Avaliação da qualidade de vida, força de mordida e halitose após reembasamento resiliente com diferentes métodos de polimerização.
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Data
2018-11-06
Autores
Sônego, Mariana Vilela [UNESP]
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Editor
Universidade Estadual Paulista (Unesp)
Resumo
Os reembasadores resilientes têm sido amplamente utilizados em pacientes portadores de próteses totais para melhorar a adaptação da base de resina ao rebordo. Esses apresentam dois métodos de polimerização, um feito diretamente na boca do paciente e outro feito indiretamente em laboratório. Não há estudos na literatura que avaliem a percepção dos pacientes com relação a esse tratamento. Portanto o objetivo desse trabalho foi avaliar a satisfação a qualidade de vida, força de mordida e halitose de pacientes desdentados que tiveram suas próteses totais mandibulares reembasadas com material resiliente (Ufi Gel SC, Voco, Alemanha). Foram selecionados 20 pacientes desdentados seguindo critérios de inclusão e exclusão predefinidos para terem suas próteses mandibulares reembasadas. Estes foram divididos aleatoriamente nos grupos de reembasamento direto ou indireto (n=10). Os ensaios clínicos verificaram a qualidade de vida (OHIP Edent), a satisfação com o reembasamento, a força de mordida e também presença e etiologia de halitose. Os testes clínicos foram realizados inicialmente com as próteses totais sem intervenção, após o reembasamento, aos 30, 60, 90 e 180 dias após o reembasamento. A análise de variância ANOVA (significância de 5%) demonstrou que houve uma diferença estatisticamente significante para o fator tempo para todos os testes, mas a técnica de reembasamento não. Observamos que a qualidade de vida, a satisfação, a força de mordida e halitose melhoraram após o reembasamento. A halitose foi influenciada pelo reembasamento e pela higiene bucal dos pacientes. Apesar de não ter demonstrado diferença estatisticamente entre os métodos de polimerização, foi um resultado favorável tanto para o clínico como para o paciente. Portanto, se não houver diferença entre os métodos de polimerização a longo prazo, não há porque submeter o paciente ao reembasamento indireto. Independentemente do método de polimerização escolhido, o reembasamento com material resiliente a base de silicone demonstrou ser uma alternativa viável para melhorar os aspectos funcionais e a satisfação em pacientes que apresentem dificuldades em utilizar próteses totais mandibulares.
Resilient liners have been widely used for patients wearing complete dentures to improve the adaptation of the base. They present two polymerization methods, one done directly in the patient's mouth and another done indirectly in the laboratory. There are no studies in the literature that assess the perception of patients regarding this treatment. Therefore, the purpose of this paper was to assess, the satisfaction, quality of life of edentulous patients who had their total mandibular prostheses rebased with resilient material (Ufi Gel SC, Voco, Germany). 20 edentulous patients were selected according to predefined inclusion and exclusion criteria. These were randomly divided into the direct or indirect soft reline groups (n = 10). The clinical trial evaluated the quality of life (OHIP Edent), the satisfaction regarding the treatment, the bite force and presence and prevalence of halitosis. The assays were performed in six phases during the treatment: initially with the total prostheses without intervention, after the reline procedure, 30, 60, 90 and 180 days after the reline. The analysis of variance ANOVA (5% significance) demonstrated a statistically significant difference for period in all parameters, but the technique did not influence any of the parameters (P ≤ 0.05). We observed that the QoL, satisfaction, bite force and halitosis increased after the reline. The halitosis was influenced by patients’ oral hygiene and the reline procedure. Although it has not demonstrated a statistical difference between polymerization methods, it was a favorable result for both clinicians and patients. The direct polymerization method is simpler, less time consuming and less costly for the patient. Therefore, if there is no long-term difference between polymerization methods, there is no need to perform an indirect procedure. Regardless of the method of polymerization chosen, relining with resilient silicone-based material is a viable alternative to improve the quality of life, satisfaction, bite force and halitosis in patients who have difficulties wearing mandibular dentures.
Resilient liners have been widely used for patients wearing complete dentures to improve the adaptation of the base. They present two polymerization methods, one done directly in the patient's mouth and another done indirectly in the laboratory. There are no studies in the literature that assess the perception of patients regarding this treatment. Therefore, the purpose of this paper was to assess, the satisfaction, quality of life of edentulous patients who had their total mandibular prostheses rebased with resilient material (Ufi Gel SC, Voco, Germany). 20 edentulous patients were selected according to predefined inclusion and exclusion criteria. These were randomly divided into the direct or indirect soft reline groups (n = 10). The clinical trial evaluated the quality of life (OHIP Edent), the satisfaction regarding the treatment, the bite force and presence and prevalence of halitosis. The assays were performed in six phases during the treatment: initially with the total prostheses without intervention, after the reline procedure, 30, 60, 90 and 180 days after the reline. The analysis of variance ANOVA (5% significance) demonstrated a statistically significant difference for period in all parameters, but the technique did not influence any of the parameters (P ≤ 0.05). We observed that the QoL, satisfaction, bite force and halitosis increased after the reline. The halitosis was influenced by patients’ oral hygiene and the reline procedure. Although it has not demonstrated a statistical difference between polymerization methods, it was a favorable result for both clinicians and patients. The direct polymerization method is simpler, less time consuming and less costly for the patient. Therefore, if there is no long-term difference between polymerization methods, there is no need to perform an indirect procedure. Regardless of the method of polymerization chosen, relining with resilient silicone-based material is a viable alternative to improve the quality of life, satisfaction, bite force and halitosis in patients who have difficulties wearing mandibular dentures.
Descrição
Palavras-chave
Reembasadores de dentadura, Questionnaires, Complete denture, Denture rebasing, Inquéritos e questionários, Prótese total