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- Long-term side effects of mandibular advancement devices in patients with obstructive sleep apnea: narrative reviewPublication . Legros, Léa Louise Antoinette; Sardinha, JoanaObstructive sleep apnea syndrome (OSAS) affects approximately one-seventh of the world’s adult population, ranging from mild to severe apnea. Symptoms include loud snoring, compromised sleep quality, dry mouth, daytime drowsiness, and headaches. OSAS can lead to severe complications such as anxiety, depression, cardiovascular problems, type 2 diabetes, and strokes. The standard treatment involves continuous positive airway pressure (CPAP) therapy, but some patients struggle with its tolerance. Mandibular advancement devices (MAD) offer a therapeutic alternative by repositioning the mandible forward, optimizing airflow to the lungs. These devices are recommended for mild to moderate OSAS, CPAP intolerance, or frequent travelers to locations without electricity. Despite their effectiveness, MAD use is not without side effects. Up to 80% of patients report experiencing adverse outcomes, which can be classified as short-term or long-term. This narrative review aims to investigate the side effects associated with the prolonged use of mandibular advancement devices in patients with OSAS.
- Ultrasonography, an alternative image method in temporomandibular articular disorder diagnosis and therapeutic follow-up: systematic review and meta-analysisPublication . Comby, Théophile; Barbosa, Cláudia Maria Rebelo; Manso, M. ConceiçãoThe temporomandibular joint (TMJ) is one of the body's most complex joints, making temporomandibular joint disorders (TMJDs) difficult to diagnose. If TMJDs are not diagnosed early, serious morphological changes can occur, affecting stomatognathic system function. The primary method for diagnosing TMJDs is clinical evaluation, although imaging exams are used for diagnosis, therapeutic decisions, and follow-up. MRI remains the gold standard. Ultrasonography (US) is an alternative imaging method, and this systematic review assessed whether it could be a valid substitute for MRI or CT in adult TMJD diagnosis and monitoring. Articles from PubMed, Cochrane Library, LILACS, Web of Science, and Embase were included, with no temporal limits and in English, French, Spanish, Italian, and Portuguese. The review protocol was registered in PROSPERO (ID: CRD42024562747) and followed the PICOS framework. Three independent authors screened titles, abstracts, and full texts, and 5 papers (4 studies) were included. The meta-analysis showed that US is effective in diagnosing TMJ internal derangements in adults, with a sensitivity of 80.33% and specificity of 92.71% compared to MRI. Despite the limitations, US can be an alternative method for assessing TMJ internal derangements in adults, with good cost-effectiveness. Future studies should compare AI-based evaluations of US images with gold-standard imaging techniques.
- A utilização do laser de díodo em periodontia: revisão integrativaPublication . Grasset, Julien; Martins, Filipe AugustoQuando se fala da área da periodontia, tem a imagem dos métodos de tratamentos convencionais não cirúrgico que o médico dentista pode usar para garantir a melhor saúde dos tecidos de sustentação do dente. Hoje com a constante evolução das técnicas de tratamento dentário e particularmente na periodontia, os equipamentos do médico dentista estão evoluindo com o mesmo objetivo. O laser díodo é um dos mais utilizados em periodontia. O objetivo desta revisão bibliográfica integrativa permite destacar as várias possibilidades oferecidas pelo laser díodo na prática periodontal quotidiana, bem como os benefícios que podem trazer. Com a utilização cada vez mais regular deste tipo de tecnologia, é importante saber se, comparando com técnicas mais antigas e com menos tecnologia, o médico dentista consegue tratar o paciente de forma mais eficaz. Por razões óbvias, o tema da segurança deve ser abordado ao mesmo tempo que falamos de laser díodo. Foi efetuada uma pesquisa nos motores de busca PubMed, Elsevier, ResearchGate e Science Direct. A pesquisa foi limitada no tempo de 2005 a 2023. Foram incluídos artigos de investigação, revisões bibliográficas, casos clínicos, dissertações de mestrado e revistas médicas ou dentárias redigidas em português, inglês, espanhol, francês e italiano. Os critérios de exclusão foram os seguintes: artigos fora do período definido e artigos que, após a leitura, não apresentavam conteúdo científico relevante relacionado ao tema.