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Métodos Terapêuticos e Terapias MTCI
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1.
Angle Orthod ; 78(6): 977-82, 2008 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-18947272

RESUMO

OBJECTIVE: To compare the prevalence, intensity, and extent of condition-specific oral impacts on quality of life attributed to malocclusion by Brazilian adolescents with normal occlusion and those with Angle Class I, II, and III malocclusion. MATERIALS AND METHODS: Four groups of 55 adolescents were configured such that each group represented normal occlusion, as well as Angle Class I, II, and III malocclusion. No radiographs were taken. Adolescents aged 15 to 16 years were selected from those attending all secondary schools in Bauru (Sao Paulo, Brazil). The Oral Impacts on Daily Performances index was used to collect data on condition-specific impacts (CSIs) attributed to malocclusion. The prevalence, as well as the intensity and extent, of CSIs was compared among the four groups with the use of Chi-square and Kruskal-Wallis tests, respectively. RESULTS: Groups were comparable according to sex, age, and socioeconomic status. The prevalence of CSI was significantly different between groups (P = .039). Class II and III malocclusion groups reported a higher prevalence of CSI than those with normal occlusion and Class I malocclusion. However, the intensity and extent of CSI were not significantly different between groups. CONCLUSIONS: The prevalence, but not the intensity and extent, of CSIs attributed to malocclusion differed among groups with different malocclusions. The present findings support the concept that malocclusion has physical, psychological, and social effects on quality of life.


Assuntos
Oclusão Dentária , Má Oclusão Classe III de Angle/psicologia , Má Oclusão Classe II de Angle/psicologia , Má Oclusão Classe I de Angle/psicologia , Qualidade de Vida , Atividades Cotidianas , Adolescente , Brasil , Estudos Transversais , Ingestão de Alimentos/fisiologia , Escolaridade , Emoções , Feminino , Humanos , Masculino , Higiene Bucal , Relaxamento , Sorriso , Comportamento Social , Classe Social , Fala/fisiologia
2.
Angle Orthod ; 78(3): 482-6, 2008 May.
Artigo em Inglês | MEDLINE | ID: mdl-18416624

RESUMO

OBJECTIVE: To assess the prevalence, intensity, and extent of the impacts on daily performances related to wearing different types of orthodontic appliances. MATERIALS AND METHODS: A total of 1657 students, 15 to 16 years old, were randomly selected from those attending all secondary schools in Bauru, São Paulo, Brazil. Only those wearing orthodontic appliances at the time of the survey were included. Face-to-face structured interviews were done to collect information about impacts on quality of life related to wearing orthodontic appliances, using the Oral Impact on Daily Performances (OIDP). Adolescents were also clinically examined to assess the type of orthodontic appliance they were wearing. Comparisons, by type of orthodontic appliance and covariables, were performed using nonparametric statistical tests. RESULTS: Three hundred fifty-seven adolescents (36.1% boys and 63.9% girls) undergoing orthodontic treatment participated in the study. The prevalence of condition-specific impacts related to wearing orthodontic appliances was 22.7%. Among adolescents with impacts related to wearing orthodontic appliances, 35.8% reported impacts of severe or very severe intensity and 90.1% reported impacts on only one daily performance, commonly eating or speaking. The prevalence, but not the intensity or the extent, of condition-specific impacts differed by type of orthodontic appliance (P = .001). CONCLUSIONS: One in four Brazilian adolescents undergoing orthodontic treatment reported side effects, specific impacts on daily living, related to wearing orthodontic appliances. Such impacts were higher among adolescents wearing fixed rather than removable or a combination of fixed and removable orthodontic appliances. This information could help to inform patients about the frequency and intensity of sociodental impacts during the course of their treatment.


Assuntos
Atividades Cotidianas , Aparelhos Ortodônticos , Qualidade de Vida , Adolescente , Atitude Frente a Saúde , Brasil , Ingestão de Alimentos/fisiologia , Emoções , Feminino , Humanos , Masculino , Higiene Bucal , Aparelhos Ortodônticos/classificação , Relaxamento/fisiologia , Sorriso/fisiologia , Comportamento Social , Classe Social , Fala/fisiologia
3.
Int Dent J ; 52(1): 1-9, 2002 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-11931216

RESUMO

OBJECTIVE: To analyse whether developing countries have sufficient health dollars to treat existing diseases in general and dental caries in particular in their child population. METHODS: Assessments of the costs of treating existing and future caries by the conventional approach. Analysis of WHO dental databases and spreadsheet calculations of costs based upon population projections, prevalence and trends in patterns of caries. FINDINGS: Even though the caries levels are low and most of the disease occurs on the occlusal and the buccal/lingual surfaces, more than 90% of the dental caries remains untreated in Third World countries. Calculations reveal that to restore the permanent dentition of the child population of low-income nations using traditional amalgam restorative dentistry would cost between pounds 1,024 ($US1618) and pounds 2,224 ($US3513) per 1,000 children of mixed ages from 6 to 18 years. This exceeds the available resources for the provision of an essential public health care package for the children of 15 to 29 low-income countries. CONCLUSIONS: To treat caries with the traditional method of restorative dentistry is beyond the financial capabilities of the majority of low-income nations, as three-quarters of these countries do not even have sufficient resources to finance an essential package of health care services for their children.


Assuntos
Assistência Odontológica para Crianças/economia , Cárie Dentária/economia , Restauração Dentária Permanente/economia , Países em Desenvolvimento/economia , Custos de Cuidados de Saúde/estatística & dados numéricos , Adolescente , Criança , Índice CPO , Prestação Integrada de Cuidados de Saúde/economia , Gastos em Saúde/estatística & dados numéricos , Recursos em Saúde/economia , Humanos , Saúde Pública/economia
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