To evaluate the impact of photobiomodulation for oral mucositis on body weight and Body Mass Index (BMI) of patients with head and neck cancer. MethodsPatients were divided into two distinct groups: Photobiomodulation -PBM (n = 17) and SHAM (n = 19). Participants in the PBM group received the low-power aluminum gallium arsenide (AsGaAl) laser device with maximum output power of 86.7 mW, wavelength of 660 nm (red) and laser applications at 33 different points of the oral mucosa, on alternate days. Patients in the SHAM group were found to be using the same procedure but with the device turned off. During the rst and twenty-fourth session of radiotherapy, participants from both groups underwent an intraoral examination to assess the presence or absence of mucositis and its respective degree according to WHO scale, and were assessed by measuring weight and height and for BMI calculation. ResultsAll patients presented signi cant differences on weight and BMI throughout the study. Patients in the PBM group had less weight loss (p<0.01) and reduced BMI loss (p<0.01) when compared to patients in the SHAM group. PBM did not prevent oral mucositis, however, it decreased its severity (p<0.01). ConclusionPhotobiomodulation for oral mucositis reduces weight loss and prevented the reduction of BMI in patients who underwent radiochemotherapy treatment for head and neck cancer. Although it did not avoid the appearance of oral mucositis, PBM was able to reduce its degrees, preventing the progress of this condition. Retrospectively registered: https://data.
Purpose To evaluate the impact of photobiomodulation for oral mucositis on body weight and Body Mass Index (BMI) of patients with head and neck cancer. Methods Patients were divided into two distinct groups: Photobiomodulation - PBM (n = 17) and SHAM (n = 19). Participants in the PBM group received the low-power aluminum gallium arsenide (AsGaAl) laser device with maximum output power of 86.7 mW, wavelength of 660 nm (red) and laser applications at 33 different points of the oral mucosa, on alternate days. Patients in the SHAM group were found to be using the same procedure but with the device turned off. During the first and twenty-fourth session of radiotherapy, participants from both groups underwent an intraoral examination to assess the presence or absence of mucositis and its respective degree according to WHO scale, and were assessed by measuring weight and height and for BMI calculation. Results All patients presented significant differences on weight and BMI throughout the study. Patients in the PBM group had less weight loss (p<0.01) and reduced BMI loss (p<0.01) when compared to patients in the SHAM group. PBM did not prevent oral mucositis, however, it decreased its severity (p<0.01). Conclusion Photobiomodulation for oral mucositis reduces weight loss and prevented the reduction of BMI in patients who underwent radiochemotherapy treatment for head and neck cancer. Although it did not avoid the appearance of oral mucositis, PBM was able to reduce its degrees, preventing the progress of this condition. Retrospectively registered: https://data.mendeley.com//datasets/4kd7s49wk4/1
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A maxila edêntula apresenta características anatômicas as quais dificultam a reabilitação de maxilas atróficas e semi atróficas com a instalação de implantes dentários, em virtude do complexo processo de reabsorção envolvendo pneumatização do seio e reabsorção vertical e horizontal da crista alveolar. Diante disso, a proposta all on four foi introduzida com a finalidade de permitir a reabilitação de uma maxila edêntula com volume ósseo mínimo, com menor custo, menor morbidade do paciente e maior previsibilidade. O trabalho em questão tem como objetivo relatar o caso de uma paciente de 53 anos de idade a qual foi submetida a um processo reabilitador na região maxilar. Paciente A.G.S, sexo feminino, buscou atendimento odontológico que ao exame clínico apresentou a região maxilar totalmente edêntula, necessitando do reestabelecimento funcional e estético do sistema estomatognático, foi empregado o protocolo all on four em maxila atrófica sem a utilização de enxerto ósseo. A paciente apresentou recuperação satisfatória em menor intervalo de tempo. Portanto, pode-se concluir que a abordagem do tratamento all on four é menos invasiva, promove maior qualidade de vida ao paciente, tornando uma outra alternativa viável para a reabilitação de maxila atrófica.
Análise dos tipos de gessos odontologicos utilizados durante a confecção de próteses bucomaxilofacial Analysis of types of dental plastics used during bucomaxylophacal prosthesis confection
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