Proposta de termo de consentimento livre e esclarecido para o tratamento ortodôntico com alinhadores no contexto do consultório odontológico

Marcia Yuri KAWAUCHI; Eduardo Alvares DAINESI; Antônio do Rêgo CASTELO-BRANCO FILHO; Ricardo Henrique Alves da SILVA

doi:10.1590/1807-2577.20260004

Review Article

Proposta de termo de consentimento livre e esclarecido para o tratamento ortodôntico com alinhadores no contexto do consultório odontológico

Proposed informed consent form for orthodontic clear aligner treatment in the dental office

Marcia Yuri KAWAUCHI; Eduardo Alvares DAINESI; Antônio do Rêgo CASTELO-BRANCO FILHO; Ricardo Henrique Alves da SILVA

http://dx.doi.org/10.1590/1807-2577.20260004 Rev. odontol. UNESP, vol.55, e20260004, 2026

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Resumo

Resumo: Introdução: Diante das exigências ético-legais de transparência e informação ao paciente, este trabalho propõe um modelo de Termo de Consentimento Livre e Esclarecido (TCLE) específico para o tratamento ortodôntico com alinhadores, destinado ao uso no consultório odontológico, distinto dos modelos voltados à pesquisa científica.

Objetivo: Propor um TCLE para o tratamento com alinhadores ortodônticos na prática clínica odontológica.

Material e método: A elaboração do termo baseou-se em revisão integrativa da literatura, conduzida a partir da pergunta norteadora: “Quais são as evidências científicas disponíveis sobre indicações, conduta clínica, cuidados e possíveis situações indesejadas no tratamento ortodôntico com alinhadores, relevantes para a elaboração de um TCLE para uso clínico?” As buscas foram realizadas nas bases de dados PubMed e BVS (Biblioteca Virtual em Saúde), considerando publicações dos últimos cinco anos.

Resultado: Foram selecionados 33 artigos, sendo 29 revisões sistemáticas e quatro textos completos. As revisões sistemáticas referiram-se aos procedimentos com alinhadores ortodônticos e os textos completos ao emprego de termo de consentimento na ortodontia. Os principais aspectos utilizados para a elaboração do TCLE foram indicação, conduta clínica, cuidados e as possíveis situações indesejadas.

Conclusão: Com base no conhecimento atual, o TCLE proposto compreende os principais pontos encontrados na literatura de forma simples e clara, além de permitir aos cirurgiões-dentistas individualizá-lo de acordo com cada paciente e suas particularidades. O documento contempla, ainda, orientações sobre o uso do Termo de Assentimento Livre e Esclarecido (TALE) para pacientes menores de idade.

Palavras-chave

Aparelho ortodôntico removível; alinhadores transparentes; ortodontia; termo de consentimento

Abstract

Abstract: Introduction: In light of the ethical and legal requirements for transparency and patient information, this study proposes a model Informed Consent Form (ICF) specifically for orthodontic treatment with aligners. This document is intended for clinical use in dental practices, distinguishing it from models designed for scientific research.

Objective: To propose an ICF for orthodontic aligner treatment in clinical dental practice.

Material and method: The development of the form was based on an integrative literature review guided by the question: "What scientific evidence is available regarding indications, clinical management, care, and potential adverse situations in orthodontic aligner treatment that are relevant to the development of an ICF for clinical use?" Searches were conducted in the PubMed and VHL (Virtual Health Library) databases, considering publications from the last five years.

Result: Thirty-three articles were selected, consisting of 29 systematic reviews and four full-text articles. The systematic reviews addressed procedures involving orthodontic aligners, while the full-text articles focused on the use of informed consent in orthodontics. The primary aspects utilized to draft the ICF were indications, clinical management, care, and potential adverse situations.

Conclusion: Based on current knowledge, the proposed ICF encompasses the main points identified in the literature in a simple and clear manner, while allowing dental surgeons to individualize the document according to each patient’s specific needs. Furthermore, the document includes guidelines on the use of the Informed Consent Term of Assent (TA) for minor patients.

Keywords

Orthodontic appliances removable; clear aligners; orthodontic; consent form

References

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Submitted date:
01/29/2026

Accepted date:
04/14/2026

Proposta de termo de consentimento livre e esclarecido para o tratamento ortodôntico com alinhadores no contexto do consultório odontológico

Proposed informed consent form for orthodontic clear aligner treatment in the dental office

Marcia Yuri KAWAUCHI; Eduardo Alvares DAINESI; Antônio do Rêgo CASTELO-BRANCO FILHO; Ricardo Henrique Alves da SILVA

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