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Previous issue date: 2013-12-17 / Dentofacial deformities affect the jaws and teeth, and can lead to functional,
social and psychological disorders. This study evaluated the impact of oral health
problems in related quality of life in adults with dentofacial deformities, before and
after orthognathic surgery, and its impact on quality of life in general and related to
oral health. For this, there were used the questionnaires Whoqol-bref, OQLQ and
OHIP-14. This study included 74 patients who presented for dentofacial deformity
treatment and Angle malocclusion Class I, II and III, at the Department of Oral and
Maxillofacial Surgery, School of Dentistry of Pontif?cia Universidade Cat?lica do Rio
Grande do Sul between 2006 and 2012. The patients underwent previous orthodontic
treatment and they were healthy. Patients with palate and lip cleft, syndromes,
traumatic facial deformities or congenital malformation, pregnants, patients younger
than 15 years and patients with pre-existing systemic diseases were excluded. The
subjects were asked to answer a questionnaire with questions before surgery (T0)
and another in an average of 4-6 months of postoperative follow-up (T1). The study
group consisted of 49 women (66.2%) and 25 men (33.8%), with age between 15
and 53 years (mean 28.0 ? 9.0), 58 patients (78.4%) were Angle Class III, 11
patients (14.9%) Angle Class II and 05 patients (6.8%) were Class I. Through the
Whoqol-bref, w e noticed a significant increase (WILCOXON, p ≤ 0.01) of the scores
in the domains between T0 and T1, indicating significant improvement in quality of
life, with the exception of patients Angle Class I. There was also a significant
reduction (WILCOXON, p ≤ 0.01) between the average overall score OQLQ the
preoperative (T0 = 48.0 ? 22.8) to the postoperative (T1 = 11.9 ? 7.8), and a
significant improvement in quality of life related to oral health after surgery. There
was a statistically significant reduction (WILCOXON, p ≤ 0.01) between the average
overall score of OHIP-14 preoperatively (T0 = 13.10 ? 6.1), for the post-treatment
period (T1 = 3.20 ? 3.8), and also in the evaluated domains. This study demonstrated
that the orthognathic surgery had a positive impact on the oral health of evaluated
patients and it noted significant changes in overall and oral health-related quality of
life after surgery. It was concluded that orthodontic treatment combined with
orthognathic surgery is a treatment modality reliable, with positive impact on facial
aesthetics, oral function, facial appearance and awareness of social benefits, such as
improved self-confidence, indicating that orthognathic surgery is appropriate therapy
for patients with dentofacial deformity, despite some risks and morbidity related to the
procedure performed. / As deformidades dentofaciais afetam os ossos dos maxilares e denti??o, e
podem levar a problemas funcionais, sociais e psicol?gicos. Este estudo avaliou o
impacto dos problemas de sa?de oral na qualidade de vida de adultos com
deformidades dentofaciais, antes e ap?s a cirurgia ortogn?tica, e o impacto desta na
qualidade de vida geral e relacionada a sa?de bucal. Para isso, foram utilizados os
question?rios Whoqol-bref, OQLQ e OHIP-14. Foram inclu?dos neste estudo 74
pacientes que se apresentaram para o tratamento de deformidades dentofaciais e
maloclus?o tipo Classe I, II e III de Angle, no Departamento de Cirurgia da
Faculdade de Odontologia da Pontif?cia Universidade Cat?lica do Rio Grande do Sul,
no per?odo de 2006 a 2012. Os pacientes realizaram tratamento ortod?ntico pr?vio e
eram saud?veis. Foram exclu?dos deste estudo os pacientes com fissura labial e
palatina, s?ndromes, deformidades faciais decorrente de traumatismo ou m?forma??o
cong?nita, gestantes, menores de 15 anos e pacientes com doen?as
sist?micas pr?-existentes. Os sujeitos foram convidados a responder um
question?rio de perguntas antes do tratamento cir?rgico (T0) e num per?odo m?dio
de acompanhamento p?s-operat?rio de 4 a 6 meses (T1). O grupo estudado era
constitu?do de 49 mulheres (66,2%) e 25 homens (33,8%), com idade variando entre
15 e 53 anos (m?dia de 28,0 ? 9,0), sendo 58 pacientes (78,4%) portadores de
deformidade do tipo Classe III de Angle, 11 pacientes Classe II (14,9%) e 05
pacientes Classe I (6,8%). Atrav?s do Whoqol-bref, foi observado aumento
significativo (WILCOXON, p≤ 0,001) na pontua??o dos dom?nios entre T0 e T1,
indicando melhoria significante da qualidade de vida, com exce??o dos pacientes
classe I. Houve tamb?m redu??o significante (WILCOXON, p ≤ 0,01) entre a
pontua??o geral m?dia do OQLQ do per?odo pr? (T0 = 48,0 ? 22,8) para o p?soperat?rio
(T1 = 7,8 ? 11,9), notando-se melhora significativa da qualidade de vida
relacionada a sa?de oral ap?s o tratamento cir?rgico. Houve uma redu??o
estatisticamente significante (WILCOXON, p ≤ 0,01) entre a pontua??o geral m?dia
do OHIP-14 do pr?-operat?rio (T0 = 13,10 ? 6,1) para o per?odo p?s-operat?rio (T1 =
3,20 ? 3,8), e tamb?m nos dom?nios avaliados. Este estudo demonstrou que a
cirurgia ortogn?tica teve um impacto positivo sobre a sa?de dos pacientes avaliados
e se observou mudan?as significativas na qualidade de vida geral e relacionada ?
sa?de bucal ap?s o tratamento cir?rgico. Conclui-se que o tratamento ortod?ntico
combinado ? cirurgia ortogn?tica ? uma modalidade de tratamento confi?vel, com
impacto positivo na est?tica facial, fun??o do sistema estomatogn?tico, consci?ncia
da apar?ncia facial e vantagens sociais, como melhoria da autoconfian?a, indicando
que a cirurgia ortogn?tica ? uma terapia apropriada para pacientes com deformidade
dentofacial, apesar de alguns riscos e morbidade inerentes ao procedimento
realizado.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/1242 |
| Date | 17 December 2013 |
| Creators | G?elzer, Juliana Gon?alves |
| Contributors | Oliveira, Rog?rio Belle de |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Odontologia, PUCRS, BR, Faculdade de Odontologia |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | -8096554818733665164, 500, 600, 4673435736271820140 |
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