ABSTRACT
PURPOSE: To investigate the survival rate in implants placement in irradiated and non-irradiated bone in patients undergoing head and neck cancer (HNC) treatment. We focused on the consequences of the main complications, such as osteoradionecrosis and peri-implantitis. METHODS: An electronic search conducted by PRISMA protocol was performed. Full texts were carefully assessed, and data were assimilated into a tabular form for discussion and consensus among the expert panel. The quality assessment and the risk of bias are verified by Joanna Briggs Institute checklist (JBI) and The Newcastle-Ottawa Scale (NOS), and Risk of Bias in Non-Randomized Studies of Interventions (ROBINS-I) assessment tool. RESULTS: A total of 452 records were identified in the based on our PICOs strategy and after screening, 19 articles were included in the descriptive analysis of the review. Totaling 473 implants placed in irradiated and non-irradiated bone, and 31.6% of the patients were over 60 years of age. 57.9%) performed implant placement in a period of 12 months or more after the ending of radiotherapy. Only 5 studies had a follow-up period longer than 5 years after implant placement, of which three were used for the meta-analysis. In the meta-analysis of 5-year survival rate, analysis of implants in irradiated bone was assessed; a random effect model was used and a weighted proportion (PP) of 93.13% (95% CI: 87.20-99.06; p < 0.001), and in the 5-year survival rate, analysis of implants in non-irradiated bone was analysed; a fixed effect model was used and a weighted proportion (PP) of 98.52% survival (95% CI: 97.56-99.48, p < 0.001). CONCLUSIONS: Survival rates of implants placed in irradiated bone are clinically satisfactory after a follow-up of 5 years, with a fewer percentage than in implants placed in non-irradiated bone after metanalyses performed.
Subject(s)
Bone-Anchored Prosthesis , Head and Neck Neoplasms , Humans , Middle Aged , Aged , Head and Neck Neoplasms/radiotherapyABSTRACT
OBJECTIVE: To evaluate the practice of dentistry in intensive care units. METHODS: An observational survey study was conducted in which questionnaires were sent via the online platform for collaboration in intensive care research in Brazil (AMIBnet). The study was carried out from June to October 2017. The questionnaires, which contained 26 closed questions about hospitals and dentistry practices in the intensive care units, were sent to 4,569 professionals from different specialties practicing in the units. RESULTS: In total, 203 questionnaires were returned, resulting in a response rate of 4.44%. Most of the responses were from intensive care units in the Southeast region of the country (46.8%). Public hospitals (37.9%) and private hospitals (36.4%) had similar participation rates. Of the respondents, 55% indicated that a bedside dentistry service was present, and they were provided in different ways. CONCLUSION: The presence of dentistry services and oral health service delivery training and protocols were correlated. The oral care methods varied greatly among the intensive care units surveyed.
OBJETIVO: Avaliar a atuação odontológica em unidades de terapia intensiva. MÉTODOS: Estudo observacional de enquete, por meio do envio de questionários via plataforma on-line de colaboração de pesquisa em terapia intensiva no Brasil (AMIBnet). A pesquisa foi realizada de junho a outubro de 2017. Os questionários, envolvendo 26 questões fechadas sobre os hospitais e a atuação odontológica nas unidades de terapia intensiva foram enviados para 4.569 profissionais de diversas especialidades atuantes nas unidades. RESULTADOS: Obtivemos 203 questionários respondidos, resultando em uma taxa de resposta de 4,44%. A maior parte das respostas teve origem em unidades de terapia intensiva na Região Sudeste do país (46,8%). Hospitais públicos (37,9%) e privados (36,4%) tiveram participação semelhante nos resultados. Dos respondentes, 55% apontaram que um serviço de Odontologia à beira de leito estava presente, sendo prestado de maneiras diversas. CONCLUSÃO: Presença de Serviço de Odontologia e de treinamentos e protocolos de prestação de serviço em saúde bucal estiveram correlacionados. Os métodos de cuidados orais variaram sobremaneira entre as em unidades de terapia intensiva pesquisadas.
Subject(s)
Critical Care/organization & administration , Delivery of Health Care/organization & administration , Dental Care/organization & administration , Intensive Care Units , Brazil , Hospitals, Private/organization & administration , Hospitals, Private/statistics & numerical data , Hospitals, Public/organization & administration , Hospitals, Public/statistics & numerical data , Humans , Surveys and QuestionnairesABSTRACT
RESUMO Objetivo: Avaliar a atuação odontológica em unidades de terapia intensiva. Métodos: Estudo observacional de enquete, por meio do envio de questionários via plataforma on-line de colaboração de pesquisa em terapia intensiva no Brasil (AMIBnet). A pesquisa foi realizada de junho a outubro de 2017. Os questionários, envolvendo 26 questões fechadas sobre os hospitais e a atuação odontológica nas unidades de terapia intensiva foram enviados para 4.569 profissionais de diversas especialidades atuantes nas unidades. Resultados: Obtivemos 203 questionários respondidos, resultando em uma taxa de resposta de 4,44%. A maior parte das respostas teve origem em unidades de terapia intensiva na Região Sudeste do país (46,8%). Hospitais públicos (37,9%) e privados (36,4%) tiveram participação semelhante nos resultados. Dos respondentes, 55% apontaram que um serviço de Odontologia à beira de leito estava presente, sendo prestado de maneiras diversas. Conclusão: Presença de Serviço de Odontologia e de treinamentos e protocolos de prestação de serviço em saúde bucal estiveram correlacionados. Os métodos de cuidados orais variaram sobremaneira entre as em unidades de terapia intensiva pesquisadas.
ABSTRACT Objective: To evaluate the practice of dentistry in intensive care units. Methods: An observational survey study was conducted in which questionnaires were sent via the online platform for collaboration in intensive care research in Brazil (AMIBnet). The study was carried out from June to October 2017. The questionnaires, which contained 26 closed questions about hospitals and dentistry practices in the intensive care units, were sent to 4,569 professionals from different specialties practicing in the units. Results: In total, 203 questionnaires were returned, resulting in a response rate of 4.44%. Most of the responses were from intensive care units in the Southeast region of the country (46.8%). Public hospitals (37.9%) and private hospitals (36.4%) had similar participation rates. Of the respondents, 55% indicated that a bedside dentistry service was present, and they were provided in different ways. Conclusion: The presence of dentistry services and oral health service delivery training and protocols were correlated. The oral care methods varied greatly among the intensive care units surveyed.
Subject(s)
Humans , Dental Care/organization & administration , Critical Care/organization & administration , Delivery of Health Care/organization & administration , Intensive Care Units , Brazil , Surveys and Questionnaires , Hospitals, Private/organization & administration , Hospitals, Private/statistics & numerical data , Hospitals, Public/organization & administration , Hospitals, Public/statistics & numerical dataABSTRACT
O presente estudo teve por objetivo investigar a relaÆo entre psor¡ase e algumas manifestaães bucais consideradas comuns, principalmente a l¡ngua geogr fica. Foi realizado um estudo epidemiol¢gico, caracterizado como uma pesquisa transversal observacional anal¡tica. Foram examinados clinicamente 39 pacientes, subdivididos em dois grupos, sendo os portadores de l¡ngua geogr fica (Grupo 1) e psor¡ase (Grupo 2). Os resultados foram analisados por meio de an lise estat¡stica descritiva. A partir da amostra analisada, pde-se concluir que uma relaÆo entre a l¡ngua geogr fica e o aparecimento da psor¡ase incerta. Por outro lado, observou-se que a prevalncia da l¡ngua geogr fica em pacientes com psor¡ase foi consideravelmente maior que numa populaÆo normal
This epidemiological study has investigated the association of psoriasis to common oral conditions, especially geographic tongue. Thirty-nine patients were examined in this crosssectional analytical observational research. The patients were divided into two groups: patients presenting geographic tongue (Group 1) and patients affected by psoriasis (Group 2). The results were analyzed using descriptive statistics. An unclear association between geographic tongue and the occurrence of psoriasis was observed in this study. However, the prevalence of geographic tongue in patients with psoriasis was significantly higher than its frequency in a normal population
