Levantamento das condições de saúde bucal no DF : planejamento de execução do levantamento e adaptação de instrumento de mensuração de qualidade de vida relacionada a DTM

Dissertação (mestrado)—Universidade de Brasília, Faculdade de Ciências da Saúde, Departamento de Odontologia, Programa de Pós-Graduação em em Odontologia, 2019.As doenças bucais e suas sequelas são comprovadamente um dos maiores problemas de saúde pública do mundo, e devem ser objeto constante de estudo e direcionamento de recursos públicos e privados, no intuito de se evitar, deter ou reabilitar suas consequências. Os inquéritos de saúde bucal são recursos fundamentais para que se conheça a realidade epidemiológica de um determinado cenário. O presente estudo tem por objetivo realizar pesquisas metodológicas e desenvolver ferramentas que servirão de base para o 1o levantamento epidemiológico em saúde bucal do DF. Para tanto, promoveu-se extensa análise comparativa com inquéritos da mesma natureza realizados no Brasil e no mundo, em face da das recomendações da Organização Mundial da Saúde (OMS). Frente ao lapso da literatura, executou-se processo de validação transcultural para adaptação de ferramenta que mensura impacto da DTM na qualidade de vida das pessoas, propondo que esta ferramenta faça parte do levantamento em questão. Finalmente, sugere-se uma matriz que relaciona as principais barreiras à implantação dos projetos com desfechos dos estudos de implementação, elencando-se possíveis soluções para que se contornem os problemas.Oral diseases and their consequences are proven to be one of the biggest public health problems in the world, and should be a constant object of study and direction of public and private resources, in order to avoid, deter or rehabilitate their consequences. Oral health surveys are fundamental resources to know the epidemiological reality of a given scenario. This study aims to carry out methodological research and develop tools that will serve as the basis for the first oral health epidemiological survey of the DF. To this end, an extensive comparative analysis was carried out within similar surveys conducted in Brazil and worldwide, in light of the recommendations of the World Health Organization (WHO). In the void of the literature, a cross-cultural validation process was performed to adapt a tool that measures the impact of TMD on people's quality of life, proposing that this tool be part of the survey in question. Finally, we suggest a matrix that relates the main barriers to project implementation with outcomes of the implementation studies, listing possible solutions to overcome the problems

Oral health effects of botulinum toxin treatment for drooling:a systematic review

Drooling is a major morbidity in several neurological diseases. Intraglandular botulinum neurotoxin (BoNT) injections have been used to manage this condition. However, by decreasing salivary flow, BoNT injections may result in an increased risk of caries and other oral adverse effects. In this study, we aimed to assess whether, in patients with drooling, intraglandular BoNT injections are associated with increased dental caries development, modifications on salivary composition (oral pH, buffering capacity and osmolality) and cariogenic bacterial load. We performed a systematic review, searching PubMed, CENTRAL, Web of Science, and Scopus for all experimental and observational studies reporting on adverse effects of intraglandular BoNT injections in patients with drooling. Primary study selection, quality assessment, and data extraction were independently performed by two researchers. No studies were excluded based on their language, publication status or date of publication. Studies? quality was based on revised Cochrane Risk of Bias tools. Meta-analysis was not performed. We retrieved 1025 studies, of which 5 were included. Two studies were two randomized controlled trials and three quasi-experimental studies. None of the included studies found BoNT injections to be associated with dental caries development or with significant reductions in oral pH. One of the included primary studies even observed an increase in salivary buffer capacity. One study found an increase in Lactobacilli counts. As for the risk of bias, two studies were classified as having a critical risk, two as high risk and one as having some concerns. Currently, there is no evidence that, in patients with drooling, BoNT injections associate with increased risk of dental caries or disturbances in oral pH or salivary buffering capacity. However, the included primary studies had important limitations and differences in their methodologies