Introduction: Loss of a dental element can generate several repercussions in the stomatognathic system. According to the latest survey by the Ministry of Health, in 2010, Brazilian adults had, on average, 7 missing teeth. This loss may lead to movement of the adjacent teeth and the antagonist, which would make prosthetic rehabilitation harder to do. Anchoring systems, such as mini-implants, have been increasingly used as a treatment option because they act with heavy but controlled forces and without side effects. Recent studies have shown that photobiomodulation (PBM) can accelerate orthodontic movement in molar intrusion. The objective of this study will be to evaluate the effect of PBM on the acceleration of the orthodontic movement of molar verticalization and its effect on pain and inflammation of the periodontal tissues. Patient concerns: the concerns assessments will be done over the study using anamnesis interviews and specific questionnaire. Diagnosis: verticalization will be evaluated by clinical and radiographic analysis. Interventions: Thirty four healthy patients aged 30 to 60 years, who need to recover the prosthetic space for oral rehabilitation after loss of the posterior inferior dental elements and inclination of the adjacent element, will be randomly divided into 2 groups: G1 (control group) - verticalization by mini-implant + PBM simulation (placebo); G2 (experimental group) - verticalization by mini-implant + PBM. The movements will occur with the aid of mini-implants and elastomeric chains ligatures. The PBM will occur with diode laser application, 808 nm, 100 mW, receiving 1J per point, 10 seconds, 10 points (5 per buccal and 5 per lingual) and radiant exposure of 25 J/cm2. The orthodontic forces of verticalization (corresponding to any exchange of elastomeric ligation) will be applied every 30 days and the PBM will be applied immediately, 3 and 7 days of each month, for a period of 3 months. The crevicular gingival fluid (CGF) will be collected on the 1st, 3rd, and 7th days after the first activation, and then on the 3rd day of the following 2 months. Outcomes: Interleukins IL1β, IL-6, IL-8, IL-10, and TNF-α will be analyzed by ELISA. Panoramic radiography will be performed at baseline and 90 afterwards to ascertain the amount (in degrees) of verticalization. To evaluate the pain, the Visual Analog Scale (VAS) will be used in all the consultations, and to evaluate the quality of life, the Oral Health Impact Profile (OHIP-14) questionnaire will be applied. Analgesics will be given and the quantity of drugs will be counted. If the data are normal, they will be submitted to Student t test. The data will be presented as means ± SD and the value of p will be defined as <0.05.Discussion: This protocol will determine the effectiveness of photobiomoduation regarding the orthodontic movement of molar verticalization. Ethics and dissemination: This protocol received approval from the Human Research Ethics Committee of Universidade Nove de Julho (certificate number: 3 533 219). The data will be published in a peer-reviewed periodical.
Aim: To translate, cross-cultural adapt and investigate the measurement properties of the 25-point Friendship Scale to Brazilian-Portuguese. Methods: Translation and adaptation of the 25-point Friendship Scale to Brazilian-Portuguese was conducted at first. Then, the new version was administered to 160 Brazilians to investigate test-retest reliability, internal consistency, standard error of the measurement (SEM), minimal detectable change (MDC), ceiling and floor effects, and concurrent validity. To investigate concurrent validity, the Brazilian–Portuguese version of the 0-100 EuroQol Visual Analog Scale (EQ VAS) was used to assess people’s self-reported health status. Results: The Brazilian-Portuguese version has good to excellent reliability (ICC of 0.76, 95% CI 0.61 – 0.85) and had moderate internal consistency (Cronbach’s alpha value of 0.78, 95% CI: 0.73 – 0.83). To avoid measurement error and to exceed variability, scores need to be greater than 1.33 (SEM) and 3.69 (MDC) on the 25-point scale, respectively. There was no ceiling and floor effects. For concurrent validity, there was a small positive correlation between the Friendship Scale and the EQ VAS (Spearman rs = 0.24; p<0.01). Conclusions: The new Brazilian–Portuguese version of the Friendship Scale has acceptable measurement properties to assess people over 18 years old’s perception of social isolation.
Background Low-back pain is one of the most common health conditions worldwide. It is defined as pain below the costal margin and above the inferior gluteal folds. Current guidelines recommend management of chronic health (e.g., low back pain) conditions in older people at primary health care settings using active strategies (e.g., exercise). In non-specific low back pain, high quality evidence supports active strategies for general population. However, the management of non-specific low back pain in the older people has been overlooked and evidence is limited to a small number of low powered randomized controlled trials with high risk of bias. Methods This is a prospectively registered, open, two-arm randomised controlled trial comparing the group-based exercise and waiting list in pain intensity (11-item Pain Numerical Rating Scale) and disability (Roland Morris questionnaire) of older people (i.e., 60 years old or over) with chronic non-specific low back pain. One hundred and twenty patients will be recruited from Diamantina, Brazil. Follow-ups will be conducted in post-treatment (8 week) and 6- and 12-months post-randomisation. Discussion Our hypothesis is that group-based exercise will be better than waiting list in reducing pain intensity and disability in older people with chronic non-specific low back pain. Impact The practice of individualized exercise has been studied for the management of chronic non-specific low back pain in older people. However, the group exercise, even showing high quality evidence for the improvement of several important outcomes in this population, has been ignored until now. Thus, the results of this study have the potential to indicate a viable and accessible strategy for managing chronic non-specific low back pain in the older people. Trial registration The study was prospectively registered at www.ensaiosclinicos.gov.br (RBR-9j5pqs). Date-11/18/2020.
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