Avaliação da qualidade de vida geral e relacionada à saúde de pacientes com deformidades dentofaciais após tratamento orto-cirúrgico

• Ano de defesa: 2013
• Autor(a) principal: Göelzer, Juliana Gonçalves
• Orientador(a): Oliveira, Rogério Belle de
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Pontifícia Universidade Católica do Rio Grande do Sul
• Programa de Pós-Graduação: Programa de Pós-Graduação em Odontologia
• Departamento: Faculdade de Odontologia
• País: BR
• Palavras-chave em Português: ODONTOLOGIA; CIRURGIA ORTOGNÁTICA; QUALIDADE DE VIDA; SAÚDE BUCAL; CIRURGIA BUCOMAXILOFACIAL
• Área do conhecimento CNPq: CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA
• Link de acesso: http://tede2.pucrs.br/tede2/handle/tede/1242

Dentofacial deformities affect the jaws and teeth, and can lead to functional, social and psychological disorders. This study evaluated the impact of oral health problems in related quality of life in adults with dentofacial deformities, before and after orthognathic surgery, and its impact on quality of life in general and related to oral health. For this, there were used the questionnaires Whoqol-bref, OQLQ and OHIP-14. This study included 74 patients who presented for dentofacial deformity treatment and Angle malocclusion Class I, II and III, at the Department of Oral and Maxillofacial Surgery, School of Dentistry of Pontifícia Universidade Católica do Rio Grande do Sul between 2006 and 2012. The patients underwent previous orthodontic treatment and they were healthy. Patients with palate and lip cleft, syndromes, traumatic facial deformities or congenital malformation, pregnants, patients younger than 15 years and patients with pre-existing systemic diseases were excluded. The subjects were asked to answer a questionnaire with questions before surgery (T0) and another in an average of 4-6 months of postoperative follow-up (T1). The study group consisted of 49 women (66.2%) and 25 men (33.8%), with age between 15 and 53 years (mean 28.0 ± 9.0), 58 patients (78.4%) were Angle Class III, 11 patients (14.9%) Angle Class II and 05 patients (6.8%) were Class I. Through the Whoqol-bref, w e noticed a significant increase (WILCOXON, p ≤ 0.01) of the scores in the domains between T0 and T1, indicating significant improvement in quality of life, with the exception of patients Angle Class I. There was also a significant reduction (WILCOXON, p ≤ 0.01) between the average overall score OQLQ the preoperative (T0 = 48.0 ± 22.8) to the postoperative (T1 = 11.9 ± 7.8), and a significant improvement in quality of life related to oral health after surgery. There was a statistically significant reduction (WILCOXON, p ≤ 0.01) between the average overall score of OHIP-14 preoperatively (T0 = 13.10 ± 6.1), for the post-treatment period (T1 = 3.20 ± 3.8), and also in the evaluated domains. This study demonstrated that the orthognathic surgery had a positive impact on the oral health of evaluated patients and it noted significant changes in overall and oral health-related quality of life after surgery. It was concluded that orthodontic treatment combined with orthognathic surgery is a treatment modality reliable, with positive impact on facial aesthetics, oral function, facial appearance and awareness of social benefits, such as improved self-confidence, indicating that orthognathic surgery is appropriate therapy for patients with dentofacial deformity, despite some risks and morbidity related to the procedure performed.