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Dor e desconforto na aplicação e utilização de mini-implantes ortodônticos: uma revisão sistemática
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| Projeto de pós-graduação_39657 | 1.28 MB | Adobe PDF |
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Abstract(s)
Os mini-implantes ortodônticos são amplamente utilizados como dispositivos de ancoragem temporária no tratamento ortodôntico. No entanto, a perceção da dor e do desconforto durante a sua aplicação e utilização ainda gera controvérsias. O objetivo desta revisão sistemática foi avaliar a aceitação e perceção da dor pelos pacientes em relação à colocação e utilização de mini-implantes ortodônticos, bem como a sua influência nas atividades diárias. Métodos: A pesquisa bibliográfica foi realizada nas bases de dados eletrónicas PubMed/Medline, Elsevier, Cochrane Library e B-On, seguindo a estratégia PICOS (População, Intervenção, Comparação, Outcome, Study design). Os critérios de inclusão foram ensaios clínicos randomizados realizados em humanos saudáveis de ambos os sexos, submetidos a tratamento ortodôntico com mini-implantes, com idade mínima de 10 anos. Foram excluídos outros tipos de estudo que não ensaios clínicos randomizados, estudos em animais, casos clínicos, revisões e pacientes com patologias sistémicas. As palavras-chave utilizadas incluíram "orthodontic mini-implant", "orthodontic miniscrew", "orthodontic anchorage procedures", "pain", "discomfort" e "post-operative pain". O risco de viés foi avaliado com a ferramenta da Joanna Briggs Institute. Resultados: Foram identificados 328 estudos, dos quais, após a aplicação dos critérios de inclusão e exclusão e eliminação dos duplicados, restaram 7 estudos. A avaliação do risco de viés indicou que a maioria dos estudos apresentava baixo risco de viés. Conclusões: Os mini-implantes ortodônticos tendem a causar menos dor e desconforto em comparação com outros procedimentos médico-dentários, tornando-se uma opção de tratamento bem aceite. A perceção da dor varia de acordo com a técnica utilizada e fatores individuais como idade e género. Abordagens que reduzem a ansiedade e a dor, como o uso de técnicas menos invasivas e uma comunicação eficaz, podem melhorar significativamente a experiência geral do tratamento ortodôntico com mini-implantes.
Orthodontic mini-implants are widely used as temporary anchorage devices in orthodontic treatment. However, the perception of pain and discomfort during their application and use remains controversial. The objective of this systematic review was to evaluate patients' acceptance and perception of pain regarding the placement and use of orthodontic mini-implants, as well as their influence on daily activities. Methods: A bibliographic search was conducted in the electronic databases PubMed/Medline, Elsevier, Cochrane Library, and B-On, following the PICOS strategy (Population, Intervention, Comparison, Outcome, Study design). The inclusion criteria were randomized clinical trials conducted on healthy humans of both sexes undergoing orthodontic treatment with mini-implants, with a minimum age of 10 years. Exclusion criteria included studies that were not randomized clinical trials, studies on animals, case reports, reviews, and patients with systemic diseases. The keywords used included "orthodontic mini-implant", "orthodontic miniscrew", "orthodontic anchorage procedures", "pain", "discomfort", and "post-operative pain". The risk of bias was assessed using the Joanna Briggs Institute tool. Results: A total of 328 studies were found, of which, after applying inclusion and exclusion criteria and removing duplicates, 7 studies remained. The risk of bias assessment indicated that most studies had a low risk of bias. Conclusions: Orthodontic mini-implants tend to cause less pain and discomfort compared to other dental procedures, making them a well-accepted treatment option. The perception of pain varies depending on the technique used and individual factors such as age and gender. Approaches that reduce anxiety and pain, such as using less invasive techniques and effective communication, can significantly enhance the overall experience of orthodontic treatment using mini-implants.
Orthodontic mini-implants are widely used as temporary anchorage devices in orthodontic treatment. However, the perception of pain and discomfort during their application and use remains controversial. The objective of this systematic review was to evaluate patients' acceptance and perception of pain regarding the placement and use of orthodontic mini-implants, as well as their influence on daily activities. Methods: A bibliographic search was conducted in the electronic databases PubMed/Medline, Elsevier, Cochrane Library, and B-On, following the PICOS strategy (Population, Intervention, Comparison, Outcome, Study design). The inclusion criteria were randomized clinical trials conducted on healthy humans of both sexes undergoing orthodontic treatment with mini-implants, with a minimum age of 10 years. Exclusion criteria included studies that were not randomized clinical trials, studies on animals, case reports, reviews, and patients with systemic diseases. The keywords used included "orthodontic mini-implant", "orthodontic miniscrew", "orthodontic anchorage procedures", "pain", "discomfort", and "post-operative pain". The risk of bias was assessed using the Joanna Briggs Institute tool. Results: A total of 328 studies were found, of which, after applying inclusion and exclusion criteria and removing duplicates, 7 studies remained. The risk of bias assessment indicated that most studies had a low risk of bias. Conclusions: Orthodontic mini-implants tend to cause less pain and discomfort compared to other dental procedures, making them a well-accepted treatment option. The perception of pain varies depending on the technique used and individual factors such as age and gender. Approaches that reduce anxiety and pain, such as using less invasive techniques and effective communication, can significantly enhance the overall experience of orthodontic treatment using mini-implants.
Description
Keywords
Mini-implantes ortodônticos Procedimentos de ancoragem ortodôntica Dor Desconforto Dor pós-operatória Orthodontic mini-implants Orthodontic anchorage procedures Pain Discomfort Post-operative pain