Percorrer por autor "Ferreira, Luciano M. A."
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- Elite athletes’ overall oral health, values and related quality of life : a cross-sectional studyPublication . Júdice, André; Brandão, Diogo; Botelho, João; Machado, Vanessa; Proença, Luís; Ferreira, Luciano M. A.; Stamos, Athanasios; Fine, Peter; Mendes, José JoãoThe present observational study aimed to identify the prevalence of oral health issues in this population and explore the relationship between oral health and factors relevant to athletic performance. One hundred and fourteen elite athletes triaged at a Sports Dentistry department from a university clinic were included for oral health assessment, self-reported periodontitis, basic erosive wear examination, and dental caries experience. They answered a sociodemographic questionnaire, oral health impact profile 14 to measure OHRQoL and OHV scale. Descriptive and inferential statistics assessed oral health outcomes and demographic or sport-related factors. Multivariable logistic regression explored predictors of poor oral health outcomes. The results reveal a high prevalence of oral health issues among elite athletes, with over half of the participants (51.8%) presenting two or more pathological or functional findings. Periodontal disease (55.1%), particularly gingivitis (51.8%), and dental caries (47.4%) were the two most common conditions, affecting nearly half of athletes. This high prevalence of oral conditions did not associate with worse OHRQoL and OHV. These results suggest that elite athletes face unique challenges regarding oral health, with some sex differences in oral health behaviors. Despite the high prevalence of oral diseases, related quality of life and values did not show any association, possibly due to the low perception of athletes.
- Impact of CPAP treatment for obstructive sleep apnea on stomatognathic system function : a study on bite force, thickness, and temperature of the masseter and temporal musclesPublication . Gomes, Guilherme G. C.; Palinkas, Marcelo; Verri, Edson D.; Rossi, Ana Lívia L.; Sousa, Daniel S. de; Lattaro, Danilo H.; Hallak, Júlia C.; Ferreira, Luciano M. A.; Regalo, Simone C. H.; Siéssere, SelmaObstructive sleep apnea (OSA) affects the body due to repeated obstruction of the upper airways. Continuous positive airway pressure (CPAP) is a treatment that can influence muscle function. This nine-month longitudinal study evaluated the effects of CPAP on molar bite force and on the thickness and surface temperature of the masseter and temporal muscles in adults. The study included 12 adults aged 20–70 with moderate or severe OSA, confirmed by polysomnography, all using CPAP. Molar bite force was measured with dynamometer; muscle thickness was evaluated by ultrasound at rest and during maximum contraction; and temperature was assessed using infrared thermography. Measurements were taken before treatment and at 3, 6, and 9 months. Data were analyzed using repeated-measures ANOVA with Bonferroni correction (p<0.05). Although no significant differences in bite force were observed, only a non-significant tendency toward increased maximum molar force on both sides was noted after nine months. Ultrasound showed a significant increase in right temporal muscle thickness at rest and during contraction, and a left-side increase at rest. Nine months of CPAP therapy in adults with moderate to severe obstructive sleep apnea resulted may influence craniofacial muscle morphology without significantly altering stomatognathic function.
- Sports dentistry intricacies with season-related challenges and the role of athlete-centered outcomesPublication . Júdice, André; Botelho, João; Machado, Vanessa; Proença, Luís; Ferreira, Luciano M. A.; Fine, Peter; Mendes, José JoãoSports dentistry is an emerging field focusing on the prevention, treatment, and management of oral health issues in athletes. This review critically examines the current state of sports dentistry, emphasizing the integration of oral health care into athletes' overall health management. The high prevalence of dental caries, erosion, and periodontal problems among athletes is linked to diet, habits, and increased risk of orofacial injuries. Routine oral health evaluations, particularly during the preseason, are recommended to tailor prevention strategies and address potential issues early on. The recently proposed Universal Screening Protocol for Dental Examinations in Sports is discussed, noting its potential limitations in terms of time and complexity. The review explores the challenges posed by athletes' demanding training and competition schedules, stressing the importance of incorporating oral health care into the medical team. Future research should investigate the feasibility and validity of self-reported questionnaires for screening oral health conditions, potentially simplifying the process for athletes. The review highlights the use of athlete-reported outcomes and self-reporting in sports dentistry as crucial for evaluating dental care effectiveness and monitoring long-term health outcomes. It concludes by emphasizing the need for streamlined, universally applicable protocols that fit athletes' schedules while providing comprehensive care, and the importance of further research to explore innovative screening tools and self-reported measures to transform routine care practices and reduce barriers to dental health for athletes.