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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.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/7235 |
| Date | 21 December 2016 |
| Creators | Bronstrup, Mariana Bauer |
| 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, Brasil, Faculdade de Odontologia |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| 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, 600, 600, 600, 600, 4673435736271820140, -2070498469879244349, 2075167498588264571 |
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