89 - TRANSTORNO OPOSITIVO DESAFIADOR (TOD): REPERCUSSÕES CLÍNICAS NA ORTODONTIA INFANTIL

Doi: 10.47094/978-65-284-0452-0/909-916

PALAVRAS CHAVE: Transtorno Desafiador Opositor. Saúde bucal. Ortodontia.

KEYWORDS: Oppositional Defiant Disorder. Oral health. Orthodontics.

ABSTRACT:
Oppositional Defiant Disorder (ODD) is a disruptive behavioral disorder characterized by difficulties in emotional and behavioral control, frequently diagnosed in childhood. According to the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), it involves a persistent pattern of irritability, defiant behavior, and vindictive attitudes. Beyond the emotional and social impacts, ODD can directly influence oral health, as children with the disorder often have greater difficulty maintaining oral hygiene habits. Studies show that children with ODD have a higher prevalence of dental caries, dental anxiety, and poorer oral health compared to those without the disorder. These findings are related to difficulty paying attention, low cooperation, and family conflicts, factors that compromise hygiene routines and dental follow-up. In addition to the association found in the literature between high rates of dental caries, in orthodontic practice, patients with ODD frequently show resistance to treatment, difficulty following instructions, lower adherence to the correct use of orthodontic appliances, and low frequency of periodic appointments. Therefore, it is essential to understand the particularities of ODD in order to provide an appropriate clinical approach and ensure therapeutic success with behavioral management strategies, achieving more effective treatment results.

Autores

• Alana Carvalho Damaceno

• Amanda Monise Dias Silva

• Clara Valério Chung

• Estela Pacifico Nishio

• Fernanda Vicioni-Marques

• Gabriela Loiza Amador

• Giovanna da Silva Miranda

• Letycia Carpaneji Paludetto

• Letícia Maria de Souza

• Luiza Garcia Vieira

• Samuel Campos Sousa

• Tatiana Giachini Camargo