Tratamento ortodôntico e o impacto na qualidade de vida relacionada à saúde bucal de crianças e adolescentes

: revisão sistemática

Abstract

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.

Date of Award	20 Jul 2023
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Anna Moura (Supervisor) & Lívia Azeredo Alves Antunes (Co-Supervisor)