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Previous issue date: 2013-10-22 / Problems related to chewing, speech, appearance and social integration influence the individual s quality of life (QoL). Oral rehabilitation may have positive effects on QoL. This thesis consists of two manuscripts about oral rehabilitation in treated adult subjects with large loss of oral tissues. The first manuscript consists of an original research article comparing variables of interest in cleft lip and palate (CLP) subjects and maxillary denture wearers. The second manuscript presents a case report where a prosthetic rehabilitation was performed in one of the CLP subjects from the sample of the research article in the first manuscript. The first manuscript has compared QoL, depression and perception of masticatory ability between CLP subjects, maxillary denture wearers and healthy controls. OHIP-14 was used to assess QoL. Chewing was evaluated by a masticatory ability questionnaire and by maximum bite force (MBF). RDC/TMD Axis II was used to assess depression. The results suggest that adults with treated CLP or maxillary dentures still report chewing impairment and poorer QoL than healthy subjects, with different psychological and functional impacts for each group. It can be concluded that the oral rehabilitation in these subjects was not sufficient to restore the similar levels of masticatory capacity and QoL in healthy subjects. The second manuscript describes an oral rehabilitation of a CLP patient, which was considered successful. The treatment plan of the present case consisted of a maxillary rehabilitation using an association of removable partial denture, attachments and telescopic crowns in order to seal the oronasal communication and restore dental occlusion, vertical dimension and lip support. The prosthetic approach adopted in this case was effective since it restored masticatory function and aesthetics of the CLP subject. Further studies using quantitative and qualitative approaches are needed to better understand those variables studied in these subjects in order to optimize their dental treatment. / Problemas relacionados ? alimenta??o, fala, apar?ncia e integra??o social influenciam a qualidade de vida (QoL) dos indiv?duos. A reabilita??o oral pode ter efeitos positivos na QoL. Esta tese ? formada por dois manuscritos sobre o impacto da reabilita??o oral em sujeitos adultos com grande perda tecidual. O primeiro manuscrito comp?e um artigo original de pesquisa comparando vari?veis de interesse em sujeitos fissurados e usu?rios de pr?tese total. O segundo manuscrito apresenta um relato de caso em que foi realizada reabilita??o prot?tica de um dos sujeitos do grupo de fissurados que comp?s a amostra do artigo de pesquisa no primeiro manuscrito. O primeiro manuscrito comparou QoL, depress?o e capacidade mastigat?ria entre indiv?duos adultos fissurados, usu?rios de pr?tese total superior e controles saud?veis. A QoL foi avaliada atrav?s do instrumento OHIP-14. A capacidade mastigat?ria foi avaliada atrav?s de question?rio e da mensura??o da for?a m?xima de mordida (MBF). O grau de depress?o foi avaliado atrav?s do instrumento RDC/TMD Eixo II. Os resultados sugerem que as vari?veis de mastiga??o e a QoL em adultos fissurados e usu?rios de pr?tese total superior s?o piores que no grupo controle, embora os impactos psicol?gicos e funcionais sejam diferentes para cada grupo. Pode-se concluir que a reabilita??o oral nestes indiv?duos n?o foi suficiente para restaurar os n?veis similares de capacidade mastigat?ria e QoL em indiv?duos saud?veis. O segundo manuscrito descreveu uma reabilita??o oral de paciente fissurado adulto, considerado como um sucesso cl?nico. O plano de tratamento deste caso consistiu na confec??o de pr?tese parcial remov?vel associada a coroas telesc?picas a fim de selar comunica??o oronasal e restabelecer a estabilidade oclusal, dimens?o vertical de oclus?o assim como o suporte labial. A abordagem prot?tica adotada neste caso foi efetiva visto ter restabelecido a fun??o mastigat?ria e a est?tica do sujeito fissurado. Contudo, mais estudos que utilizem m?todos de avalia??o quantitativa e qualitativa s?o necess?rios para melhor entender as vari?veis estudas nesses sujeitos a fim de otimizar o respectivo tratamento odontol?gico.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/1236 |
| Date | 22 October 2013 |
| Creators | Palmeiro, Marina Rechden Lobato |
| Contributors | Shinkai, Rosemary Sadami Arai |
| 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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