Submitted by Caroline Xavier (caroline.xavier@pucrs.br) on 2017-04-17T14:53:43Z No. of bitstreams: 1 DIS_MARIANA_BAUER_BRONSTRUP_COMPLETO.pdf: 1446600 bytes, checksum: b81291e51e70d36c91cb4f880a63dd0e (MD5) / Made available in DSpace on 2017-04-17T14:53:43Z (GMT). No. of bitstreams: 1 DIS_MARIANA_BAUER_BRONSTRUP_COMPLETO.pdf: 1446600 bytes, checksum: b81291e51e70d36c91cb4f880a63dd0e (MD5) Previous issue date: 2016-12-21 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Patients with cleft lip and palate (CLP) and edentulous patients are considered physically mutilated individuals. Although with different tooth loss etiologies, they both have functional and aesthetic limitations. Dental loss is associated with poor quality of life (QoL) because of decreased self-esteem and psychosocial function. The objective of this study was to evaluate, through a quantitative and qualitative analysis, the impact of oral rehabilitation on the quality of life of edentulous patients and CLP subjects. A convenience sample of 46 adult patients, composed of 15 men and 31 women, was divided into two groups: (G_CLP) with CLP (n=20) and (G_PTFI) with implant-supported fixed total prosthesis (n=20). OHIP-14 was used for quantitative QoL analysis. Data were analyzed by the additive method and Kruskal Wallis test. Patients with poor QoL scores in both groups (n=9) participated of qualitative phase performed with semi-structured interviews. The OHIP-14 results showed a significant difference between the two groups (p <0.05). G_PTFI had worse QoL than G_FLP in all dimensions. In the qualitative analysis, before the oral rehabilitation of G_PTFI, the most affected dimensions were physical pain and physical incapacity. For G_CLP, the most affected dimensions were self-esteem and functional limitation. After the prosthetic treatment, G_CLP reported a considerable improvement in the psychosocial functions and a high degree of satisfaction with the treatment, although they also perceived a decrease in physical functions. G_PTFI reported improvement in all dimensions but were not satisfied with the overall treatment and aesthetics. OHIP-14 shows that QoL is affected by oral conditions but cannot detect the origin and magnitude of the problems by itself. The qualitative study provides a deeper and comprehensive interview understanding of QoL considering the individual aspects of each patient. / Pacientes portadores de fissura labiopalatina (FLP) e sujeitos edentados s?o considerados indiv?duos fisicamente mutilados, que, embora com etiologias de perda dent?ria diferentes, possuem limita??es funcionais e est?ticas. A perda dent?ria est? associada ? baixa qualidade de vida (QV), pois diminui a autoestima e a fun??o psicossocial do indiv?duo. O objetivo desse estudo foi avaliar, atrav?s de uma an?lise quantitativa e qualitativa, o impacto da reabilita??o bucal na qualidade de vida de pacientes ed?ntulos e de portadores de FLP em sujeitos adultos. Uma amostra de conveni?ncia de 46 participantes adultos, composto por 15 homens e 31 mulheres, foi dividida em dois grupos: (G_FLP) fissuras labiopalatinas (n=20); (G_PTFI) pr?tese total fixa implantossuportada (n=26). O instrumento OHIP-14 foi usado para a obten??o de dados quantitativos para estudo da QV. A an?lise de dados foi feita pelo m?todo aditivo e pelo teste Kruskal Wallis. Participantes com escore relativo ? baixa QV nos dois grupos (n=9) participaram da fase qualitativa realizada com entrevistas semiestruturadas. Nos resultados do OHIP-14 houve diferen?a significativa entre os dois grupos (p<0,05). O grupo G_PTFI teve QV mais afetada em compara??o com G_FLP em todas as dimens?es. Na an?lise qualitativa, antes das reabilita??es, as dimens?es mais afetadas foram dor f?sica e incapacidade f?sica para o G_PTFI; j? as dimens?es mais afetadas para o G_CLP foi autoestima e limita??o funcional. Ap?s o tratamento prot?tico os participantes do G_CLP passaram a relatar melhora consider?vel nas fun??es psicossociais e alto grau de satisfa??o com o tratamento, embora percebessem piora nas fun??es f?sicas. J? o G_PTFI obteve melhoras em todas as dimens?es, por?m eram menos satisfeitos com o tratamento e com a est?tica. Embora OHIP-14 identifique que a QV seja afetada pelas condi??es bucais, isoladamente ele n?o detecta a origem e a magnitude dos problemas. Um estudo qualitativo proporciona um entendimento mais profundo e integrado da QV considerando aspectos individuais do paciente.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-03-03T20:27:33Z No. of bitstreams: 1 MarciliaRibeiroPaulino_DISSERT.pdf: 889971 bytes, checksum: 540a0f865b8866168c85364e466d1e12 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-03-08T21:56:26Z (GMT) No. of bitstreams: 1 MarciliaRibeiroPaulino_DISSERT.pdf: 889971 bytes, checksum: 540a0f865b8866168c85364e466d1e12 (MD5) / Made available in DSpace on 2016-03-08T21:56:26Z (GMT). No. of bitstreams: 1 MarciliaRibeiroPaulino_DISSERT.pdf: 889971 bytes, checksum: 540a0f865b8866168c85364e466d1e12 (MD5) Previous issue date: 2015-02-23 / Introdu??o: A reabilita??o de pacientes desdentados totais ? um dos principais desafios da Odontologia. Objetivo: Avaliar a satisfa??o e o impacto da sa?de oral na qualidade de vida de pacientes reabilitados com pr?teses totais duplas convencionais. M?todo: Realizou-se um ensaio cl?nico com 25 pacientes reabilitados com PT duplas convencionais. Avaliou-se o impacto da sa?de oral na qualidade de vida dos indiv?duos atrav?s da vers?o brasileira do OHIP-EDENT e a satisfa??o do paciente com as pr?teses atrav?s de question?rio espec?fico. Os instrumentos foram aplicados antes e 3 meses ap?s a reabilita??o. Resultados: Houve uma melhora estatisticamente significante (p<0,001) do impacto na qualidade de vida dos usu?rios de pr?tese total dupla ap?s a nova reabilita??o. A an?lise dos 4 dom?nios do OHIP tamb?m apresentaram melhora estatisticamente significativa (p<0,001). A satisfa??o geral final com as pr?teses foi estatisticamente superior ? satisfa??o inicial (p<0,001). Quando analisados os aspectos espec?ficos de satisfa??o com a PT ap?s 3 meses da reabilita??o tamb?m observamos resultados importantes de melhoria em todos os aspectos. Conclus?o: Pacientes usu?rios de pr?tese total dupla, insatisfeitos com suas pr?teses, ap?s nova reabilita??o convencional melhoraram a qualidade de vida, com diminui??o do impacto negativo das pr?teses na sa?de oral, e melhoraram a satisfa??o. / Introduction: The rehabilitation of edentulous patients is one of the main challenges of Dentistry. Objective: To assess the satisfaction and the impact of oral health on quality of life of patients rehabilitated with conventional complete dentures in both arcades. Method: A clinical trial with 25 patients rehabilitated with CCD was conducted. The impact of oral health in individuals quality of life was evaluated through the Brazilian version of the OHIP-Edent and the patient satisfaction was evaluated using a specific questionnaire. The instruments were applied before and 3 months after rehabilitation. Results: There was a statistically significant improvement (p <0.001) on the impact of the quality of life of the denture users after the new rehabilitation. The analysis of 4 OHIP domains also showed statistically significant improvement (p <0.001). The final overall satisfaction with the dentures was statistically superior to initial satisfaction (p <0.001). The analysis of the specific aspects of satisfaction with CCD after 3 months of rehabilitation also showed significant results in the improvement of every aspect. Conclusion: Patients disappointed with their dentures, have their quality of life improved after the new rehabilitation, reducing the negative impact of the prostheses on oral health, and improving their satisfaction with the rehabilitation.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-07-26T20:16:37Z No. of bitstreams: 1 AnaLuisaDeBarrosPascoal_DISSERT.pdf: 1689211 bytes, checksum: 370df885675ac064f8be47a40a7d2cf4 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-08-08T21:50:09Z (GMT) No. of bitstreams: 1 AnaLuisaDeBarrosPascoal_DISSERT.pdf: 1689211 bytes, checksum: 370df885675ac064f8be47a40a7d2cf4 (MD5) / Made available in DSpace on 2016-08-08T21:50:09Z (GMT). No. of bitstreams: 1 AnaLuisaDeBarrosPascoal_DISSERT.pdf: 1689211 bytes, checksum: 370df885675ac064f8be47a40a7d2cf4 (MD5) Previous issue date: 2016-03-07 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / Os m?todos tradicionais de confec??o de pr?teses totais exigem uma ampla sequ?ncia de procedimentos cl?nicos e laboratoriais, entretanto, n?o h? evid?ncia cient?fica de que eles produzam resultados superiores aos m?todos simplificados. Objetivo: Avaliar a efetividade de uma t?cnica simplificada (S) para confec??o de pr?tese total, comparando-a a tradicional (T), atrav?s da efici?ncia mastigat?ria e da avalia??o da qualidade das pr?teses. M?todo: Realizou-se um ensaio cl?nico controlado randomizado com 50 pacientes, 25 reabilitados com pr?teses totais duplas produzidas pela t?cnica tradicional e 25 reabilitados por uma t?cnica simplificada. Avaliou-se a efici?ncia mastigat?ria pelo m?todo colorim?trico com o aux?lio de uma c?psula mastigat?ria. A qualidade das pr?teses foi obtida por meio do instrumento desenvolvido por Sato et al. em 1998. Resultados: 39 pacientes conclu?ram o estudo, sendo 18 do grupo tradicional e 21 do grupo simplificado. N?o houve diferen?a entre os grupos para a efici?ncia mastigat?ria (p=0.835). Um paciente apresentou pr?tese com qualidade ruim (grupo S), nove com qualidade regular (T= 3; S=6) e 29 pacientes apresentaram pr?teses com qualidade boa (T= 15; S= 14), sem diferen?as entre os grupos. A qualidade das pr?teses obteve diferen?a significativa para a atura do rebordo inferior (p=0.05). Conclus?o: as pr?teses totais duplas confeccionadas pelo m?todo simplificado foram consideradas eficazes do ponto de vista da efici?ncia mastigat?ria e da qualidade das pr?teses, apresentando resultados semelhantes ?s confeccionadas pelo m?todo tradicional. / Traditional methods for dentures fabrication require a wide clinical and laboratory procedures; however, there is no scientific evidence that these methods can produce better results when compared with simplified methods. Aim: To evaluate the effectiveness of a simplified methods for denture fabrication, comparing it to the traditional one through masticatory efficiency and prosthesis quality. Method: A randomized controlled trial was conducted with 50 patients, 25 rehabilitated with prosthesis produced by traditional technique and 25 rehabilitated by a simplified technique. The masticatory efficiency was evaluated by colorimetric method, using chewing capsules. The quality of prosthesis was obtained using a reliable and reproducible instrument. Statistical analysis of the masticatory efficiency and quality of the prosthesis was obtained by the Mann-Whitney test. Results: 39 patients completed the study, 18 on traditional group and 21 on simplified group. There was no difference between groups for the masticatory efficiency (p = 0.835) and the quality of the prosthesis (p = 0672). The evaluation of the overall quality of the prosthesis according to oral conditions, demonstrated significant difference on the height of the mandibular ridges (p = 0.010) and mandibular muscle attachments (p = 0.039). Conclusion: Complete dentures fabricated by simplified method were considered effective from the point of view of masticatory efficiency and quality of prosthetics, with results similar to those made by the traditional method.

Made available in DSpace on 2014-12-17T15:30:52Z (GMT). No. of bitstreams: 1 ArcelinoFN.pdf: 1789959 bytes, checksum: 7868add86eb8184ae325d8e244224b90 (MD5) Previous issue date: 2009-02-04 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / The maintenance of masticatory function is especially important for patients who wear complete dentures due to the limitations of this type of prosthesis. Thus, the bilateral balanced occlusion (BBO) is used to achieve, besides other advantages, greater masticatory efficiency. However, analyzing critically the literature, it is observed that there is not enough scientific evidence that support the BBO as the most appropriate occlusal concept in complete dentures. This way, the purpose of the present study was to verify if complete dentures wearers with BBO present better masticatory efficiency and capacity than those with canine guidance (CG). A double-blind controlled crossover clinical trial was conducted. The sample was made of 24 completely edentulous patients. The subjects wore sets of complete dentures with both occlusal concepts for equal periods of 3 months. Objective data were collected through the masticatory efficiency test, performed by the colorimetric method, in which capsules of a synthetic material enclosing fuchsine- containing granules were used. Subjective data were recorded by patient?s ratings of their chewing function, which is the masticatory ability. No significant statistical difference was found for masticatory efficiency (p=0,0952) and masticatory ability (x2=0,5711/ p=0,4498) between the two occlusal concepts studied, as well as there was no correlation between these two variables (p=0,2985). Based on these results, it seems reasonable to use CG for the setup of complete dentures, since it is an easier and quicker technical procedure, until that future researches can come to complement this question / A manuten??o da fun??o mastigat?ria tem import?ncia especial em pacientes portadores de pr?tese total devido ?s limita??es inerentes a esse tipo de pr?tese. Nesse contexto, a oclus?o balanceada bilateral (OBB) ? empregada com o intuito de obter-se, entre outras vantagens, uma maior efici?ncia mastigat?ria. Entretanto, analisando-se a literatura criticamente, observa-se que n?o existem evid?ncias cient?ficas suficientes que suportem a aplica??o da OBB como conceito oclusal ideal em pr?tese total. Assim, o presente trabalho teve o objetivo de verificar se pacientes portadores de pr?tese total dupla com OBB apresentam maior efici?ncia e capacidade mastigat?ria que aqueles com desoclus?o com guia canino (DGC). Com esse intuito, realizou-se um ensaio cl?nico controlado duplo-cego do tipo crossover. A amostra foi composta de 24 pacientes portadores de pr?tese total dupla, onde todos fizeram uso de ambos os conceitos oclusais por per?odos iguais de 3 meses. A fun??o mastigat?ria foi avaliada clinicamente atrav?s da efici?ncia mastigat?ria, onde se empregou o m?todo colorim?trico com o uso de c?psulas mastigat?rias, e pela capacidade mastigat?ria, relativa ao grau de satisfa??o. N?o se encontrou diferen?a estat?stica significativa para a efici?ncia (p=0,0952) e a capacidade mastigat?ria (x2 =0,5711/ p=0,4498) entre os dois grupos estudados, bem como n?o foi observada nenhuma rela??o entre essas duas vari?veis (p=0,2985). Dessa forma, parece sensato o emprego da DGC nos movimentos exc?ntricos em pr?tese total, por ser este um procedimento mais simples e r?pido, at? que futuras pesquisas venham a complementar qual o conceito oclusal ideal em pr?tese total