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

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.