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Abstract(s)
Introdução: A deformidade dentofacial caracteriza-se pela existência de desproporção
esquelética e má oclusão dentária severa. Estima-se que cerca de 20% da população
mundial padece desta condição considerada incapacitante que compromete os seus
portadores a nível funcional, físico, psicológico e social. A opção terapêutica de eleição
para estes indivíduos cujo potencial de crescimento ativo já cessou é o tratamento
ortodôntico – cirúrgico - ortognático.
Materiais e Métodos: Para avaliar o impacto psicossocial em pacientes submetidos a
tratamento ortodôntico – cirúrgico – ortognático, foi realizado um estudo transversal
descritivo. Assim, foram aplicados dois questionários: a Escala de Autoestima Global de
Rosenberg (RSES) e o Questionário de avaliação da qualidade de vida da Organização
Mundial de Saúde (WHOQoL- Bref). Esta investigação apresentou uma amostra total de
187 inquiridos divididos em dois grupos: o de controlo (constituído por 154 indivíduos que
realizaram tratamento ortodôntico convencional) e o de estudo (composto por 33
participantes submetidos a tratamento ortodôntico – cirúrgico – ortognático).
Resultados: A amostra total apresentou idades compreendidas entre os 18 e os 57 anos
e idade média de 24,4 anos (±6,53). Relativamente à autoestima geral específica para
cada grupo, obteve-se uma média de 48,59 (±7,73) para o grupo de controlo e de 52,09
(±5,02) para o grupo de estudo. Quanto à qualidade de vida, apenas foram encontradas
diferenças estatisticamente significativas no domínio físico (p=0,023) entre ambos os
grupos da amostra. Nos restantes domínios, o mesmo não se verificou (p>0,05).
Conclusão: Os pacientes submetidos ao tratamento ortodôntico – cirúrgico - ortognático
apresentam níveis de autoestima superiores comparativamente aos pacientes que
realizaram tratamento ortodôntico convencional. Quanto à qualidade de vida, o grupo de
estudo apresentou valores mais altos no domínio físico. Nos restantes domínios não
foram registadas diferenças estatisticamente significativas. O(a) médico(a) dentista
parece ser o(a) principal responsável pelo encaminhamento dos pacientes com
deformidade dentofacial.
Introduction: Dentofacial deformity is characterized by the existence of skeletal disproportions and severe dental malocclusion. It is estimated that about 20% of the world population suffers from this condition, which is considered disabling since compromises its carriers at functional, physical, psychological and social levels. The therapeutic option for these individuals whose potential for active growth has ceased is combined orthodonticorthognathic surgical treatment. Materials and Methods: To assess the psychosocial impact on patients undergoing orthodontic treatment in conjunction with orthognathic surgery, a descriptive crosssectional study was carried out. Thus, to assess these variables, two questionnaires were applied: the Rosenberg Global Self Esteem Scale (RSES) and the World Health Organization's Quality of Life Assessment Questionnaire (WHOQoL-Bref). This investigation presented a total sample of 187 participants divided into two groups: the control group (consisting of 154 individuals who underwent conventional orthodontic treatment) and the study group (composed of 33 participants undergoing combined orthodontic-orthognathic surgical treatment). Results: The total sample was aged between 18 and 57 years old with an average age of 24.4 years old (±6.53). Regarding the specific general self-esteem for each group, an average of 48.59 (±7.73) was obtained for the control group and 52.09 (±5.02) for the study group. Concerning quality of life, only statistically significant differences were found in the physical domain (p=0.023) between both sample groups. In the remaining domains, the same was not verified (p>0.05). Conclusion: Patients undergoing combined orthodontic-orthognathic surgical treatment have higher levels of self-esteem compared to patients who underwent conventional orthodontic treatment. As for quality of life, the study group had higher values in the physical domain. In the remaining domains, no statistically significant differences were registered. The dentist is primarily responsible for referring patients with dentofacial deformities.
Introduction: Dentofacial deformity is characterized by the existence of skeletal disproportions and severe dental malocclusion. It is estimated that about 20% of the world population suffers from this condition, which is considered disabling since compromises its carriers at functional, physical, psychological and social levels. The therapeutic option for these individuals whose potential for active growth has ceased is combined orthodonticorthognathic surgical treatment. Materials and Methods: To assess the psychosocial impact on patients undergoing orthodontic treatment in conjunction with orthognathic surgery, a descriptive crosssectional study was carried out. Thus, to assess these variables, two questionnaires were applied: the Rosenberg Global Self Esteem Scale (RSES) and the World Health Organization's Quality of Life Assessment Questionnaire (WHOQoL-Bref). This investigation presented a total sample of 187 participants divided into two groups: the control group (consisting of 154 individuals who underwent conventional orthodontic treatment) and the study group (composed of 33 participants undergoing combined orthodontic-orthognathic surgical treatment). Results: The total sample was aged between 18 and 57 years old with an average age of 24.4 years old (±6.53). Regarding the specific general self-esteem for each group, an average of 48.59 (±7.73) was obtained for the control group and 52.09 (±5.02) for the study group. Concerning quality of life, only statistically significant differences were found in the physical domain (p=0.023) between both sample groups. In the remaining domains, the same was not verified (p>0.05). Conclusion: Patients undergoing combined orthodontic-orthognathic surgical treatment have higher levels of self-esteem compared to patients who underwent conventional orthodontic treatment. As for quality of life, the study group had higher values in the physical domain. In the remaining domains, no statistically significant differences were registered. The dentist is primarily responsible for referring patients with dentofacial deformities.
Description
Keywords
Deformidade dentofacial Qualidade de vida Autoestima Ortodontia Cirurgia ortognática Orthodontics Dentofacial deformity Quality of life Self-esteem Orthodontics Orthognathic surgery