T1) arch and when installing the mandibular propellant (T2). Results: For analysis of the data collected through the VAS, the Wilcoxon Mann-Whitney Independent test showed a reduction in the perception of pain between the 1st and the 15th day after the beginning of treatment, regardless of the type of device used. For analysis of the data collected through CPQ11-14, the Wilcoxon Mannxii Whitney Independent test and the Friedman test were applied. In the Herbst group (T1 to T2), there was a worsening in the “functional limitations” domain and, in the PowerScope group (T0 to T2), there was an improvement in the “emotional well-being” domain. In the comparison between the two groups, a difference was observed only in the “oral symptoms” domain, indicating that patients in the Herbst group have worsening in this domain when compared to patients in the PowerScope group. However, the differences observed in these domains did not influence the overall score of CPQ11-14. Conclusions: Both propulsion devices did not interfere in the perception of pain and in the quality of life of the patients in this study during the treatment of Class II malocclusion. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021 2021 2022-10-03T18:51:45Z 2022-10-03T18:51:45Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
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doctoralThesis |
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publishedVersion |
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https://repositorio.cruzeirodosul.edu.br/handle/123456789/4050 |
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https://repositorio.cruzeirodosul.edu.br/handle/123456789/4050 |
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por |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Positivo Brasil Odontologia PPG1 UP |
publisher.none.fl_str_mv |
Universidade Positivo Brasil Odontologia PPG1 UP |
dc.source.none.fl_str_mv |
reponame:Repositório do Centro Universitário Braz Cubas instname:Centro Universitário Braz Cubas (CUB) instacron:CUB |
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Centro Universitário Braz Cubas (CUB) |
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CUB |
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Repositório do Centro Universitário Braz Cubas |
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Repositório do Centro Universitário Braz Cubas |
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Repositório do Centro Universitário Braz Cubas - Centro Universitário Braz Cubas (CUB) |
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bibli@brazcubas.edu.br |
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