ABSTRACT
BACKGROUND: Obesity is a multifactorial chronic disease involving multiple organs, devices, and systems involving important changes in the stomatognathic system, such as in the orofacial muscles, temporomandibular joint, cheeks, nose, jaw, maxilla, oral cavity, lips, teeth, tongue, hard/soft palate, larynx, and pharynx. Patients with obesity indicated for bariatric surgery reportedly presented with abnormalities in the structures and function of the stomatognathic apparatus. This occurs through the accumulation of adipose tissue in the oral cavity and pharyngeal and laryngeal regions. Therefore, this systematic review aimed to elucidate the changes occurring in the stomatognathic system of patients with obesity after undergoing bariatric surgery. METHOD: Information was searched based on the equations developed with the descriptors obtained in DECS and MESH using the PRISMA methodology. Studies published between 2010 and October 2021 in databases including PubMed, ProQuest, Scielo, Dialnet, EBSCO, and Springer Link were considered. RESULTS: Eighty articles met the inclusion criteria after evaluating the articles, thereby allowing for the determination of the morphophysiological correlation of the stomatognathic system with the population studied. At the morphological or structural level, changes were observed in the face, nose, cheeks, maxilla, jaw, lips, oral cavity, teeth, tongue, palate, temporomandibular joint, neck, muscles, head, shoulders, larynx, and pharynx. At the morphological level, the main changes occurred in, and the most information was obtained from, the labial structures, teeth, muscles, pharynx, and larynx. Physiological changes were in breathing, phonation, chewing, and swallowing, thereby revealing the imbalance in basic and vital functions. CONCLUSIONS: Analyzing the changes and structures of obese patients and candidates for bariatric surgery revealed that, in the preoperative period, the evidence is clear owing to the presence of a wide range of information. However, the information is more limited regarding the postoperative period; thus, further research focusing on characterization of the system postoperatively is warranted.
ABSTRACT
The radical cations of dicyclopropylidenemethane (2) and its octamethyl derivative (2-Me8) are prone to rearrangements into those of (2-methylallylidene)cyclopropane (2a) and its octamethyl derivative (2a-Me8), respectively, by opening one three-membered ring. In contrast to the radical cations of bicyclopropylidene (1) and its octamethyl derivative (1-Me8), 2*+ and 2-Me8*+ are stable to opening of the second ring, because in this case the resulting species would be a non-Kekulé hydrocarbon with a quartet ground state. Similarly to 1, octamethyl substitution in 2 promotes the tendency to rearrangement. Thus, ESR and ENDOR studies indicate that the primary radical cation 2*+, which is formed upon gamma-irradiation of 2 in a CFCl3 matrix at 77 K, does not rearrange up to 150 K. On the other hand, when 2-Me8 is treated in the same way, only the rearranged radical cation 2a-Me8*+ can be observed and characterized by its ESR and ENDOR spectra. Nevertheless, the existence of the two "missing" species, 2a*+ and 2-Me8*+, is revealed by other methods. According to UV and IR studies, X irradiation of 2 in an Ar matrix leads directly to the ring-opened radical cation 2a*+. Moreover, magnetic field effects on the decay of fluorescence, which appears upon recombination of the radical anion of p-terphenyl with a radical cation generated from 2-Me8 in liquid octane, strongly suggest that 2-Me8*+ (and not 2a-Me8*+) is formed initially. From the temperature dependence of the decay, the activation energy of the ring-opening process 2-Me8*+ --> 2a-Me8*+ is estimated. The radical cations 2a*+ and 2a-Me8*+ are formally distonic with the spin residing in the allylic moiety and the charge accommodated on the central carbon atom of the allene pi-system. The intact cyclopropylidenemethylidene moiety assumes a "bisected" conformation, thus favoring an optimal interaction with the positively charged center on the pi-system.
ABSTRACT
Upon ionization by gamma-irradiation in frozen CFCl(3), or by X-irradiation in an Ar matrix, 2,2,3,3-tetramethylmethylenecyclopropane (MCP-Me4) readily undergoes ring opening to yield the radical cation of 1,1,2,2-tetramethyltrimethylenemethane (TMM-Me4). The hyperfine-coupling constants for TMM-Me4(.+) are (mT) -1.99 (2H), +0.53 (6H), and +0.19 (6H), and the singly occupied orbital closely resembles one of the two degenerate nonbonding pi-MOs (NBMOs) of trimethylenemethane (TMM). Due to the expected effect of the methyl substituents, this "symmetric" NBMO, psi(2+) (b(1)), is energetically favored relative to its "antisymmetric" counterpart, psi(2-) (a(2)), so that the ground state assumes a structure with (2)B(1) symmetry in the C(2v) point group. Calculations show that the ring opening in the primary radical cation MCP-Me4(.+) to yield TMM-Me4(.+) is spontaneous, whereas in the parent system (MCP(.+) --> TMM(.+) a low barrier does exist. In contrast to the previously investigated case of the radical cation of tetramethyleneethane, the "electromer" of TMM-Me4(.+), in which the unpaired electron occupies psi(2-), cannot be attained photochemically.
ABSTRACT
Bicyclopropylidene 1a and its octamethyl derivative 1b are subjected to ionization by X-irradiation in solid argon. In accord with previous experiments, this treatment leads to the spontaneous opening of both cyclopropylidene rings, as does ionization of 1b by gamma-irradiation in CFCl(3) at 77 K. The resulting tetramethyleneethane (or bisallyl) radical cations 2a+* and 2b+* are distinguished by a broad band in the NIR. In the case of 2a+*, wavelength-selective photolyses reveal the presence of two interconvertible species with very similar yet distinct spectra. Based on DFT and CASSCF/CASPT2 calculations, these spectra are assigned to two "electromeric" forms of 2a+* which differ in the nature of the singly occupied MO. The NIR bands correspond to charge-resonance transitions between states with fully delocalized spin and charge. Calculations predict that similar electromers should also exist in 2b+* which shows a much weaker NIR band, but no corresponding experimental evidence could be found. On the other hand, the ESR spectrum of 2b+* indicates that, in contrast to 2a+*, the spin is largely localized in one of the two allylic moieties in 2b+*. Although no theoretical method is presently available that would permit an accurate modeling of the opposing factors favoring localized or delocalized structures in molecules such as 2a+* or 2b+*, the observed trends can be satisfactorily rationalized on the basis of semiquantitative considerations. In particular, the important role of vibronic coupling in shaping the potential surfaces for such systems is emphasized.
