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Impacto dos alinhadores invisíveis nos tecidos periodontais durante o tratamento ortodôntico com alinhadores: estudo clínico
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| Projeto de pós-graduação_40178 | 1.24 MB | Adobe PDF |
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Objetivos: Avaliar os efeitos dos alinhadores dentários transparentes sobre os tecidos periodontais e sobre o estado de saúde oral, bem como a higiene oral, o nível de satisfação e a perceção dos pacientes durante o tratamento ortodôntico com o uso de alinhadores. Métodos: Estudo clínico aprovado pela Comissão de Ética da Universidade Fernando Pessoa. A avaliação do Índice de Placa e Índice Gengival foi realizada através do preenchimento de uma ficha clínica. Os restantes parâmetros foram avaliados através de um questionário entregue a cada participante através de um QR code. Resultados: A amostra incluiu 30 participantes em tratamento ortodôntico com alinhadores transparentes. Verificou-se que 33,3% dos participantes se declararam satisfeitos e 60% muito satisfeitos com o tratamento. No que diz respeito ao impacto na saúde periodontal, dor e estética, todos os participantes relataram sentir dor nos dentes, com intensidade variável: 30% relataram dor moderada e 23,3% dor intensa. A maioria indicou que a dor era mais intensa no primeiro dia (53,3%), seguido pelo dia da troca (23,3%) ou nos dias subsequentes (23,3%). No que toca à higiene oral, 83,3% dos participantes seguiram as instruções do médico dentista, e 3,3% encontraram dificuldades na limpeza dos alinhadores. Além disso, 26,7% notaram alterações na saúde das gengivas. Ainda, 23,3% afirmaram que os alinhadores influenciaram positivamente a sua autoestima. Clinicamente, a cor das gengivas foi considerada normal em todos os participantes durante o tratamento, e não foi observada placa abundante em nenhum dos períodos avaliados. No entanto, após três meses, 46,7% apresentaram placa mínima. Foi observado que 30% dos participantes relataram dor moderada e 23,3% relataram dor intensa após consultas de controlo. Conclusão: Não se verificaram diferenças estatisticamente significativas entre o conforto dos alinhadores e a manutenção da higiene oral, nem entre a dor e o nível de saúde periodontal. Em suma, o uso de alinhadores invisíveis é geralmente bem tolerado e apreciado pelos participantes, com um alto grau de satisfação estética e de conforto, sem associação estatisticamente significativa entre os vários parâmetros periodontais e a perceção do tratamento.
Objectives: To evaluate the effects of clear dental aligners on periodontal tissues and oral health status, as well as oral hygiene, the level of satisfaction, and perception of patients during orthodontic treatment with aligners. Methods: Clinical study approved by the Ethics Committee of Universidade Fernando Pessoa. The Plaque Index and Gingival Index were assessed through the completion of a clinical form. Other parameters were evaluated using a questionnaire delivered to each participant via a QR code. Results: The sample included 30 participants undergoing orthodontic treatment with invisible aligners. It was found that 33.3% of participants declared themselves satisfied and 60% very satisfied with the treatment. Regarding the impact on periodontal health, pain, and aesthetics, all participants reported experiencing tooth pain with varying intensity: 30% reported moderate pain and 23.3% reported intense pain. Most indicated that pain was most intense on the first day (53.3%), followed by the day of the aligner change (23.3%) or subsequent days (23.3%). Regarding oral hygiene, 83.3% of participants followed the dentist’s instructions, while 3.3% found it difficult to clean the aligners. Additionally, 26.7% noticed changes in gum health. Furthermore, 23.3% stated that the aligners positively influenced their self-esteem. Clinically, the gum color was considered normal in all participants throughout the treatment, and no abundant plaque was observed at any of the evaluated periods. However, after three months, 46.7% presented minimal plaque. It was observed that 30% of participants reported moderate pain and 23.3% reported intense pain after follow-up appointments. Conclusion: No statistically significant differences were found between the comfort of the aligners and oral hygiene maintenance, nor between pain and periodontal health levels. In conclusion, the use of invisible aligners is generally well tolerated and appreciated by participants, with a high degree of aesthetic satisfaction and comfort, and no statistically significant association between various periodontal parameters and treatment perception.
Objectives: To evaluate the effects of clear dental aligners on periodontal tissues and oral health status, as well as oral hygiene, the level of satisfaction, and perception of patients during orthodontic treatment with aligners. Methods: Clinical study approved by the Ethics Committee of Universidade Fernando Pessoa. The Plaque Index and Gingival Index were assessed through the completion of a clinical form. Other parameters were evaluated using a questionnaire delivered to each participant via a QR code. Results: The sample included 30 participants undergoing orthodontic treatment with invisible aligners. It was found that 33.3% of participants declared themselves satisfied and 60% very satisfied with the treatment. Regarding the impact on periodontal health, pain, and aesthetics, all participants reported experiencing tooth pain with varying intensity: 30% reported moderate pain and 23.3% reported intense pain. Most indicated that pain was most intense on the first day (53.3%), followed by the day of the aligner change (23.3%) or subsequent days (23.3%). Regarding oral hygiene, 83.3% of participants followed the dentist’s instructions, while 3.3% found it difficult to clean the aligners. Additionally, 26.7% noticed changes in gum health. Furthermore, 23.3% stated that the aligners positively influenced their self-esteem. Clinically, the gum color was considered normal in all participants throughout the treatment, and no abundant plaque was observed at any of the evaluated periods. However, after three months, 46.7% presented minimal plaque. It was observed that 30% of participants reported moderate pain and 23.3% reported intense pain after follow-up appointments. Conclusion: No statistically significant differences were found between the comfort of the aligners and oral hygiene maintenance, nor between pain and periodontal health levels. In conclusion, the use of invisible aligners is generally well tolerated and appreciated by participants, with a high degree of aesthetic satisfaction and comfort, and no statistically significant association between various periodontal parameters and treatment perception.
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Keywords
Movimento dentário Alinhadores transparentes Impacto nos tecidos periodontais Tratamento Invisalign® Tratamento ortodôntico Inter-relações periodontais-ortodônticas Dental movement Transparent aligners Impact on periodontal tissues Invisalign® treatment Orthodontic treatment Periodontal-orthodontic interrelationships