ABSTRACT
Abstract The aim of this study was to understand the influence of orthosurgical treatment on oral health-related quality of life (OHRQoL) in patients with Class II and III skeletal malocclusion by conducting a mixed method case series study. Nineteen patients submitted to orthosurgical treatment in a private practice in Brazil were included in the sample. Data were collected retrospectively and interviews were held from March 2020 to July 2021. Patients answered to the Oral Health Impact Profile (OHIP-14) in the first part of the interview and subsequently answered the qualitative questions. The overall mean of OHIP-14 after treatment was 4.21 (SD 4.68). The qualitative data were analyzed according to thematic analysis and four themes emerged from the interviews: a) concept of quality of life, b) pre-treatment life, c) post-treatment life, and d) positive and negative aspects of treatment. Quality of Life was reported by the patients as the absence of feeling pain, having emotional and physical health, having a satisfactory esthetic appearance and self-esteem. Before treatment, most Class II patients used to complain about breathing and sleeping problems, while Class III patients complained more intensely about esthetics. Pain was a common problem reported by both Class II and Class III patients. In general, improvement was perceived in self-esteem, esthetics, function and pain. Complaints about negative aspects of the treatment were restricted to the postoperative period. The orthosurgical treatment was important for improving the OHRQoL of patients in terms of esthetic, functional and psychosocial aspects.
ABSTRACT
A sialolitíase é uma alteração de glândula salivar que se caracteriza pela deposição de sais de cálcio dentro do ducto de uma glândula, ou mesmo no seu parênquima. A hipótese etiológica mais aceita é a de que os sialolitos se originam da deposição de sais de cálcio ao redor de restos orgânicos acumulados no interior do ducto, que por sua vez podem resultar de fatores como infecções, traumas, presença de corpos estranhos e de células epiteliais descamadas, além disso, a glândula mais atingida é a submandibular pela sua posição anatômica e composição salivar. O diagnóstico é feito através de exames clínicos e imaginológicos e o tratamento vai depender do tamanho e da localização do sialolito, podendo variar de estimulação da saliva até a remoção cirúrgica da glândula envolvida. Este estudo objetiva relatar um caso clínico de um paciente com dois cálculos presentes no ducto e um cálculo presente no parênquima da glândula submandibular. O tratamento proposto foi a cirurgia de exérese intraoral dos cálculos ductais e extra oral da glândula submandibular direita juntamente com o seu sialolito
The sialolithiasis is a change in salivary gland which is characterized by the deposition of calcium salts within the duct of a gland or the parenchyma. The etiological most widely accepted hypothesis is that the sialolitos arise from deposition of calcium salts accumulated around inside the duct, which in turn can result from factors such as infection, trauma, foreign bodies and cell debris organic desquamated epithelial furthermore, more submandibular gland is achieved by its anatomical position and salivary composition. Diagnosis is by clinical examination and imaging and treatment will depend on the size and location of sialólito, ranging from stimulation of saliva to the surgical removal of the gland involved. This study aims to report a case of a patient with two calculations present in the duct and a present in the parenchyma of the submandibular gland calculus. The proposed treatment was surgical excision of ductal intra oral and extra oral calculations of the right submandibular gland along with its sialolito