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Análise da qualidade de vida de pacientes reabilitados com implantes dentários da Clínica Dentária Universitária da FMDUCP
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Introdução: O edentulismo afeta profundamente a dimensão funcional, estética e psicossocial do indivíduo. A reabilitação com implantes dentários apresenta-se como uma terapêutica previsível e fiável. Neste contexto, avaliar a perceção subjetiva do paciente face ao tratamento através de Patient-Reported Outcome Measures tornou se essencial para aferir o verdadeiro sucesso clínico. Objetivo: Avaliar a Qualidade de Vida Relacionada com a Saúde Oral (QdVRSO) em pacientes reabilitados com implantes dentários na Clínica Dentária Universitária da Universidade Católica Portuguesa (CDU-FMDUCP), aplicando os instrumentos OHIP 14, QoLIP-10 e uma escala Visual Analógica (VAS). Materiais e Métodos: <br/>Estudo observacional, transversal e analítico numa amostra de conveniência de 42 pacientes com reabilitações implantossuportadas em função. Recolheram-se dados clínicos, sociodemográficos e comportamentais, complementados por exame intraoral e aplicação dos inquéritos. A análise estatística inclui validação psicométrica, elaboração de perfis de resposta e testes inferenciais não paramétricos. Resultados: A amostra, predominantemente >60 anos e equilibrada entre os géneros, reportou níveis excelentes de QdVRSO, verificando-se um acentuado efeito de teto. <br/>O OHIP-14, obteve consistência interna robusta (α=0,835) e o QoLIP-10 aceitável (α=0,732), mas demonstrou fraca sensibilidade. A análise dos perfis de resposta identificou vulnerabilidades mascaradas pelo efeito de teto, onde o desconforto cirúrgico, os custos financeiros e a ansiedade penalizaram a satisfação. O OHIP-14 registou diferenças significativas face à complexidade da reabilitação, número de implantes, tempo em função e regularidade das consultas. Na VAS, apenas a idade gerou diferenças significativas. Conclusão: A QdVRSO dos pacientes reabilitados na CDU-FMDUCP é globalmente positiva. O OHIP-14 e a VAS confirmaram-se ferramentas robustas para monitorização clínica. O QoLIP-10 carece da sensibilidade, desaconselhando-se o seu uso isolado sem validação. A complexidade do tratamento dita maiores variações significativas na satisfação, do que hábitos de higiene, comprovando-se a utilidade dos perfis de resposta para detetar vulnerabilidades individuais e otimizar o <br/>acompanhamento clínico.
Introduction: Edentulism profoundly affects the functional, aesthetic, and psychosocial dimensions of the individual. Rehabilitation with dental implants presents itself as a predictable and reliable therapy. In this context, assessing the patient's subjective perception of the treatment through Patient-Reported Outcome Measures (PROMs) has become essential to determine true clinical success. Objective: To evaluate Oral Health-Related Quality of Life (OHRQoL) in patients rehabilitated with dental implants at the University Dental Clinic of the Portuguese Catholic University (CDU-FMDUCP), applying the OHIP-14 and QoLIP-10 instruments, as well as a Visual Analogue Scale (VAS). Materials and Methods: An observational, cross-sectional, and analytical study conducted on a convenience sample of 42 patients with implant-supported restorations in function. Clinical, sociodemographic, and behavioral data were collected, complemented by an intraoral examination and the administration of the surveys. The statistical analysis includes psychometric validation, the development of response profiles, and non-parametric inferential tests. <br/>Results: The sample, predominantly >60 years old and balanced between genders, reported excellent levels of OHRQoL, with a pronounced ceiling effect being observed. The OHIP-14 achieved robust internal consistency (α=0,835) and the QoLIP-10 achieved acceptable consistency (α=0,732), but the latter demonstrated weak sensitivity. The analysis of response profiles identified vulnerabilities masked by the ceiling effect, where surgical discomfort, financial costs, and anxiety penalized satisfaction. The OHIP-14 recorded significant differences regarding the complexity of <br/>the rehabilitation, number of implants, time in function, and regularity of appointments. On the VAS, only age generated significant differences. <br/>Conclusion: The OHRQoL of patients rehabilitated at the CDU-FMDUCP is globally positive. The OHIP-14 and the VAS proved to be robust tools for clinical monitoring. The QoLIP-10 lacks sensitivity, and its isolated use without validation is discouraged. Treatment complexity dictates greater significant variations in satisfaction than hygiene habits, proving the utility of response profiles in detecting individual vulnerabilities and optimizing clinical follow-up.
Introduction: Edentulism profoundly affects the functional, aesthetic, and psychosocial dimensions of the individual. Rehabilitation with dental implants presents itself as a predictable and reliable therapy. In this context, assessing the patient's subjective perception of the treatment through Patient-Reported Outcome Measures (PROMs) has become essential to determine true clinical success. Objective: To evaluate Oral Health-Related Quality of Life (OHRQoL) in patients rehabilitated with dental implants at the University Dental Clinic of the Portuguese Catholic University (CDU-FMDUCP), applying the OHIP-14 and QoLIP-10 instruments, as well as a Visual Analogue Scale (VAS). Materials and Methods: An observational, cross-sectional, and analytical study conducted on a convenience sample of 42 patients with implant-supported restorations in function. Clinical, sociodemographic, and behavioral data were collected, complemented by an intraoral examination and the administration of the surveys. The statistical analysis includes psychometric validation, the development of response profiles, and non-parametric inferential tests. <br/>Results: The sample, predominantly >60 years old and balanced between genders, reported excellent levels of OHRQoL, with a pronounced ceiling effect being observed. The OHIP-14 achieved robust internal consistency (α=0,835) and the QoLIP-10 achieved acceptable consistency (α=0,732), but the latter demonstrated weak sensitivity. The analysis of response profiles identified vulnerabilities masked by the ceiling effect, where surgical discomfort, financial costs, and anxiety penalized satisfaction. The OHIP-14 recorded significant differences regarding the complexity of <br/>the rehabilitation, number of implants, time in function, and regularity of appointments. On the VAS, only age generated significant differences. <br/>Conclusion: The OHRQoL of patients rehabilitated at the CDU-FMDUCP is globally positive. The OHIP-14 and the VAS proved to be robust tools for clinical monitoring. The QoLIP-10 lacks sensitivity, and its isolated use without validation is discouraged. Treatment complexity dictates greater significant variations in satisfaction than hygiene habits, proving the utility of response profiles in detecting individual vulnerabilities and optimizing clinical follow-up.
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Qualidade de vida Saúde oral Prótese dentária, implantossuportada Implantes dentários Medidas de resultados reportados pelo doente Quality of life Oral health Dental prosthesis Implant-Supported Dental Implants Patient reported outcome measures
Contexto Educativo
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Licença CC
Sem licença CC