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Lesões orais em pacientes reabilitados na clínica de prostodontia removível da FMDUL
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Introdução: Atualmente, o acesso aos cuidados de medicina dentária está mais facilitado na maioria dos países desenvolvidos, e assim, cada vez um maior número de pessoas preservam a sua dentição natural por mais anos. Contudo, ainda há uma grande percentagem da população, especialmente nos grupos etários com uma idade mais avançada, que tem necessidade de recorrer a reabilitações orais removíveis. Apesar de reporem a função mastigatória e estética, este tipo de reabilitação está associado ao aparecimento e desenvolvimento de vários tipos de lesões orais.
Objetivos: Avaliação das lesões orais mais frequentes associadas ao uso de prótese numa população de pacientes reabilitados com prótese removível.
Materiais e Métodos: Foram analisados os processos clínicos dos pacientes reabilitados com prótese removível na Faculdade de Medicina Dentária da Universidade de Lisboa (FMDUL), que tenham comparecido às consultas de controlo da Clínica de Prostodontia Removível entre o ano letivo de 2007/08 e 2019/20. Foram recolhidos os dados para caracterização demográfica, caracterização do tipo de reabilitação removível, existência de lesões da mucosa oral e lesões dentárias, bem como dos fatores predisponentes das lesões orais. Estes dados foram submetidos a uma análise estatística em SPSS, descritiva e inferencial utilizando os testes Qui-quadrado e Fisher com nível de significância de 5% (p<0,05).
Resultados: A amostra foi constituída por 286 doentes. Os resultados demostraram que 64,7% da amostra apresenta pelo menos uma lesão oral associada ao uso de uma reabilitação removível. Relativamente às lesões da mucosa a hiperplasia fibrosa e a estomatite protética foram as lesões mais prevalentes. Relativamente às lesões dentárias verificou-se uma prevalência superior de cárie dentária e doença periodontal nos dentes pilares comparativamente aos dentes não pilares.
Conclusão: O médico dentista desempenha um papel fundamental na manutenção da saúde oral, na instrução e educação dos pacientes assim como no diagnostico e tratamento das lesões orais que surgem associadas a este tipo de reabilitação.
Introduction: Nowadays, the access to dental care seems facilitated in most developed countries, thus, an increasing number of people are able to preserve their natural dentition for a longer period of time. However, there is still a great percentage of the population, especially in the more advanced age groups, that look for removable oral rehabilitation. Although these restore chewing and aesthetic functions, this kind of rehabilitation seems to be associated with the occurrence and development of various types of oral lesions. Objectives: Evaluation of the most frequent oral lesions associated with prosthesis in a population of patients wearing removable dentures. Materials and Methods: Multiple clinical files were analyzed, which included patients rehabilitated with removable dentures placed in the School of Dental Medicine, University of Lisbon (FMDUL), that had appeared for their check-ups in the Clinic of Removable Prosthetics between 2007/2008 and 2019/2020 school years. Data was retrieved about the demographic characterization, type of removable rehabilitation, existence of oral mucosa or dental lesions, as well as predisposal factors that contribute to their incidence. This data was submitted to analytic descriptive and inferential analysis using SPSS, with the Qui-squared and Fisher tests and a significance level of 5% (p<0,05). Results: The sample consisted in 286 patients. The results showed that 64,7% of the chosen population had at least one oral lesion associated with the use of removable dentures. Regarding lesions in the oral mucosa, fibrous hyperplasia and prosthetic stomatitis were the most prevalent. In terms of dental lesions, a greater prevalence was noted in dental caries and periodontal disease in pilar teeth in comparison to non-pilar teeth. Conclusion: The dentist has a fundamental role in maintaining oral health, giving instructions, and educating patients, as well as, diagnosing and treating oral lesions that are associated with the use of this kind of rehabilitation.
Introduction: Nowadays, the access to dental care seems facilitated in most developed countries, thus, an increasing number of people are able to preserve their natural dentition for a longer period of time. However, there is still a great percentage of the population, especially in the more advanced age groups, that look for removable oral rehabilitation. Although these restore chewing and aesthetic functions, this kind of rehabilitation seems to be associated with the occurrence and development of various types of oral lesions. Objectives: Evaluation of the most frequent oral lesions associated with prosthesis in a population of patients wearing removable dentures. Materials and Methods: Multiple clinical files were analyzed, which included patients rehabilitated with removable dentures placed in the School of Dental Medicine, University of Lisbon (FMDUL), that had appeared for their check-ups in the Clinic of Removable Prosthetics between 2007/2008 and 2019/2020 school years. Data was retrieved about the demographic characterization, type of removable rehabilitation, existence of oral mucosa or dental lesions, as well as predisposal factors that contribute to their incidence. This data was submitted to analytic descriptive and inferential analysis using SPSS, with the Qui-squared and Fisher tests and a significance level of 5% (p<0,05). Results: The sample consisted in 286 patients. The results showed that 64,7% of the chosen population had at least one oral lesion associated with the use of removable dentures. Regarding lesions in the oral mucosa, fibrous hyperplasia and prosthetic stomatitis were the most prevalent. In terms of dental lesions, a greater prevalence was noted in dental caries and periodontal disease in pilar teeth in comparison to non-pilar teeth. Conclusion: The dentist has a fundamental role in maintaining oral health, giving instructions, and educating patients, as well as, diagnosing and treating oral lesions that are associated with the use of this kind of rehabilitation.
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Teses de mestrado - 2021 Saúde Oral