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Percepção de desfechos relacionados à prótese dentária em indivíduos desdentados / Assessing perceived potential outcomes of prosthodontic treatment in partial and fully edentulous patientsMorandini, William José 29 May 2006 (has links)
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Previous issue date: 2006-05-29 / Self-perception of potential outcomes of prosthodontic treatment, including benefits, risks and consequences of not replacement of missing teeth, were studied in edentulous patients. Initially, using a qualitative approach, it was developed a instrument containing 41 affirmatives that comprise a scale and sub-scales that measure subject’s perception score in a 5-point Likert-type scale (1=strongly disagree; 2=disagree; 3=neutral; 4=agree; 5=strongly agree). Subsequently 126 partially or totally edentulous subjects were interviewed. Mean age was 51.8-years (SD=12.3), 74% female. Cronbach’s alfa coefficient of scale and sub-scale ranged from 0.70 and 0.90. Influence of age, gender and clinical variables were tested using analysis of variance and independent t-test. Sum of scores for each subject ranged from 123 to 198, mean score was 173.8 (SD=14.8). Subjects tended to agree with the proposed affirmatives (scores 4 and 5). Considering the total scale, lower scores were obtained by younger (p=0.033), male (p=0.019) and subjects with a single missing tooth (p=0.004). Using sub-scale of benefits, with single missing teeth subjects ranked lower scores (p=0.021). No variables showed significant relationship with perception scores using risks sub-scale. When considering sub-scale that measures perception of consequences of not replacement, lower scores were obtained by males (p=0.033), single missing tooth (p=0.018) and non wearers of prosthodontics (p=0.000). It was concluded that perception of potential outcomes of prosthodontic treatment was influenced by clinical variables. Older subjects, female, subjects with grater number of missing teeth and that have been previously treated have greater perception of benefits and risks of prosthodontic treatment. / Foi avaliada em indivíduos desdentados a percepção de desfechos potenciais relacionados a benefícios e riscos do tratamento e conseqüências do não tratamento protético. Inicialmente foi desenvolvido um instrumento com 41 afirmativas que compuseram as escalas e sub-escalas com categorias ordinais tipo-Likert de 5 pontos (1=discordo totalmente; 2=discordo; 3=neutro; 4=concordo; 5=concordo totalmente). A seguir foram entrevistados 126 indivíduos desdentados parciais ou totais, usuários ou não de prótese, idade média de 51,8 anos (DP=12,3), sendo 74% do sexo feminino. O coeficiente alfa de Cronbach da escala e sub-escalas variou entre 0,70 e 0,90. A influência da idade, sexo e dados clínicos foram avaliados através de análise de variância e teste t não pareado. A soma dos escores dos 41 itens para cada indivíduo variou entre 123 e 198, média de 173,8 (DP=14,8), com valor mínimo de 41 e valor máximo de 205. A proximidade da soma dos escores com valores máximos indicou tendência dos indivíduos em concordar com as afirmativas da escala (escores 4 e 5). Na escala total os menores escores foram para indivíduos jovens (p=0,033), do sexo masculino (p=0,019) e com espaços protéticos unitários (p=0,004). Na sub-escala de benefícios os menores escores foram para os desdentados unitários (p=0,021). Nenhumas das variáveis foram significativas para a sub-escala de riscos. Na sub-escala de conseqüências da não reposição, os menores escores foram para os homens (p=0,033), desdentados unitários (p=0,018) e não usuários de prótese (p=0,00). A percepção individual dos desfechos do tratamento protético foi influenciada por variáveis clínicas, sendo mais alta em indivíduos com maior idade, mulheres, maior número de dentes perdidos e usuários de prótese.
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