| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 2.48 MB | Adobe PDF |
Authors
Abstract(s)
Introdução: A maloclusão pode afetar o funcionamento normal do sistema
estomatognático e apresenta alta prevalência mundial e início precoce e é tratada pela
intervenção ortodôntica. Objetivos: Esta revisão sistemática avaliou se o tratamento
ortodôntico tem impacto na qualidade de vida relacionada à saúde bucal de crianças
e adolescentes. Materiais e métodos: O delineamento metodológico seguiu as
diretrizes Cochrane e o protocolo foi registado. A pergunta de pesquisa foi delineada
a partir do acrônimo PICO: “Existe algum impacto para crianças e adolescentes (P)
em tratamento ortodôntico (I) ao comparar antes e depois da intervenção (C) usando
como desfecho a qualidade de vida relacionada à saúde bucal (O)?”. A busca de alta
sensibilidade incluiu truncagem de termos pelos operadores booleanos OR/AND em
8 bases de dados e foi complementada por bases de registros de revisões
sistemáticas, literatura cinzenta e busca manual nos artigos recuperados. Os estudos
identificados foram inseridos no Mendeley Desktop Software® e os duplicados foram
removidos. As etapas seguintes (aos pares) incluíram a aplicação dos critérios de
elegibilidade, extração dos dados, análise qualitativa dos resultados e avaliação do
risco de viés (RoB2 e ROBINS-I). Os dados encontram-se agrupados para a
realização da metanálise e a qualidade das evidências será avaliada pelo GRADE.
Resultados: Dezesseis estudos compuseram a revisão. A amostra tratada foi
constituída por 1242 indivíduos entre 08 e 17 anos. A qualidade de vida relacionada
à saúde bucal foi avaliada por meio dos instrumentos CPQ e OHIP-14. O tratamento
ortodôntico teve impacto positivo na qualidade de vida em 12 estudos, nos demais o
impacto foi considerado modesto ou inexistente. Os domínios mais afetados pela
intervenção foram relacionados ao bem-estar emocional e social e desconforto e
incapacidade psicológica. Conclusões: Os resultados sugerem impacto positivo do
tratamento ortodôntico na qualidade de vida de crianças e adolescentes, contudo,
novos estudos são necessários.
Introduction: Malocclusion can affect the normal functioning of the stomatognathic system and has a high worldwide prevalence and early onset and is treated by orthodontic intervention. Objective: This systematic review assesses whether orthodontic treatment has an impact on the oral health-related quality of life of children and adolescents. Materials and methods: The methodological design followed Cochrane guidelines and the protocol was registered. The research question was designed from the acronym PICO: “Is there any impact for children and adolescents (P) undergoing orthodontic treatment (I) when comparing before and after the intervention (C) using how they obtained the quality of life related to oral health (O)?". The high-sensitivity search included truncation of terms by Boolean operators OR/AND in 8 databases and was complemented by databases of systematic reviews, gray literature and manual search of retrieved articles. Identified studies were entered into Mendeley Desktop Software® and duplicates were removed. The steps to follow (in pairs) included applying the eligibility criteria, securing the data, qualitatively analyzing the results, and assessing the risk of bias (RoB2 and ROBINS-I). Data are grouped for meta-analysis and the quality of evidence will be assessed by GRADE. Results: Sixteen studies with review configuration. The treated sample consisted of 1242 individuals between 08 and 17 years old. Quality of life related to oral health was assessed using the CPQ and OHIP-14 instruments. Orthodontic treatment had a positive impact on quality of life in 12 studies, in the others the impact was considered modest or non-existent. The domains most affected by the intervention were related to emotional and social well-being and anguish and psychological disability. Conclusions: The results suggest a positive impact of orthodontic treatment on the quality of life of children and adolescents. However, further studies are needed.
Introduction: Malocclusion can affect the normal functioning of the stomatognathic system and has a high worldwide prevalence and early onset and is treated by orthodontic intervention. Objective: This systematic review assesses whether orthodontic treatment has an impact on the oral health-related quality of life of children and adolescents. Materials and methods: The methodological design followed Cochrane guidelines and the protocol was registered. The research question was designed from the acronym PICO: “Is there any impact for children and adolescents (P) undergoing orthodontic treatment (I) when comparing before and after the intervention (C) using how they obtained the quality of life related to oral health (O)?". The high-sensitivity search included truncation of terms by Boolean operators OR/AND in 8 databases and was complemented by databases of systematic reviews, gray literature and manual search of retrieved articles. Identified studies were entered into Mendeley Desktop Software® and duplicates were removed. The steps to follow (in pairs) included applying the eligibility criteria, securing the data, qualitatively analyzing the results, and assessing the risk of bias (RoB2 and ROBINS-I). Data are grouped for meta-analysis and the quality of evidence will be assessed by GRADE. Results: Sixteen studies with review configuration. The treated sample consisted of 1242 individuals between 08 and 17 years old. Quality of life related to oral health was assessed using the CPQ and OHIP-14 instruments. Orthodontic treatment had a positive impact on quality of life in 12 studies, in the others the impact was considered modest or non-existent. The domains most affected by the intervention were related to emotional and social well-being and anguish and psychological disability. Conclusions: The results suggest a positive impact of orthodontic treatment on the quality of life of children and adolescents. However, further studies are needed.
Description
Keywords
Aparelhos ortodônticos Qualidade de vida Criança Adolescente Revisão sistemática Orthodontic appliances Quality of life Child Adolescent Systematic review