| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 9.54 MB | Adobe PDF |
Abstract(s)
Introdução: São inúmeras as mudanças a nível psicológico que podem ocorrer quando se realiza uma cirurgia ortognática. Revela-se de interesse social estudar, se realmente, pacientes com deformidade dento-facial apresentam na verdade uma menor qualidade de vida e baixa autoestima de maneira a complementar o tratamento ortodôntico-cirúrgico-ortognático. Até hoje este tema, que relaciona a medicina dentária e a psicologia, foi muito pouco estudado em Portugal. Objetivos: Avaliar o impacto psicossocial em pacientes com deformidade dento-facial e encontrar diferenças entre o género, idade e tipo de classe esquelético nesses pacientes. Materiais e Métodos: Realização de dois questionários para apreciação da qualidade de vida (WHOQoL-Bref) e autoestima (Escala de autoestima de Rosenberg) aplicados em pacientes com diagnóstico de deformidade dento-facial dado pelo médico-dentista e/ou cirurgião maxilo-facial e em pacientes com indicação para tratamento ortodôntico convencional. Resultados: Os pacientes com deformidade dento-facial não apresentaram valores estatisticamente diferentes de qualidade de vida relativamente a pacientes com indicação para tratamento ortodôntico convencional, mas por outro lado as diferenças revelaram-se significantes na autoestima, ditando que os primeiros exibem valores menores de autoestima. O género vê-se associado apenas no domínio psicológico da qualidade de vida, onde o género feminino surgiu com diferenças estatisticamente significativas. Já a Classe esquelética não originou diferenças significativas nas variáveis em estudo. Em relação à variável idade, esta surgiu estatisticamente associada à autoestima, de forma que paciente mais jovens possuem valores mais baixos. Conclusão: Pacientes com deformidade dento-facial apresentaram uma autoestima geral significativamente mais baixa que o grupo controlo. Foi verificado a existência de diferenças estatisticamente significativas entre o homens e mulheres no domínio psicológico da qualidade de vida, bem como entre as diferentes faixas etárias na autoestima geral. O conhecimento destas diferenças é imprescindível para conceder aos pacientes um tratamento mais personalizado, integrado e completo.
Introduction: There are countless psychological changes that can occur when orthognathic surgery is performed. Therefore, it is of social interest to study if in reality patients with DFD actually have a lower quality of life and low self-esteem in order to complement orthodontic-surgical-orthognathic treatment. Until today, this topic which relates dentistry and psychology, has been little studied in Portugal. Objectives: To evaluate the psychosocial impact in patients with dento-facial deformity and find differences between gender, age and type of skeletal class in these patients. Materials and Methods: Two questionnaires were carried out to assess quality of life (WHOQoL-Bref) and self-esteem (Rosenberg's self-esteem scale) applied to patients diagnosed with dentofacial deformity by the dentist and / or maxillofacial surgeon and in patients with indication for conventional orthodontic treatment. Results: Patients with dento-facial deformity did not present statistically different values of quality of life compared to patients with indication for conventional orthodontic treatment. On the other hand, the differences proved to be significant in self-esteem, dictating that the former exhibit lower values of self-esteem. Gender is associated only in the psychological domain of quality of life, in which the female gender has emerged with statistically significant differences. The Skeletal Class did not cause significant differences in the variables under study. Regarding the age variable, it appeared statistically associated with self-esteem, in which younger patients have lower values. Conclusion: Patients with facial-facial deformity showed lower general self-esteem than the control group. It was verified the existence of statistically significant differences between men and women in the psychological domain of quality of life, as well as between different age groups in general self-esteem. The knowledge of these differences is essential to grant patients a more personalized, integrated and complete treatment.
Introduction: There are countless psychological changes that can occur when orthognathic surgery is performed. Therefore, it is of social interest to study if in reality patients with DFD actually have a lower quality of life and low self-esteem in order to complement orthodontic-surgical-orthognathic treatment. Until today, this topic which relates dentistry and psychology, has been little studied in Portugal. Objectives: To evaluate the psychosocial impact in patients with dento-facial deformity and find differences between gender, age and type of skeletal class in these patients. Materials and Methods: Two questionnaires were carried out to assess quality of life (WHOQoL-Bref) and self-esteem (Rosenberg's self-esteem scale) applied to patients diagnosed with dentofacial deformity by the dentist and / or maxillofacial surgeon and in patients with indication for conventional orthodontic treatment. Results: Patients with dento-facial deformity did not present statistically different values of quality of life compared to patients with indication for conventional orthodontic treatment. On the other hand, the differences proved to be significant in self-esteem, dictating that the former exhibit lower values of self-esteem. Gender is associated only in the psychological domain of quality of life, in which the female gender has emerged with statistically significant differences. The Skeletal Class did not cause significant differences in the variables under study. Regarding the age variable, it appeared statistically associated with self-esteem, in which younger patients have lower values. Conclusion: Patients with facial-facial deformity showed lower general self-esteem than the control group. It was verified the existence of statistically significant differences between men and women in the psychological domain of quality of life, as well as between different age groups in general self-esteem. The knowledge of these differences is essential to grant patients a more personalized, integrated and complete treatment.
Description
Keywords
Deformidade dento-facial Ortodontia Tratamento ortodôntico-cirúrgico-ortognático Autoestima Qualidade de vida Dental-facial deformity Orthodontics Surgical-orthodontic treatment Self-esteem Quality of life