FO - Faculdade de Odontologia
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Item Harmonização orofacial: Análise do conhecimento dos cirurgiões-dentistas sobre os riscos clínicos e aspectos legais e éticos na prática da rinomodelação e bichectomia(Universidade Federal de Goiás, 2021-02-23) Rodrigues, Lívia Graziele; Silva, Rhonan Ferreira; http://lattes.cnpq.br/4551378145791273; Silva, Rhonan Ferreira; Dias, Paulo Eduardo Miamoto; Rosário Júnior, Ademir Franco do; Costa, Nádia do Lago; Goulart, Douglas RangelDentistry has proved to be a complex science that treats the patient holistically, restoring the masticatory functions and the aesthetics expected for a natural smile. However, when permeating the field of facial aesthetics, many dentist have been carrying out various procedures, which are considered controversial according to dental practice. Orofacial harmonization consists of making of a patient's face more aesthetically proportional through procedures such as: facial filling with biomaterials, application of botulinum toxin, bichectomy, cervical lipoplasty and rhinomodeling. The objective of this study is to evaluate the perception of dentists regarding the technical capacity to perform rhinomodeling and bichectomy procedures regarding the legal support for their performance. After approval by the ethics committee, a self-administered structured questionnaire with 16 questions about the participant's profile, orofacial harmonization topics and specific subjects on bichectomy and rhinomodeling was applied to the professionals who were willing to participate. Of the 180 questionnaires answered, 105 (58.3%) were from female professionals, 41 (22.9%) said they performed orofacial harmonization procedures in their clinical routine. Asked about feeling able to treat an already installed nasal necrosis, 19 (11.0%) participants declared to be qualified to proceed with this type of treatment, while 110 (72.8%) of them informed that they would forward this case of complication to a Doctor. It was possible to perceive that, in general, the professionals are not aware of the norms that support them regarding the performance of new procedures included in the list that Dentistry already practices, in addition, even among the professionals who attended training courses in Orofacial Harmonization, most of them do not feel prepared to perform procedures such as rhinomodeling and treat complications resulting from bichectomy surgery.Item Terapia de fotobiomodulação associada a l-glutamina e ácido hialurônico para prevenção e controle da mucosite oral em pacientes com câncer de boca e orofaringe submetidos a radioterapia e ou quimioradioterapia: ensaio clínico randomizado controlado(Universidade Federal de Goiás, 2024-02-09) Santos, Rodrigo Wilmes dos; Mendonça, Elismauro Francisco de; http://lattes.cnpq.br/2305019128015847; Mendonça, Elismauro Francisco de; Assunção Junior, José Narciso Rosa; Morais, Marília OliveiraOral mucositis (OM) is an important adverse effect of radiotherapy (RT) in the mucosal region of the oral cavity and oropharynx, which can range from erythematous areas to large confluent ulcerations. The clinical severity of this inflammatory condition can lead to interruption of oncological treatment and impact the patient's prognosis. In this context, photobiomodulation therapy (TFBM) has been shown to be effective in reducing the severity of OM, controlling pain and promoting the repair of compromised mucous membranes. Other therapies have been investigated to control OM, such as the use of compounds based on l-glutamine (L-G) and hyaluronic acid (HA) (Topical Medication Treatment - TTM), both in the form of a gel and as a mouthwash. The objective, therefore, of this study was to investigate whether the application of TTM associated with TFBM and the Dental Preventive Protocol (PPO) would be more effective than the exclusive use of TFBM associated with PPO in preventing and controlling severe OM. Patients with oral cancer (BC) (lip and oral cavity) and oropharynx (n=48) undergoing adjuvant radiotherapy (≥60 Gy) and/or chemoradiotherapy (QRT) were investigated and randomized into two groups: A ( TFBM + PPO) (n=24) and B (TFBM + PPO + TTM) (n=24). To evaluate the effectiveness of therapies, the degree of clinical severity of OM was evaluated according to the scales of the National Cancer Institute (NCI) and the World Health Organization (WHO); patients' quality of life using the OHIP-14 questionnaires and symptom perception using the PROMS scale; number of RT interruptions and rate of adherence to cancer treatment. OM was a constant event in the groups evaluated, and all participants showed signs and symptoms from the 7th RT session onwards. Evaluation of the 30th session showed that both in group A and group B, severe OM occurred, 83.3% (n=20) and 87.5% (n=21), respectively. When evaluated based on the WHO scale, 50% (n=12) of group A had severe OM, while in group B only 8.3 of the participants had OM grade 3 and no grade 4. Regarding adherence to the PPO, note It is clear that the members of group B had significantly greater adherence than group A throughout the entire RT treatment [7th, 14th, 21st and 30th RT sessions (p<0.05)]. In the quality of life (QOL) results, it was observed that QRT therapies had a negative impact on QOL in relation to oral health in both groups, with group A having a higher score during all moments of treatment. Regarding the scores obtained in the OHIP-14 questionnaire, the results demonstrated that participants in group B had less impacted QoL throughout the course of RT or QRT, being that in the 14th, 21st, and 30th RT session assessments (p<0.001) reached statistical significance. In summary, the results indicate that the therapeutic combination of TTM+TFBM+PPO, although it did not prevent the clinical manifestation of chemoradio-induced BM, allowed greater adherence to oncological treatment and less impact on QoL.