Avaliação prospectiva longitudinal da qualidade de vida de adolescentes submetidos a tratamento ortodôntico
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UERJ |
Texto Completo: | http://www.bdtd.uerj.br/handle/1/14096 |
Resumo: | Literature is not yet conclusive about orthodontic treatment s psychosocial benefits. The aim of this study was to assess oral health-related quality of life (OHQoL) and self-perceived aesthetics in brazilian adolescents who was under orthodontic treatment during two years of prospective evaluation. The sample consisted of 318 subjects, 12 to 15 years of age; 92 of these had sought and started orthodontic treatment in an university (ortho group) and the other 226 were not treated adolescents: 124 had sought orthodontic treatment at the same university but did not started, once they were waiting a vacant in the wait list to initiate the treatment (waiting group), and 102 were from a public school right next door to the university clinic and had never undergone or sought orthodontic treatment (school group). OHQoL was assessed with the Brazilian version of the short form of the Oral Health Impact Profile (OHIP-14), malocclusion severity and aesthetic impairment with the IOTN index, socioechonomic status with the Brazilian Economic Classification Criteria , and oral health with the DMTF Index. All subjects completed three distinct intervals of interviews: first interview before treatment (T1), one year after the placement of the fixed appliance for ortho group and one year after the first interview for school and waiting groups (T2) and two years after the placement of the fixed appliance for ortho group and two years after the first interview for school and waiting groups. Orthodontic treatment reduced OHRQoL scores from 10.4, to 9.2 and 1.6, among first, second and third interviews (p<0.001), and also produced a significant reduction in self-perceived aesthetics (p<0.001), and in malocclusion severity (p<0.001). Patients who have finished the treatment had significant better results in all scores than the ones who received treatment for two years but still were wearing braces. Adolescents from waiting group reported worse scores in OHRQoL, wich rised from 10.8 to 12.0 between first and third interviews (p<0.001). Self-perceived aesthetics scores also worsened (p<0.001) during the evaluation period in this group. On the other hand, adolescents from school group did not had alterations in any of the evaluated indexes, including OHRQoL (p=0.34) and self-perceived aesthetics (p=0.09). In patients from not treated groups (waiting and school groups), malocclusion severity did not change during the two years, as well as DMTF did not worsened in any of the three groups. Orthodontic treatment in brazilian adolescents resulted in significant better OHRQoL and self-perceived aesthetics. |
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Miguel, José Augusto Mendeshttp://lattes.cnpq.br/2191153042815967Vieira, Branca Heloísa de Oliveira Martinshttp://lattes.cnpq.br/2733765551807694Nadanovsky, Paulohttp://lattes.cnpq.br/1124111134306190Pacheco, Maria Christina Thoméhttp://lattes.cnpq.br/4000725435462305Tostes, Monica Almeidahttp://lattes.cnpq.br/9689696767447550http://lattes.cnpq.br/6358913651043240Souza, Daniela Feu Rosa Kroeff de2021-01-07T15:04:03Z2011-04-262009-12-17SOUZA, Daniela Feu Rosa Kroeff de. Avaliação prospectiva longitudinal da qualidade de vida de adolescentes submetidos a tratamento ortodôntico. 2009. 110 f. Dissertação (Mestrado em Dentística; Endodontia; Odontopediatria; Ortodontia; Periodontia;) - Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2009.http://www.bdtd.uerj.br/handle/1/14096Literature is not yet conclusive about orthodontic treatment s psychosocial benefits. The aim of this study was to assess oral health-related quality of life (OHQoL) and self-perceived aesthetics in brazilian adolescents who was under orthodontic treatment during two years of prospective evaluation. The sample consisted of 318 subjects, 12 to 15 years of age; 92 of these had sought and started orthodontic treatment in an university (ortho group) and the other 226 were not treated adolescents: 124 had sought orthodontic treatment at the same university but did not started, once they were waiting a vacant in the wait list to initiate the treatment (waiting group), and 102 were from a public school right next door to the university clinic and had never undergone or sought orthodontic treatment (school group). OHQoL was assessed with the Brazilian version of the short form of the Oral Health Impact Profile (OHIP-14), malocclusion severity and aesthetic impairment with the IOTN index, socioechonomic status with the Brazilian Economic Classification Criteria , and oral health with the DMTF Index. All subjects completed three distinct intervals of interviews: first interview before treatment (T1), one year after the placement of the fixed appliance for ortho group and one year after the first interview for school and waiting groups (T2) and two years after the placement of the fixed appliance for ortho group and two years after the first interview for school and waiting groups. Orthodontic treatment reduced OHRQoL scores from 10.4, to 9.2 and 1.6, among first, second and third interviews (p<0.001), and also produced a significant reduction in self-perceived aesthetics (p<0.001), and in malocclusion severity (p<0.001). Patients who have finished the treatment had significant better results in all scores than the ones who received treatment for two years but still were wearing braces. Adolescents from waiting group reported worse scores in OHRQoL, wich rised from 10.8 to 12.0 between first and third interviews (p<0.001). Self-perceived aesthetics scores also worsened (p<0.001) during the evaluation period in this group. On the other hand, adolescents from school group did not had alterations in any of the evaluated indexes, including OHRQoL (p=0.34) and self-perceived aesthetics (p=0.09). In patients from not treated groups (waiting and school groups), malocclusion severity did not change during the two years, as well as DMTF did not worsened in any of the three groups. Orthodontic treatment in brazilian adolescents resulted in significant better OHRQoL and self-perceived aesthetics.A literatura científica ainda não é consistente em relação aos benefícios psicossociais proporcionados pelo tratamento ortodôntico. Os objetivos deste estudo foram conhecer as alterações na qualidade de vida relacionada com a saúde bucal (OHRQoL) e com a autopercepção estética de adolescentes brasileiros de 12 a 15 anos de idade tratados ortodonticamente, durante dois anos de avaliação prospectiva longitudinal. A amostra foi constituída de 318 jovens: 92 que iniciaram tratamento ortodôntico em uma instituição de ensino (grupo orto), e 226 indivíduos não tratados: 124 que procuraram avaliação ortodôntica na mesma instituição e não receberam tratamento durante os dois anos em que foram acompanhados na pesquisa, pois estavam aguardando uma vaga na lista de espera para iniciar o tratamento (grupo de espera), e 102 que nunca buscaram tratamento ortodôntico e que estudam em uma escola vizinha à instituição (grupo escola). A qualidade de vida foi mensurada utilizando o OHIP-14. A necessidade normativa e estética de tratamento ortodôntico foi avaliada com o índice IOTN, o nível social com o Critério de Classificação Econômica Brasil e a saúde dental com o índice CPO-D. As avaliações foram repetidas em três momentos: no exame inicial (T1); um ano depois do início do tratamento ortodôntico, para o grupo orto, e um ano após o exame inicial, para os grupos de espera e escola (T2); e dois anos depois do início do tratamento para o grupo orto, e dois anos depois do exame inicial para os grupos de espera e escola (T3). O tratamento ortodôntico reduziu significativamente os escores de OHRQoL: as médias do escores tiveram uma redução de 10,4 para 9,2 e para 1,6 entre a primeira, segunda e terceira avaliações (p<0,001). A autopercepção estética se comportou de maneira similar, com uma redução progressiva e significativa (p<0,001) nos pacientes tratados, que também tiveram melhora significativa na gravidade da má oclusão (p<0,001). Porém, os indivíduos que removeram o aparelho tiveram OHRQoL e autopercepção estética significativamente melhores em relação aos pacientes que não finalizaram o tratamento no período de dois anos. Os adolescentes do grupo de espera tiveram significativa piora na OHRQoL, que sofreu um aumento de 10,8 para 12,0 da primeira para a terceira avaliações (p<0,001), o que também ocorreu na autoavaliação estética, que sofreu um aumento significativo (p<0,001). Por outro lado, os adolescentes do grupo escola não tiveram nenhuma alteração desses índices nos períodos de avaliação, apresentando uma tendência estacionária para OHRQoL (p=0,34) e para a autopercepção estética (p=0,09). A gravidade da má oclusão não foi alterada nos grupos não tratados durante os dois anos de avaliação e o CPO-D não teve alteração significativa para nenhum dos três grupos. Foi possível concluir que o tratamento ortodôntico melhorou significativamente a qualidade de vida relacionada com a saúde bucal e a autopercepção estética dos adolescentes brasileiros submetidos a tratamento.Submitted by Boris Flegr (boris@uerj.br) on 2021-01-07T15:04:03Z No. of bitstreams: 1 Dissertacao_Daniela_2.pdf: 1408684 bytes, checksum: 863966aac736f18e9e420ec2a81eaea9 (MD5)Made available in DSpace on 2021-01-07T15:04:03Z (GMT). No. of bitstreams: 1 Dissertacao_Daniela_2.pdf: 1408684 bytes, checksum: 863966aac736f18e9e420ec2a81eaea9 (MD5) Previous issue date: 2009-12-17Coordenação de Aperfeiçoamento de Pessoal de Nível Superiorapplication/pdfporUniversidade do Estado do Rio de JaneiroPrograma de Pós-Graduação em OdontologiaUERJBRCentro Biomédico::Faculdade de OdontologiaQuality of lifeMalocclusionOrthodonticsOHIP-14Qualidade de vidaMá oclusãoOrtodontiaOHIP-14CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA::ORTODONTIAAvaliação prospectiva longitudinal da qualidade de vida de adolescentes submetidos a tratamento ortodônticoProspective evaluation of oral-health-related quality of life in orthodontically treated adolescentsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UERJinstname:Universidade do Estado do Rio de Janeiro (UERJ)instacron:UERJORIGINALDissertacao_Daniela_2.pdfapplication/pdf1408684http://www.bdtd.uerj.br/bitstream/1/14096/1/Dissertacao_Daniela_2.pdf863966aac736f18e9e420ec2a81eaea9MD511/140962024-02-26 20:13:18.535oai:www.bdtd.uerj.br:1/14096Biblioteca Digital de Teses e Dissertaçõeshttp://www.bdtd.uerj.br/PUBhttps://www.bdtd.uerj.br:8443/oai/requestbdtd.suporte@uerj.bropendoar:29032024-02-26T23:13:18Biblioteca Digital de Teses e Dissertações da UERJ - Universidade do Estado do Rio de Janeiro (UERJ)false |
dc.title.por.fl_str_mv |
Avaliação prospectiva longitudinal da qualidade de vida de adolescentes submetidos a tratamento ortodôntico |
dc.title.alternative.eng.fl_str_mv |
Prospective evaluation of oral-health-related quality of life in orthodontically treated adolescents |
title |
Avaliação prospectiva longitudinal da qualidade de vida de adolescentes submetidos a tratamento ortodôntico |
spellingShingle |
Avaliação prospectiva longitudinal da qualidade de vida de adolescentes submetidos a tratamento ortodôntico Souza, Daniela Feu Rosa Kroeff de Quality of life Malocclusion Orthodontics OHIP-14 Qualidade de vida Má oclusão Ortodontia OHIP-14 CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA::ORTODONTIA |
title_short |
Avaliação prospectiva longitudinal da qualidade de vida de adolescentes submetidos a tratamento ortodôntico |
title_full |
Avaliação prospectiva longitudinal da qualidade de vida de adolescentes submetidos a tratamento ortodôntico |
title_fullStr |
Avaliação prospectiva longitudinal da qualidade de vida de adolescentes submetidos a tratamento ortodôntico |
title_full_unstemmed |
Avaliação prospectiva longitudinal da qualidade de vida de adolescentes submetidos a tratamento ortodôntico |
title_sort |
Avaliação prospectiva longitudinal da qualidade de vida de adolescentes submetidos a tratamento ortodôntico |
author |
Souza, Daniela Feu Rosa Kroeff de |
author_facet |
Souza, Daniela Feu Rosa Kroeff de |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Miguel, José Augusto Mendes |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/2191153042815967 |
dc.contributor.advisor-co1.fl_str_mv |
Vieira, Branca Heloísa de Oliveira Martins |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/2733765551807694 |
dc.contributor.referee1.fl_str_mv |
Nadanovsky, Paulo |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/1124111134306190 |
dc.contributor.referee2.fl_str_mv |
Pacheco, Maria Christina Thomé |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/4000725435462305 |
dc.contributor.referee3.fl_str_mv |
Tostes, Monica Almeida |
dc.contributor.referee3Lattes.fl_str_mv |
http://lattes.cnpq.br/9689696767447550 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/6358913651043240 |
dc.contributor.author.fl_str_mv |
Souza, Daniela Feu Rosa Kroeff de |
contributor_str_mv |
Miguel, José Augusto Mendes Vieira, Branca Heloísa de Oliveira Martins Nadanovsky, Paulo Pacheco, Maria Christina Thomé Tostes, Monica Almeida |
dc.subject.eng.fl_str_mv |
Quality of life Malocclusion Orthodontics OHIP-14 |
topic |
Quality of life Malocclusion Orthodontics OHIP-14 Qualidade de vida Má oclusão Ortodontia OHIP-14 CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA::ORTODONTIA |
dc.subject.por.fl_str_mv |
Qualidade de vida Má oclusão Ortodontia OHIP-14 |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA::ORTODONTIA |
description |
Literature is not yet conclusive about orthodontic treatment s psychosocial benefits. The aim of this study was to assess oral health-related quality of life (OHQoL) and self-perceived aesthetics in brazilian adolescents who was under orthodontic treatment during two years of prospective evaluation. The sample consisted of 318 subjects, 12 to 15 years of age; 92 of these had sought and started orthodontic treatment in an university (ortho group) and the other 226 were not treated adolescents: 124 had sought orthodontic treatment at the same university but did not started, once they were waiting a vacant in the wait list to initiate the treatment (waiting group), and 102 were from a public school right next door to the university clinic and had never undergone or sought orthodontic treatment (school group). OHQoL was assessed with the Brazilian version of the short form of the Oral Health Impact Profile (OHIP-14), malocclusion severity and aesthetic impairment with the IOTN index, socioechonomic status with the Brazilian Economic Classification Criteria , and oral health with the DMTF Index. All subjects completed three distinct intervals of interviews: first interview before treatment (T1), one year after the placement of the fixed appliance for ortho group and one year after the first interview for school and waiting groups (T2) and two years after the placement of the fixed appliance for ortho group and two years after the first interview for school and waiting groups. Orthodontic treatment reduced OHRQoL scores from 10.4, to 9.2 and 1.6, among first, second and third interviews (p<0.001), and also produced a significant reduction in self-perceived aesthetics (p<0.001), and in malocclusion severity (p<0.001). Patients who have finished the treatment had significant better results in all scores than the ones who received treatment for two years but still were wearing braces. Adolescents from waiting group reported worse scores in OHRQoL, wich rised from 10.8 to 12.0 between first and third interviews (p<0.001). Self-perceived aesthetics scores also worsened (p<0.001) during the evaluation period in this group. On the other hand, adolescents from school group did not had alterations in any of the evaluated indexes, including OHRQoL (p=0.34) and self-perceived aesthetics (p=0.09). In patients from not treated groups (waiting and school groups), malocclusion severity did not change during the two years, as well as DMTF did not worsened in any of the three groups. Orthodontic treatment in brazilian adolescents resulted in significant better OHRQoL and self-perceived aesthetics. |
publishDate |
2009 |
dc.date.issued.fl_str_mv |
2009-12-17 |
dc.date.available.fl_str_mv |
2011-04-26 |
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2021-01-07T15:04:03Z |
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info:eu-repo/semantics/masterThesis |
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masterThesis |
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publishedVersion |
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SOUZA, Daniela Feu Rosa Kroeff de. Avaliação prospectiva longitudinal da qualidade de vida de adolescentes submetidos a tratamento ortodôntico. 2009. 110 f. Dissertação (Mestrado em Dentística; Endodontia; Odontopediatria; Ortodontia; Periodontia;) - Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2009. |
dc.identifier.uri.fl_str_mv |
http://www.bdtd.uerj.br/handle/1/14096 |
identifier_str_mv |
SOUZA, Daniela Feu Rosa Kroeff de. Avaliação prospectiva longitudinal da qualidade de vida de adolescentes submetidos a tratamento ortodôntico. 2009. 110 f. Dissertação (Mestrado em Dentística; Endodontia; Odontopediatria; Ortodontia; Periodontia;) - Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2009. |
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http://www.bdtd.uerj.br/handle/1/14096 |
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UERJ |
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BR |
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Centro Biomédico::Faculdade de Odontologia |
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Universidade do Estado do Rio de Janeiro |
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