Impacto psicossocial em pacientes com indicação para o tratamento ortodôntico - cirúrgico - ortognático submetidos a camuflagem ortodôntica

Abstract

Introduction: Dentofacial deformities can negatively affect the quality of life and self-esteem of individuals. Camouflage is one of the treatment options after the growth spurt has been achieved and it is the only alternative method for individuals who refuse to undergo Orthodontic-Orthognathic Treatment. Objectives: This study aims to assess the quality of life and self-esteem in patients with an indication for orthodontic-orthognathic surgical-treatment undergoing camouflage and to analyze how the socio-demographic variables can influence these psycho-social dimensions. It also aims to evaluate the motivations that lead these patients to seek the camouflage treatment and the impact of the different skeletal classes on the values of quality of life and self-esteem obtained. Materials and Methods: Descriptive, observational and cross-sectional study. The sample consisted of a control group (patients undergoing conventional orthodontic treatment) and a study group (patients undergoing camouflage). Data collection was performed using the Rosenber Global Self-Esteem Scale, the WHQoL-Bref and the questionnaire of additional informations about the patient. Results: The sample consisted of 286 elements 154 belonging to the control group ( patients submitted to conventional orthodontic treatment) and 132 submitted to camouflage. The prevalence of the participants was 58% in the female gender (n=166), and the average age was 25.2 years ±7.79. The study group demonstrated a mean self-esteem value of 45.37 (±8.01). Regarding quality of life, this group obtained a mean score in the general domain of 8.03 (±1.28), in the physical domain of 15.66 (±2.39), in the psychological domain of 13.05 (±1.86), in the environment domain of 15.40 (±8.02) and a mean value of 15.732 (±2.88) in social relations. The different skeletal classes did not influence the quality of life and self-esteem of the patients submitted to camouflage and, the main reason for seeking treatment was to obtain an aesthetic improvement. The main motivation for refusing orthognathic surgery was the fear of possible side effects arising from it. Conclusion: Patients treated with camouflage tended to have lower quality of life values in the general domain (p=0.001), in that of the environment (p=0.001) and higher in that of social relationships (p=0.033). Similarly, lower values of self-esteem (p=0.001) were found in these patients.

Date of Award	16 Jul 2021
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Susana Silva (Supervisor) & Vitor Teixeira (Co-Supervisor)