Percorrer por autor "Manso, Cristina"
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- Assessment of hyposalivation, xerostomia, and oral health-related quality of life in polymedicated patientsPublication . Marques, João Gato; Rozan, Cecília; Proença, Luís; Peixoto, André; Manso, CristinaTo investigate the self-reported impact of hyposalivation/xerostomia on Oral Health-Related Quality of Life (OHRQoL) reported by polymedicated patients and evaluate the association between hyposalivation/xerostomia and OHRQoL. A cross-sectional observational study was performed on 40 polymedicated patients selected from the Clínica Dentária Egas Moniz. The subjects signed a consent form, answered a questionnaire to assess xerostomia via the Summated Xerostomia Inventory (SXI-PL) and The Portuguese short version of the Oral Health Impact Profile Questionnaire (OHIP-14sp), and underwent sialometry evaluation. Patients with hyposalivation showed higher scores of SXI-PL (8.60 ± 2.56) and OHIP-14sp (16.0 ± 15.8). These findings suggest an association between hyposalivation and SXI-PL and OHIP-14sp scores (p < 0.05).
- Comparison of the efficacy of two protocol treatments in patients with symptomatic disc displacement without reduction : a randomized controlled trialPublication . Almeida, André Mariz de; Botelho, João; Machado, Vanessa; Mendes, José João; Manso, Cristina; González-López, SantiagoThe aim of this study was to compare the effectiveness of arthrocentesis followed by hyaluronic acid infiltration treatment (ASH) and mandibular exercise therapy (MET) in patients with symptomatic disc displacement without reduction (DDwoR) by examining pain intensity (VAS), mandibular range of motion (MO), and quality of life (QoL). Fifty-two patients were randomly allocated into two groups, MET (N = 26) and ASH (N = 26), and therapy was applied at the baseline and one month after. Patients were followed up at 1 and 12 months after the baseline assessment. Clinical and patient-reported outcomes were compared at the baseline, 1-month follow-up, and 12-month follow-up. The study found no significant differences in VAS and MO between the ASH and MET groups at the baseline. However, while not significant, it was noted that the ASH group showed higher values for MO. Regarding OHIP-14 at 1 month of follow-up, the ASH group showed significant improvements in physical pain (p > 0.01), physical and psychological disability (p = 0.043 and p = 0.029), and handicap (p = 0.033). At the 12-month follow-up, the ASH group showed significant improvements in functional limitation, psychological discomfort, psychological disability, and handicap (p = 0.008, p = 0.001, p = 0.001, p = 0.005, respectively). ASH treatment did not reduce pain or improve mandibular range of motion more than physical therapy in patients with symptomatic DDwoR. However, ASH could be preferable given its positive long-term effects on patients’ quality of life. The clinician’s main objective is to prioritize the treatment plan order with a focus on the patient’s quality of life. Accordingly, healthcare professionals should consider ASH as a treatment option for patients with symptomatic DDwoR who desire long-term improvement in their quality of life.
- Computed tomography versus sleep endoscopy (DISE) to predict the effectiveness of mandibular advancement device in adult patients with obstructive sleep apnea : a systematic reviewPublication . Cebola, Pedro; Caroça, Cristina; Donato, Helena; Dias, Sara; Paço, João; Manso, CristinaStudy objectives: Obstructive sleep apnea (OSA) has a high prevalence in the global population and is a significant sleep disorder. One of the non-invasive options to treat obstructive sleep apnea is the mandibular advancement device. 2 methods can help predict the success of mandibular advancement devices, and they are Neck computed tomography (CT) and Drug-induced Sleep endoscopy (DISE). The objective of this study was to determine which method is better at predicting the success of a mandibular advancement device in the treatment of obstructive sleep apnea. Methods: PubMed, Embase and Web of Science Core Collection databases were comprehensively searched. A total of 1809 was obtained through the extensive search of the three databases mentioned above (Embase = 952; PubMed = 508; Web of Science = 349). The exclusion criteria were studies lacking clear and replicable methodologies; research involving pediatric and adolescent participants, as well as individuals with craniofacial malformations; and Animal studies, conference abstracts, editorials, case reports, book chapters, and review articles. Results: Based on the inclusion criteria, mainly because of the lack of direct comparison between CT and DISE for the prediction of MAD success, two articles were selected for this systematic review. The conflicting findings between the two studies underscore the complexity of OSA management and challenges associated with predicting treatment outcomes using different diagnostic modalities. Conclusions: Although CT offers detailed anatomical information regarding airway morphology, DISE provides dynamic visualization of upper airway collapse during sleep, which may better simulate real-life conditions and MAD responses.
- Computed tomography versus sleep endoscopy (DISE) to predict the effectiveness of mandibular advancement devices in adult patients with obstructive sleep apnea : a protocol for systematic reviewPublication . Cebola, Pedro; Caroça, Cristina; Donato, Helena; Campos, Ana; Dias, Sara Simões; Paço, João; Manso, CristinaObstructive sleep apnea is a sleep disorder with a high prevalence in the world population. The mandibular advancement device is one of the options for treating obstructive sleep apnea. Neck computed tomography and drug-induced sleep endoscopy are complementary diagnostic tests that may help predict the effectiveness of mandibular advancement devices. This study aims to analyze the best method for predicting the effectiveness of mandibular advancement devices in the therapeutic approach to obstructive sleep apnea. PubMed, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), and Web of Science Core Collection databases will be comprehensively searched. We will include randomized clinical trials, non-randomized prospective or retrospective clinical studies, case controls, cohort studies, and case series. Two authors will independently conduct data extraction and assess the literature quality of the studies. The analysis of the included literature will be conducted by Revman 5.3 software. The outcomes that will be analyzed are craniofacial characteristics, cephalometric assessments, site and type of obstruction of the upper airway, mean values of the apnea–hypopnea index, and SaO2 verified in the initial and follow-up polysomnography. This study will provide reliable, evidence-based support for the clinical application of mandibular advancement devices for obstructive sleep apnea.
- Dental caries incidence in a sample of endurance sports athletesPublication . Carvalho, Marta; Júdice, André; Manso, Cristina; Rozan, Cecília; Vicente, Filipa; Família, Carlos; Oom, Madalena; Mendes, José João; Godinho, Catarina
- Dental caries incidence in a sample of endurance sports athletesPublication . Carvalho, M.; Júdice, André; Manso, Cristina; Rozan, Cecilia; Vicente, Filipa; Familia, Carlos; Salema-Oom, Madalena; Mendes, José João; Godinho, Catarina
- Dental caries, tooth erosion and nutritional habits in a cohort of athletes : a cross-sectional studyPublication . Mielle, Baptiste; Júdice, André; Proença, Luís; Machado, Vanessa; Vieira, Ana M.; Mendes, José João; Manso, Cristina; Rosan, Cecília; Botelho, JoãoBackground/Objectives: this study aimed to study the association of dental caries and erosion in athletes with dietary and oral health habits. Methods: An observational cross-sectional study was conducted at the Sports Dentistry department of a university clinic. Intraoral examination included the International Caries Detection and Assessment System (ICDAS II) index and the Basic Erosive Wear Examination (BEWE). A questionnaire was completed with sociodemographic data, and dietary and oral hygiene habits. An inferential and multivariable regression analysis was performed to study the association of dental caries and erosion with confounding variables. Results: A total of 80 athletes were included. The prevalence of dental caries and erosion was 50.0% and 40%, respectively. Significant associations were observed between self-perceived oral health and caries lesions, with “Good” (−5.01, p < 0.001) and “Very good” (−5.46, p < 0.001) perceptions linked to fewer lesions. BEWE scores revealed significant associations with meal frequency uncertainty (−12.56, p = 0.014) and uncertainty about the last dental visit (8.82, p = 0.014). Self-perceived oral health as “Good” or “Very good” was associated with lower dental erosion (p < 0.010). Other demographic and behavioral factors were not significantly associated with caries or erosion. Conclusions: this cohort of athletes exhibited a high prevalence of dental caries and erosion, with associated dietary and oral hygiene habits. These results highlight the need for targeted dietary counseling and oral health education for athletes, whose nutritional needs may lead to increased consumption of sugar-rich diets.
- Effect of resin infiltration on enamel : a systematic review and meta-analysisPublication . Soveral, Madalena; Machado, Vanessa; Botelho, João; Mendes, José João; Manso, CristinaSubsurface enamel demineralization beneath an intact surface layer or white spots lesions (WSL) can and should be treated with non-invasive procedures to impede the development of a cavitated lesion. We aim to analyze if infiltrative resin improves enamel roughness, microhardness, shear bond strength, and penetration depth. MEDLINE [via Pubmed], Cochrane Central Register of Controlled Trials, Embase, Web of Science, Scholar, and LILACS were searched until May 2021. Methodological quality was assessed using the Joanna Briggs Institute Clinical Appraisal Checklist for Experimental Studies. Pairwise ratio of means (ROM) meta-analyses were carried out to compare the enamel properties after treatment with infiltrative resin on sound enamel and WSLs. From a total of 1604 articles, 48 studies were included. Enamel surface roughness decreased 35% in sound enamel (95%CI: 0.49–0.85, I2 = 98.2%) and 54% in WSLs (95%CI: 0.29–0.74, I2 = 98.5%). Microhardness reduced 24% in sound enamel (95%CI: 0.73–0.80, I2 = 99.1%) and increased by 68% in WSLs (95%CI: 1.51; 1.86, I2 = 99.8%). Shear bond strength reduced of 25% in sound enamel (95%CI: 0.60; 0.95, I2 = 96.9%) and increased by 89% in WSLs (95%CI: 1.28–2.79, I2 = 99.8%). Penetration depth was 65.39% of the WSLs (95%CI: 56.11–74.66, I2 = 100%). Infiltrative resins effectively promote evident changes in enamel properties in sound and WSLs. Future studies with long-term follow-ups are necessary to corroborate these results from experimental studies.
- The effect of endurance training in salivary flow and pHPublication . Júdice, André; Carvalho, Marta; Manso, Cristina; Rozan, Cecília; Vicente, Filipa; Família, Carlos; Oom, Madalena; Mendes, José João; Godinho, Catarina
- The effect of endurance training in salivary flow and pHPublication . Júdice, André; Carvalho, Marta; Manso, Cristina; Rozan, Cecilia; Vicente, Filipa; Família, Carlos; Salema-Oom, Madalena; Mendes, José João; Godinho, Catarina