Valor preditivo de variáveis clínico odontológicas para diagnóstico dos distúrbios respiratórios do sono em escolares
Data
2013
Autores
Carvalho, Fernando Rodrigues de 
Orientadores
Carvalho, Luciane Bizari Coin de
Tipo
Tese de doutorado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Introdução: Os disturbios respiratorios do sono estao relacionados com problemas de ma oclusao e o cirurgiao dentista deve estar apto a reconhecer as alteracoes oclusais que possam estar associados com o desenvolvimento, instalacao ou manutencao dos disturbios respiratorios do sono. Apesar do exame clinico ser rotineiramente utilizado pelos especialistas em ortodontia e ortopedia funcional dos maxilares a divergencia no diagnostico e muito frequente. Objetivo e Metodos: Dois observadores, cirurgioes dentistas, ortopedistas funcionais dos maxilares, examinaram 56 criancas entre 7 e 9 anos de idade para verificar a concordancia intra e inter observador na identificacao de problemas ortodonticos e ortopedicos funcionais. Resultados: A concordancia intraobservador foi forte em todas as variaveis pesquisadas. A concordancia interobservador tambem foi forte exceto na variavel sobremordida que foi boa. Conclusao: O estabelecimento de criterios diagnosticos explicitos da oportunidade ao cirurgiao dentista de reconhecimento das mas oclusoes dentarias potencialmente associadas aos disturbios respiratorios do sono.
ABSTRACT Introduction: Sleepdisordered breathing (SDB) is often related to alocclusion, and dentists should be able to recognize occlusal changes that may be associated with the development, onset, or persistence of SDB. Although clinical examination is routinely used by specialists in orthodontics and functional jaw orthopedics, divergences in diagnosis are very common. Objectives and Methods: Two observers, both dentists specializing in functional jaw orthopedics, examined 56 children aged 7 to 9 years. Intraand interobserver agreement in identification of functional orthopedic and orthodontic conditions was assessed. Results: Intraobserver agreement was strong for all variables. Interobserver agreement was also strong, except for the variable overbite, which had good agreement. Conclusion: Diagnostic criteria provide an opportunity for dentists to recognize dental malocclusions that may be associated with sleepdisordered breathing.
ABSTRACT Introduction: Sleepdisordered breathing (SDB) is often related to alocclusion, and dentists should be able to recognize occlusal changes that may be associated with the development, onset, or persistence of SDB. Although clinical examination is routinely used by specialists in orthodontics and functional jaw orthopedics, divergences in diagnosis are very common. Objectives and Methods: Two observers, both dentists specializing in functional jaw orthopedics, examined 56 children aged 7 to 9 years. Intraand interobserver agreement in identification of functional orthopedic and orthodontic conditions was assessed. Results: Intraobserver agreement was strong for all variables. Interobserver agreement was also strong, except for the variable overbite, which had good agreement. Conclusion: Diagnostic criteria provide an opportunity for dentists to recognize dental malocclusions that may be associated with sleepdisordered breathing.
Descrição
Citação
CARVALHO, Fernando Rodrigues. Valor preditivo de variáveis clínico odontológicas para diagnóstico dos distúrbios respiratórios do sono em escolares. 2013. 149 f. Tese (Doutorado em Medicina Interna e Terapêutica) – Escola Paulista de Medicina, Universidade Federal de São Paulo. São Paulo, 2013.