Oral medicine (stomatology) in Brazil: the first 50 years and counting

Santos‐Silva, Alan Roger; Lopes, Márcio Ajudarte; Pedroso, Caique Mariano; Ribeiro, Ana Carolina Prado; Fonseca, Felipe Paiva; Brandão, Thaís Bianca; Gueiros, Luiz Alcino Monteiro; Rocha, André Caroli; Pires, Fábio Ramôa; Miranda, Águida Aguiar; Júnior, Hercílio Martelli; Alves, Fábio de Abreu; Marcucci, Marcelo; Lemos, Celso Augusto; Sugaya, Norberto Nobuo; Marcucci, Gilberto; Carrard, Vinícius Coelho; Martins, Manoela Domingues; Cardoso, Abel Silveira; Migliorati, Cesar A.

doi:10.1016/j.oooo.2022.01.018

Cited by 10 publications

(8 citation statements)

References 15 publications

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“…Despite the recent expansion of these areas in Latin America and the increasing recognition of the impact of professionals in this field (Hunter et al, 2014;Santos-Silva et al, 2022;Scully et al, 2016) This study identified 1220 graduates, of whom 53.8% (656) earned a master's degree and 46.2% (564) earned a doctorate. A higher number of degrees were earned in 2018 (177; 14.5%) and lower in 2014 and 2017 (134; 11%).…”

Section: Dearmentioning

confidence: 99%

Postgraduate employment outcomes of Brazilian oral medicine and oral pathology programs

et al. 2023

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Section: Dearmentioning

confidence: 99%

Postgraduate employment outcomes of Brazilian oral medicine and oral pathology programs

et al. 2023

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“…The increased number of oral medicine specialists has improved the rates of early diagnosis of malignant diseases worldwide, 5 despite socio‐economic limitations and barriers to accessing the public health system and specialized oral cancer diagnostic centers 6 . Moreover, the availability of professionals who are dedicated to the prevention and diagnosis of malignant and potentially malignant diseases in the oral cavity and oropharynx may play a crucial role in the reduction on the incidence and mortality rates of patients with OC 7 . However, despite the recent advances in technologies and treatments for cancer patients, there is still no evidence of improvement in mortality rates, 8 and the 5‐year overall survival (OS) rate of oral cancer patients still ranges between 50% and 64.4% 9,10 …”

Section: Introductionmentioning

confidence: 99%

“…6 Moreover, the availability of professionals who are dedicated to the prevention and diagnosis of malignant and potentially malignant diseases in the oral cavity and oropharynx may play a crucial role in the reduction on the incidence and mortality rates of patients with OC. 7 However, despite the recent advances in technologies and treatments for cancer patients, there is still no evidence of improvement in mortality rates, 8 and the 5-year overall survival (OS) rate of oral cancer patients still ranges between 50% and 64.4%. 9,10 Therefore, this study hypothesized that improvement in the patient care flow during the initial stage of the primary identification of the disease, by including a specialized professional in oral diagnosis, may play a positive role in the early diagnosis and more efficient treatment process, ultimately improving the chance of better prognosis.…”

mentioning

confidence: 99%

The association between referral by specialists in oral diagnosis on survival rates of patients with oral cancer: A retrospective cohort study

Sousa‐Neto,

Martins,

Moreira

et al. 2024

J Oral Pathology Medicine

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BackgroundTo assess the influence of diagnosis and referral provided by specialists in oral diagnosis on disease‐free survival and overall survival of patients with oral cancer.MethodsA cohort of 282 patients with oral cancer treated at a regional cancer hospital from 1998 to 2016 was analyzed retrospectively. The referral register of the patients was analyzed and assigned to two groups: (1) those referred by oral diagnosis specialists (n = 129), or (2) those referred by nonspecialized professionals (n = 153). The cancer treatment evolution was assessed from the patients' records, and the outcome was registered concerning cancer recurrence and death. Sociodemographic and clinicopathological variables were explored as predictors of disease‐free survival and overall survival.ResultsGroup 1 exhibited lower T stages and a reduced incidence of regional and distant metastases. Surgery was performed in 75.2% of cases in Group 1, while in Group 2, the rate was 60.8%. Advanced T stages and regional metastases reduced the feasibility of surgery. Higher TNM stages and tumor recurrence were associated with decreased disease‐free survival, while surgical intervention was a protective factor. Higher TNM stage had a negative impact on the overall survival.ConclusionSpecialized oral diagnosis did not directly impact disease‐free survival and overall survival and did not influence the indication of surgery in oral cancer; however, it was associated with the diagnosis of early tumors and better prognosis.

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“…Oral medicine, also known as Stomatology, is a dental specialty that focuses on the diagnosis and treatment of oral diseases, including the majority of oral malignant neoplasms diagnosed in our country. In Brazil, this specialty is relatively new and is predominantly practiced in dental schools and teaching hospitals 7 . However, due to the pandemic, most Oral medicine services ceased their operations, potentially leading to delays in the diagnosis of oral lesions, which could have a negative impact on the patient's prognosis 8 .…”

Section: Introductionmentioning

confidence: 99%

The impact of the Covid-19 pandemic on a reference oral medicine service in Brazil

Marques,

Sousa,

Campos

et al. 2023

J Oral Diag

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The COVID-19 pandemic in 2020 had a global impact on healthcare services, leading to a decrease and delay in diagnosing various diseases and initiating treatment. Dentistry was quickly recognized as a high-risk area for contamination, resulting in a reduction in the number of consultations conducted. The objective of this study was to identify the main characteristics of consultations at the Oral Medicine Outpatient Clinic from our institution, comparing the number of consultations and diagnoses performed during regular years from 2016 to 2019 with the years of the COVID-19 pandemic. Materials and Methods: Data were collected and analyzed from clinical records of all patients seen at the Oral Medicine Outpatient Clinic from March 2016 to May 2021. Sociodemographic data and the diagnosis stablished for these patients were collected. In the pre-pandemic period, an average of 324 patients per year were treated. In the pandemic period average was 248.5 per year, indicating a 23.3% reduction in the number of patients treated at the service. When comparing the number and overall percentage of diagnosis stablished, a higher number of malignant neoplasms were identified during the pandemic, despite the reduction in services provided. Thus, we conclude that the COVID-19 pandemic had a negative impact on the total number of new patients admitted to our service but we were able to continue diagnosing cases of malignant neoplasms. This reinforces the importance of maintaining the service, considered essential to the population, during this critical period we have gone through.

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Oral medicine (stomatology) in Brazil: the first 50 years and counting

Cited by 10 publications

References 15 publications

Postgraduate employment outcomes of Brazilian oral medicine and oral pathology programs

Postgraduate employment outcomes of Brazilian oral medicine and oral pathology programs

The association between referral by specialists in oral diagnosis on survival rates of patients with oral cancer: A retrospective cohort study

The impact of the Covid-19 pandemic on a reference oral medicine service in Brazil

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