Avaliação dos fatores que influenciam a percepção de dor e seu impacto na rotina de pacientes ortodônticos

• Autor(a) principal: Mendonça, Daniela Lasmar de
• Data de Publicação: 2017
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da USC
• Texto Completo: http://tede2.usc.br:8080/jspui/handle/tede/356
• topic: Ortodontia; Dor; Ansiedade; Escala Analógica Visual; Orthodontics; Pain; Anxiety; Visual Analogue Scale; ODONTOLOGIA::ORTODONTIA

This study aimed at evaluating the association between self-reported pain and anxiety among young patients after orthodontic appliance installation. The influence of receiving instructions sent by text messages on pain and anxiety levels were also studied. The sample comprised 103 orthodontic patients, average 20,7years (G1=21,2 ±4,6 e G2=19,9 ±4,4), without previous orthodontic treatment, from private clinics, evaluated before and after upper arch bonding. The sample was divided into two groups; Group 1 51 patients that not received text messages after braces installation and Group 2 – 52 patients was instructed through text messages about possible pain symptomatology. All patients answered a dental anxiety survey (MDAS) before the first appointment and marked a visual analogue scale (VAS) regarding pain perception immediately after braces installation in the upper arch. At the end of the appointment, patients took home a brief evaluation questionnaire about their pain perception and VAS to fill out after 8hrs, 24 hrs daily for 7 days and 14o day. After 14 days the results were collected. For a new report on VAS between times and groups, a variance analysis was applied to two criteria with time-repeated measures; For the multiple comparisons, the Tukey test was used. For the contact between the groups regarding the Corah scale, the non-parametric Mann-Whitney test was used. For a report between the groups, regarding VAS, how much the treatment was applied to the daily routine, was used for the independent groups. Paragraph between the groups regarding the ingestion of analgesics and occurrence of change in the daily routine for the chi-square test. For all tests applied a 5% significance level was set. The results showed that 42.7% of the patients were classified as mildly anxious and only 8% as extremely anxious. (G1= 36.9mm ± 3.1 and G2= 26.2mm ± 3.2) and was higher in G1 in all the times, except on the 14th day. Of the total number of patients, 36.89% reported analgesic use, being higher in G1 (47.1%) (p = 0.034 *). In G1, 52.9% of patients had an affected routine (18.8mm ± 2.2) and in G2 28.8% 9.9mm ± 1.5 (p = 0.013 *). The study demonstrated that the most anxious patients present a higher level of pain and that the messages received were effective for pain reduction and consequently to minimize its effects on patient’s routine