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- The effects of lingual frenotomy on breastfeeding: an integrative reviewPublication . Santos, Hellen; Cunha, Daniele; Andrade, Rodrigo; Santos, Gilberto; Silva, Hilton JustinoPurpose: to investigate what effects lingual frenotomy has on breastfeeding. Methods: based on the research question – “Is there a relationship between the improvement in breastfeeding and the lingual frenotomy?” –, a bibliographical survey was carried out in three databases, using the following descriptors: ankyloglossia, lingual frenum, breastfeeding and frenotomy. Frenotomy is a free term. Original articles with babies up to 6 months old who had difficulties breastfeeding due to ankyloglossia and who had been submitted to lingual frenotomy were chosen. An instrument was developed, containing the following information: name of the authors, year of publication, country of origin, the objective of the study, type of study, sample, main results, and conclusion. Literature Review: of the 243 articles screened, four met the inclusion criteria for this study. It was observed that, after lingual frenotomy, some changes may take place in breastfeeding patterns, such as an increase in the number of suctions and a decrease in the time of pause in between series of suctions. Conclusion: the lingual frenotomy can be an important procedure in the treatment of babies with ankyloglossia, possibly helping improve the latch and breastfeeding.
- Acupuncture and expression of neurotransmitters in temporomandibular disorders: systematic reviewPublication . Vilela, Maria Cristina; Ramos, Carina; Silva, Hilton JustinoTemporomandibular disorders (TMD) is a common condition of chronic orofacial pain. Acupuncture is a therapeutic method of traditional Chinese medicine (TCM) and some studies to get understand the mechanisms of action and molecular basis involved in this approach therapeutic. We propose to verify in the current literature on the integration of neurotransmitters expression in treat temporomandibular joint disorders by acupuncture in adulthood. A predefined protocol was used and registered on PROSPERO. This qualitative review of the literature analysed international scientific publications in several databases that used the following keywords: Temporomandibular Joint Disorders OR Acupuncture OR Neurotransmitter. Then, in the study selection phase, the eligible texts were read in full to determine their final inclusion or exclusion. The pre-established selection criteria in the protocol determined the inclusion or exclusion of studies during the selection phase. Although to know the diverse effects of acupuncture are intrinsically linked at the cellular and molecular level there is not yet any paper about this in adulthood, but there is a publication about the relationship between TMD and Acupuncture Treatment. There are no studies in the literature that correlate the temporomandibular disorders, acupuncture therapy and neurotransmitters in humans.
- Changes in the color and sensitivity of the tongue in adult women after COVID-19 treatmentPublication . Fontes, Luciana; Correia, Maria da Conceição; Marques, Kátia; Fontes, Pedro; Silva, Nayara; Gomes, Marília; Fernandes, Rita; Cunha, Daniele; Silva, Hilton Justino; Santos, Leonardo; Lima, NiedjeObjectives: to describe the changes in color and sensitivity of the tongue in adult women, in the period after the treatment of COVID-19 and explain the dental conduct for treatment. Case report: there was a request for dental evaluation by a public and reference University Hospital in the city of Recife, northeast of Brazil. The patient in question was a 33 years-old white female. There was a history of diagnosis and treatment for COVID-19, with antibiotic, antipyretic and medication for worms, with the complaint of much sensitivity and change in language. The physical examination showed gingivitis in the lower sextant, with spontaneous gingival bleeding and dark spots on the dorsum of the tongue, associated with increased discomfort in the region. It was observed that the patient did not receive any orientation about oral hygiene, even with the report of pain in this region. It was opted for the orientation of the hygienization, with the reinforcement of the cleanness of the tongue, cheeks with hydrogen peroxide or oxygenated water to 10 volumes and the reinforcement for the ingestion of vitamin C, beyond the control of the biofilm, for the treatment of the gingivitis in the anterior and inferior sextant. Conclusions: this report covers the control made in seven days, being the images referring to the third day after the guidelines. There was a change in the color of the tongue and sensibility, with regular ingestion of food and liquids. There was also an improvement in gingivitis, but control is necessary.
- Effect of resonance tube technique on oropharyngeal geometry and voice in individuals with Parkinson's DiseasePublication . Silva, Joyce; Gomes, Adriana; Silva, Hilton Justino; Vasconcelos, Silvio; Coriolano, Maria das Graças; Lira, Zulina Souza deObjective. To verify the immediate effect of the flexible resonance tube vocal technique on the oropharyngeal geometry and vocal acoustic parameters of individuals with Parkinson’s disease (PD) and to study the correlation between oropharyngeal geometry and the intensity and fundamental frequency (f0) parameters of the voice. Methods. Forty individuals participated—20 with PD and 20 healthy individuals, with a mean age of 60.95 (§ 5.69) years. There were 10 men and 10 women in each group. All underwent pharyngometric analysis of the vocal tract and voice acoustics parameters before and after use of the vocal technique with a flexible resonance tube. Results. After the technique, there was a reduction in pharyngeal cavity volume only in females in the healthy group, a reduction in shimmer values in females in both groups and males in PD group and an improvement in noise parameters in females in the PD group. There was a negative correlation between vocal tract volume and intensity, between f0 and vocal tract volume, between f0 and oropharyngeal junction area, between f0 and oral cavity volume as well as a positive correlation between oral cavity length and f0. Conclusion. The vocal technique with the flexible resonance tube applied to individuals with PD improved the subjects’ voice quality in the perceptual and acoustic voice parameters. Regarding the oropharyngeal geometry, it was possible to observe its correlation with the parameters of vocal intensity and frequency in the studied population.
- Comparison between rhinometric variables and nasal airing in children with mouth breathingPublication . Melo, Ana Carolina; Gomes, Adriana; Cunha, Daniele; Almeida, Wigna; Lima, Sandro; Cunha, Renata; Silva, Hilton JustinoPurpose: to analyze the correlation between the values of nasal aeration and geometry of the nasal cavities, before and after nasal cleansing in children with mouth breathing. Methods: 20 children aged 4 to 12 years old were chosen. The questionnaire Identification Index of Signs and Symptoms of Oral breathing was applied and nasal patency was assessed by nasal aeration, through the Altmann graded mirror, and the nasal geometry measured by acoustic rhinometry. After nasal cleansing and massage, the same aeration measurements and nasal geometry procedures were performed. Group normality was analyzed using the Shapiro-Wilk test considering the hypothesis of normal distribution whenever p>0.05. The Spearman’s test was applied to analyze the correlation between variables (p<0.05). Results: there was a strong and significant correlation between nasal aeration and the corresponding cross-sectional area of the front of the inferior turbinate (CSA2) in the left cavity before cleansing. There were no correlations between the nasal aeration and other rhinometric variables. Conclusion: there was a correlation between nasal aeration values and the anterior portion of the turbinates, before the massage and nasal cleansing technique, in mouth breathing children. There were no significant differences when the nasal aeration was correlated with other rhinometric variables.
- Fatores associados à assimetria eletromiográfica dos músculos mastigatórios em pessoas com doença de ParkinsonPublication . Silva, Taysa; Sobral, Amanda; Silva, Hilton Justino; Coriolano, Maria das Graças; Lins, CarlaAnalisar se a idade, sexo, estágio da doença, uso de prótese dentária, presença de disfunção temporomandibular, força de mordida, bem como lado de início dos sintomas são fatores associados à assimetria eletromiográfica dos músculos mastigatórios em pessoas com doença de Parkinson. Trata-se de um estudo de corte transversal, que utilizou o dinamômetro bucal e eletrodos de superfícieconectados ao eletromiógrafo. Foram calculados os índices de assimetria e ativação muscular, e analisados pela regressão logística múltipla (p<0,05).Foram avaliadas 42 pessoas com média de idade de 64 anose 29% tinhamdisfunção temporomandibular A força de mordida média foi maior no lado direito, com maior ativação do músculo temporal (52%) e assimetria para o lado esquerdo (60%). A análise de regressão logística múltipla indicou que a idade (p=0,037), influenciada pelo sexo e força de mordida,aumentaram em 92% a probabilidade de existir assimetria,e que a disfunção temporomandibular (p=0,031) aumentou em 19% a chance dos músculos mastigatórios estarem ativos.Verificou-se que a idade estava diretamente associada com aumento da assimetria, sendo influenciada pelo sexo e força de mordida, e que a presença de disfunção temporomandibular aumenta a ativação dos músculos mastigatórios em pessoas com doença de Parkinson.
- Efeitos da fotobiomodulação associada à terapia miofuncional orofacial na disfunção temporomandibular muscularPublication . Alves, Giorvan; Gondim, Yanne; Lima, Jully; Silva, Mayze; Florêncio, David; Almeida, Larissa; Silva, Hilton JustinoObjetivo: Investigar a influência da fotobiomodulação associada à terapia miofuncional orofacial (TMO) em pacientes com disfunção temporomandibular muscular (DTM). Método: Trata-se de uma pesquisa do tipo ensaioclínico randomizado e cego, com uma amostra de 11 mulheres com DTM muscular, dividida em dois grupos. O Grupo Experimental (GE) composto por 05 voluntárias submetidas à TMO associada à fotobiomodulação, e o Grupo Controle Positivo (GC) composto por 06 mulheres submetidas à TMO associada à fotobimodulação inativa (placebo). A intervenção foi realizada em 12 sessões: uma avaliação, 10 sessões de fonoterapia associada à fotobiomodulação, e uma reavaliação. Para os desfechos foram consideradas a investigação da percepção de dor, com a Escala Visual Analógica (EVA), a investigação da sensibilidade à palpação com o protocolo Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD), e a verificação da qualidade de vida (QV) por meio do protocolo Oral Health Impact Profle – short form (OHIP-14). Resultados: o GE teve aumento nas medidas dos movimentos de abertura e de protrusão mandibular, e evidenciou melhora na avaliação da QV. Conclusão: A TMO quando associada à fotobiomodulação contribuiu no aumento da amplitude dos movimentos mandibulares e com ganhos importantes na percepção da qualidade de vida, e com melhora significativa nos quadros dolorosos das voluntárias com DTM.
- Postura e carga de peso podal em crianças com o uso de aparelhos ortodônticos ou ortopédicos funcionais dos maxilares: um estudo longitudinalPublication . Gomes, Emille; Ângelo, Luciana Bezerra; Silva, Hilton Justino; Cunha, Daniele; Correia, Maria da Conceição; Martins, Yuri; Lima, Niedje; Fontes, LucianaEsta pesquisa teve o objetivo geral de verificar a postura e carga de peso podal de crianças, com o uso de aparelhos ortodônticos ou ortopédicos funcionais dos maxilares, em controle de seis meses após a instalação dos mesmos. Representou um estudo longitudinal prospectivo, com a sequência do acompanhamento efetuado imediatamente após a instalação dos recursos terapêuticos em questão, a partir de pacientes oriundos do Ambulatório de Pediatria da Universidade Federal de Pernambuco, na cidade do Recife, Estado de Pernambuco, Brasil. A amostra compreendeu 34 crianças, 79,4% com 11 anos de idade, 61.8% do sexo masculino, 64.7% com um lado de preferência mastigatória, na maioria o esquerdo, à época do exame inicial. Todas as crianças com deslocamento do centro de pressão e alterações posturais apresentavam médias de atividade elétrica muscular de repouso do esternocleidomastoideo, fibras superiores do trapézio e tibial anterior diferentes em relação às sem essa condição. Não se constataram diferenças significantes logo após a instalação dos aparelhos, mas no controle de seis meses após, nos pacientes portadores de má oclusão do tipo Classe II de Angle (p<0.01), com redução do impulso e da transferência do peso.
- The use of photobiomodulation for the muscles of head and neck: an integrative reviewPublication . Ferreira, Sara; Cunha, Daniele; Almeida, Aline; Cunha, Maria Deluana; Bastos, Roberto; Silva, Hilton JustinoPurpose: To carry out an integrative review of the literature on the use of photobiomodulation (PBM) for the head and neck muscles. Research strategy: The research took place between June/2019 and March/2021, in the following databases: PubMed, Scopus, Web of Science, LILACS, and SciELO. The MeSH used were Low-Level Light Therapy, Phototherapy, Masseter Muscle, Masticatory Muscles, Tongue, Palate, Mouth, Neck Muscles, and Facial Muscles in English and Portuguese. No limitation was imposed on the year and language of publication. Selection criteria: studies that answered the guiding question: what is the use of photobiomodulation to the head and neck muscles?. Results: 2857 articles were found, of which 102 were selected for full reading, 52 of those were excluded, giving a total of 50 articles included. The included publications date from 2003 to 2020. Brazil was the country that most published on the topic. With regard to the objectives, 82% of the studies aimed to investigate the analgesic effect of PBM, of these, 50% were related to articular or muscular temporomandibular disorders (TMD). The heterogeneity of the studies makes it impossible to define the dose protocols. Conclusion: PBM has been applied to the head and neck muscles mainly for the treatment of pain caused by TMD. There is no treatment protocol to define the doses to be used, due the heterogeneity of the methodologies applied and results found.
- Factors associated with bite force in people with Parkinson's diseasePublication . Silva, Taysa; Sobral, Amanda; Silva, Hilton Justino; Coriolano, Maria das Graças; Lins, CarlaPurpose: to assess the bite force in people with Parkinson’s disease and correlate it with age, sex, stage and time of the disease, dentures use, presence of temporomandibular disorder, side of symptom onset, and masticatory preference. Methods: the Research Diagnostic Criteria for Temporomandibular Disorders and the Hoehn & Yahr Parkinson’s disease scale were used, and the participants’ oral cavity was clinically examined. Then, the bite force was measured with an analog dynamometer, whose bar was adapted for mouth grip. The bite force results and their correlation with the variables were analyzed with the independent t-test (p<0.05). Results: the sample comprised 42 parkinsonians at a mean age of 64 years, 67% of whom were males. No difference was observed in the correlation with age, temporomandibular disorder, stage and time of Parkinson’s disease; or between the sides, symptom onset and masticatory preference. However, there was a significant association between the sexes (males and females) for both sides (right – p=0.002; left – p=0.04) and denture use for bite force on the right side (p=0.03). Conclusion: being a female and using dentures are factors associated with decreased bite force in people with Parkinson’s disease.