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Previous issue date: 2017-12-20 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Objetivo: Comparar, em pacientes tratados com pr?tese total da articula??o temporomandibular (ATM), a qualidade de vida relacionada ? sa?de bucal antes e ap?s a cirurgia, utilizando a forma curta do perfil de impacto na sa?de bucal (OHIP-14). Material e M?todos: Os participantes foram convidados a completar o OHIP-14 antes da cirurgia (T0) e aos 2 meses (T1), 6 meses (T2) e 1 ano ap?s a cirurgia (T3). A intensidade da dor e a gravidade dos sintomas foram avaliadas usando uma escala visual anal?gica (EVA). Resultados: Dez pacientes tratados com pr?tese de ATM com acompanhamento de 1 ano foram inclu?dos. Entre T0 e T3, os escores m?dios diminu?ram significativamente de 1,1 ? 1,0 para 0,1 ? 0,2 na limita??o funcional, de 3,4 ? 0,6 para 0,0 ? 0,1 em dor f?sica, de 2,9 ? 0,9 para 0,1 ? 0,2 em desconforto psicol?gico, de 2,2 ? 1,5 para 0,1 ? 0,3 em defici?ncia f?sica e de 1,7 ? 0,9 para 0,0 ? 0,0 em defici?ncia psicol?gica (p <0,001 para todas as compara??es). Houve tamb?m uma diminui??o significativa no escore total m?dio de OHIP-14 entre T0 (12,32 ? 5,18) e T3 (0,44 ? 0,65) (p <0,001). Observou-se melhora significativa na dor na ATM de T0 a T3 (p <0,001), com melhorias tamb?m observadas na dor de cabe?a e na fadiga muscular. Conclus?es: Nossos resultados sugerem que a reposi??o total da ATM reduz os sintomas e a dor, levando a uma melhora na qualidade de vida dos pacientes e no bem-estar psicol?gico. / Objective: To compare, in patients treated with total temporomandibular joint (TMJ) prostheses, oral health-related quality of life before and after surgery using the short form of the Oral Health Impact Profile (OHIP-14). Material and Methods: Participants were asked to complete the OHIP-14 before surgery (T0) and at 2 months (T1), 6 months (T2), and 1 year after surgery (T3). Pain intensity and symptom severity were rated using a visual analogue scale (VAS). Results: Ten patients treated with TMJ prostheses completed the 1-year follow-up and were included. Between T0 and T3, mean scores decreased significantly from 1.1?1.0 to 0.1?0.2 in functional limitation, from 3.4?0.6 to 0.0?0.1 in physical pain, from 2.9?0.9 to 0.1?0.2 in psychological discomfort, from 2.2?1.5 to 0.1?0.3 in physical disability, and from 1.7?0.9 to 0.0?0.0 in psychological disability (p < 0.001 for all comparisons). There was also a significant decrease in the mean total OHIP-14 score between T0 (12.32?5.18) and T3 (0.44?0.65) (p < 0.001). Significant improvement was observed in TMJ pain from T0 to T3 (p < 0.001), with improvements also seen in headache and muscle fatigue. Conclusions: Our results suggest that total TMJ replacement reduces symptoms and pain, leading to an improvement in patients? quality of life and psychological well-being.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/8147 |
| Date | 20 December 2017 |
| Creators | Weber, Alexandre |
| Contributors | Lima, Eduardo Martinelli Santayana de |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Odontologia, PUCRS, Brasil, Escola de Ci?ncias da Sa?de |
| Source Sets | IBICT Brazilian ETDs |
| Language | English |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| 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, 500, 600, -2070498469879244349, 2075167498588264571 |
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