Submitted by PPG Odontologia (odontologia-pg@pucrs.br) on 2018-03-15T15:58:28Z No. of bitstreams: 1 EDUARDO_MADRUGA_LOMBARDO_DIS.pdf: 563577 bytes, checksum: 75bb1d6f556f2f712acc1396b93b1ef9 (MD5) / Approved for entry into archive by Tatiana Lopes (tatiana.lopes@pucrs.br) on 2018-03-27T11:58:27Z (GMT) No. of bitstreams: 1 EDUARDO_MADRUGA_LOMBARDO_DIS.pdf: 563577 bytes, checksum: 75bb1d6f556f2f712acc1396b93b1ef9 (MD5) / Made available in DSpace on 2018-03-27T12:03:50Z (GMT). No. of bitstreams: 1 EDUARDO_MADRUGA_LOMBARDO_DIS.pdf: 563577 bytes, checksum: 75bb1d6f556f2f712acc1396b93b1ef9 (MD5) Previous issue date: 2017-01-20 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / The objective of this systematic review was to answer the following question: "Does the use of glucosamine and chondroitin decrease pain and improve function in patients with osteoarthritis of the temporomandibular joint?" A search in the literature guided by PRISMA-P Statement was conducted using the PubMed, EMBASE and Cochrane Library databases and the OMNIS and VHL tools. The search terms that guided the search were: "glucosamine", "chondroitin", "temporomandibular" and "osteoarthritis". The data extraction was performed in 4 randomized clinical trials that presented according to the eligibility criteria. The selected studies were also submitted to methodological quality evaluation. Final considerations: Although RCTs show positive results regarding chondroprotective agents, there is a need for more methodological rigor in their construction. / O objetivo do projeto desta revis?o sistem?tica foi responder a seguinte quest?o: ?o uso da glicosamina e da condroitina diminui a dor e melhora a fun??o em pacientes acometidos por osteoartrite da articula??o temporomandibular??.Uma busca na literatura norteada pelo PRISMA-P statement foi conduzida utilizando as bases de dados PubMed, EMBASE e Cochrane Library e as ferramentas OMNIS e BVS. Os termos de busca que orientaram a busca foram: ?glucosamine?, ?chondroitin?, ?temporomandibular? e ?osteoarthritis?. A extra??o de dados foi realizados em 4 ensaios cl?nicos randomizados que apresentaram-se de acordo com os crit?rios de elegibilidade. Os estudos selecionados ainda foram submetidos ? avalia??o da qualidade metodol?gica. Considera??es finais: Embora os ECRs apresentem resultados positivos a respeito de agentes condroprotetores, h? necessidade de maior rigor metodol?gico na sua constru??o.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-10-05T00:11:29Z No. of bitstreams: 1 RafaelaAlbuquerqueMelo_DISSERT.pdf: 2625630 bytes, checksum: 982be11955510b17b4f466620f5f679a (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-10-16T23:35:38Z (GMT) No. of bitstreams: 1 RafaelaAlbuquerqueMelo_DISSERT.pdf: 2625630 bytes, checksum: 982be11955510b17b4f466620f5f679a (MD5) / Made available in DSpace on 2017-10-16T23:35:38Z (GMT). No. of bitstreams: 1 RafaelaAlbuquerqueMelo_DISSERT.pdf: 2625630 bytes, checksum: 982be11955510b17b4f466620f5f679a (MD5) Previous issue date: 2017-07-19 / Introdu??o: A Disfun??o Temporomandibular (DTM) ? uma condi??o de etiologia multifatorial que afeta o sistema estomatogn?tico, possuindo dentre os fatores contribuintes ao seu desenvolvimento, aspectos biopsicossociais. Assim, a sua conduta terap?utica inicial deve ser multidisciplinar, com tratamentos conservadores e revers?veis. Objetivo: Avaliar o efeito da placa oclusal (PO), aconselhamento (AC) e placa com aconselhamento (PAC) sobre dor e sintomas de depress?o em pacientes com DTM ap?s 30 dias de terapia. M?todos: Sesssenta pacientes diagnosticados com DTM por meio do RDC/TMD (Research Diagnostic Criteria for Temporomandibular Disorders) foram alocados em tr?s grupos de tratamento (21 no PAC, 22 no PO e 17 no AC). Os participantes responderam aos question?rios BDI (Invent?rio da depress?o de Beck) e HADS (Escala Hospitalar de Ansiedade e Depress?o) com rela??o ? depress?o e ? Escala Visual Anal?gica (EVA) quanto ? dor e foram novamente submetidos ao RDC/TMD ap?s a terapia, com 30 (trinta) dias de tratamento. Os dados obtidos foram analisados por meio do programa SPSS (Statistical Package for the Social Science) 22.0 com o teste Split Plot ANOVA, com n?vel de confian?a de 95%. Resultados: Houve uma redu??o significativa nos par?metros depressivos pelo BDI (p=0,002) e HADS (p=0,008) e tamb?m da sintomatologia dolorosa (p=0,001) ap?s 30 dias de tratamento em todos os grupos analisados. Todavia, n?o houve diferen?a estatisticamente significativa entre os grupos de tratamento nos par?metros depressivos, seja pelo BDI (p=0,315) ou HADS (p=0,843) e na dor (p=0,267), mostrando que nenhum grupo terap?utico foi superior em rela??o aos demais na redu??o dos par?metros analisados. Conclus?o: Dentro das limita??es do estudo, pode-se concluir que, em curto prazo, os tratamentos de placa oclusal e aconselhamento, individualmente ou em associa??o, foram efetivos na redu??o da sintomatologia dolorosa e dos aspectos depressivos. Todavia, nenhum grupo terap?utico foi superior ao outro na redu??o dos par?metros observados. / Introduction: Temporomandibular Dysfunction (TMD) is a condition of multifactorial etiology that affects the stomatognathic system, possessing, among the factors contributing to its development, biopsychosocial aspects. Thus, their initial therapeutic management should be multidisciplinary, with conservative and reversible treatments. Objective: To evaluate the effect of occlusal plaque (PO), counseling (CA) and plaque with counseling (PAC) on pain and depression symptoms in patients with TMD after 30 days of therapy. Methods: Sixty patients diagnosed with TMD through RDC / TMD (Research Diagnostic Criteria for Temporomandibular Disorders) were allocated into three treatment groups (21 in PAC, 22 in OP and 17 in CA). Participants responded to the BDI (Beck Depression Inventory) and HADS (Hospital Anxiety and Depression Scale) questionnaires regarding depression and the Visual Analogue Scale (VAS) for pain and were re-submitted to RDC / TMD after therapy, With 30 (thirty) days of treatment. The data were analyzed using SPSS (Statistical Package for the Social Science) 22.0 with the Split Plot ANOVA test, with a confidence level of 95%. Results: There was a significant reduction in the depressive parameters by BDI (p = 0.002) and HADS (p = 0.008) and also pain symptoms (p = 0.001) after 30 days of treatment in all groups analyzed. However, there was no statistically significant difference between the treatment groups in the depressive parameters, either by BDI (p = 0,315) or HADS (p = 0.843) and pain (p = 0.267), showing that no therapeutic group was superior to In the reduction of the analyzed parameters. Conclusion: Within the limitations of the study, it can be concluded that, in a short time, occlusal plaque treatments and counseling, individually or in combination, were effective in reducing pain symptoms and depressive aspects. However, no therapeutic group was superior to the other in reducing the observed parameters.

Submitted by Caroline Xavier (caroline.xavier@pucrs.br) on 2017-06-12T17:44:48Z No. of bitstreams: 1 DIS_ROBERTO_FERREIRA_ZANIN_PARCIAL.pdf: 733158 bytes, checksum: a7a7b4d0022ccc0b36fa8657b48ad0ff (MD5) / Made available in DSpace on 2017-06-12T17:44:48Z (GMT). No. of bitstreams: 1 DIS_ROBERTO_FERREIRA_ZANIN_PARCIAL.pdf: 733158 bytes, checksum: a7a7b4d0022ccc0b36fa8657b48ad0ff (MD5) Previous issue date: 2017-01-19 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Temporomandibular disorders (TMD) and their treatment have a physical and psychological impact on quality of life (QOL). This study aimed to assess the impact of oral health on QOL by evaluating 50 patients with bilateral anterior disc displacement without reduction preoperatively (T0) and 3?6 months after surgery for anterior disc repositioning and anchoring (T1). Oral health-related QOL was assessed using the short form of the Oral Health Impact Profile (OHIP-14). There was a statistically significant reduction in the mean total OHIP-14 score between T0 (12.48 ? 5.81) and T1 (3.84 ? 3.00). In addition, there was a significant decrease in all 7 OHIP-14 domains (P<0.001). Younger patients (aged 28?38 years, n=26) had benefits in all domains, while older patients (aged 50?60 years, n=5) showed a significant improvement only in the physical pain domain (P=0.049). The results suggest that TMD affect individuals in many aspects of their lives and that general or condition-specific oral health-related QOL measures are valuable tools for determining the impact of joint disorders on patients? QOL. Surgical treatment for articular disc repositioning and anchoring had a positive impact on patients? QOL. / As desordens da articula??o temporomandibular (ATM) e seu tratamento possuem repercuss?es f?sicas e psicol?gicas na qualidade de vida (QOL). Este estudo avaliou o pr?-operat?rio (T0) e de 3-6 meses de p?s-operat?rio (T1) em 50 pacientes (100 discos articulares) com deslocamento anterior do disco, sem redu??o bilateral, submetidos ? cirurgia para o reposicionamento do disco articular atrav?s de ?ncoras. A QOL relacionada com a sa?de bucal foi avaliada usando a vers?o reduzida do oral health impact profile (OHIP-14). Houve uma redu??o estatisticamente significante na m?dia geral das pontua??es OHIP-14 entre T0 (12.48 ? 5.81) e T1 (3.84 ? 3.00). Em adi??o, houve uma redu??o significativa em todos os 7 dom?nios OHIP-14 (P<0,001). Pacientes mais jovens, na faixa et?ria entre 28-38 anos (n=26), foram beneficiados em todos os dom?nios avaliados, enquanto que uma melhora significativa pode ser observada apenas no dom?nio dor f?sica (P > 0.05) para os pacientes mais idosos na faixa et?ria entre 50-60 anos (n=5). Os resultados sugerem que as desordens da ATM afetam os indiv?duos em diversos aspectos de suas vidas e que as abordagens das condi??es espec?ficas e gerais de sa?de oral para avaliar a QOL possuem valor em determinar o impacto das desordens articulares na qualidade de vida destes pacientes. O tratamento cir?rgico para a ancoragem de disco da ATM teve um impacto positivo na qualidade nos pacientes avaliados.

Made available in DSpace on 2014-12-17T15:43:50Z (GMT). No. of bitstreams: 1 IsabelleSD_DISSERT.pdf: 2024828 bytes, checksum: be56dc21b3255b81af932421dbedb21d (MD5) Previous issue date: 2013-04-11 / The epidemiology of temporomandibular disorders varies widely in the literature. The aim of this study was to determine the prevalence of TMD in dental students of the Federal University of Rio Grande do Norte assessed by different indexes. The sample consisted of 101 individuals selected by a randomized process, whose general outline was systematic sampling. For evaluation of the signs and symptoms of TMD, an anamnestic index, Fonseca s protocol, and two clinical indexes, the RDC/TMD (Research Diagnostic Criteria for Temporomandibular Disorders), or standard index, and the Helkimo s Clinical Dysfunction Index were applied. Data were analyzed using the chi-square test and kappa, besides verifying the sensitivity and specificity (5% significance). The diagnosis of TMD by different indexes showed a variation in the prevalence between 72.3% (Helkimo s Clinical index), 64.4% (Fonseca s anamnestic index) and 35.6% (RDC/TMD). There was no statistical difference between the sexes for the RDC/TMD, although this difference was found for Fonseca s and Helkimo s indexes (p<0.05). The most frequent type of TMD were joint disorders (Groups II and III), and the subtypes disc displacement with reduction (17.8%) and arthralgia (15.8%). Most individuals showed a mild TMD (45.5%) for both indexes, Fonseca and Helkimo. When comparing the types of diagnoses, RDC/TMD with Fonseca and Helkimo, low agreement was found (k=0.17 and k= 0.35, respectively). A moderate correlation between the severity of TMD was obtained (kw= 0.53) for Fonseca s protocol and Helkimo s index. High sensitivity and low specificity were seen for both diagnoses compared to standard, resulting in excessive false positives. Within the limitations of the study, it was concluded that the prevalence of TMD can vary widely, depending on the index used for its diagnosis / A epidemiologia das Disfun??es Temporomandibulares apresenta grande varia??o na literatura. O objetivo deste estudo foi verificar a preval?ncia da DTM nos estudantes do curso de Odontologia da Universidade Federal do Rio Grande do Norte avaliada por diferentes ?ndices. A amostra constou de 101 indiv?duos selecionados por um processo de amostragem probabil?stica, cujo delineamento geral foi de amostragem sistem?tica. Para avalia??o dos sinais e sintomas da DTM utilizou-se um ?ndice anamn?sico, o protocolo de Fonseca, e dois ?ndices cl?nicos, o RDC/TMD (Research Diagnostic Criteria for Temporomandibuar Disorders), ou ?ndice padr?o, e o ?ndice de Disfun??o Cl?nica de Helkimo. Os dados foram analisados por meio do teste Qui-Quadrado e teste de concord?ncia kappa, al?m da verifica??o da sensibilidade e especificidade (signific?ncia de 5%). O diagn?stico de DTM pelos diferentes ?ndices revelou uma varia??o na preval?ncia de 72,3% (?ndice cl?nico de Helkimo), 64,4% (?ndice anamn?sico de Fonseca) e 35,6% (RDC/TMD). N?o houve diferen?a estat?stica entre os sexos para o RDC/TMD, embora essa diferen?a tenha sido encontrada para os ?ndices de Fonseca e Helkimo (p<0,05). O tipo de DTM mais frequente foi a DTM articular (Grupos II e III), nos subtipos deslocamento de disco com redu??o (17,8%) e artralgia (15,8%). A maioria dos indiv?duos apresentou a forma mais leve da DTM (45,5%) para ambos os ?ndices, Fonseca e Helkimo. Quando comparados os tipos de diagn?sticos, RDC/TMD com o Fonseca e Helkimo, baixas concord?ncias foram encontradas (k=0,17 e k=0,35, respectivamente). Uma concord?ncia moderada entre a severidade da DTM foi obtida (kp=0,53) para o protocolo de Fonseca e o ?ndice de Helkimo. Alta sensibilidade e baixa especificidade foram vistas para ambos os diagn?sticos em rela??o ao padr?o, resultando em excesso de falsos-positivos. Dentro das limita??es do estudo, conclui-se que a preval?ncia das DTMs pode apresentar grandes varia??es, dependendo do ?ndice utilizado para seu diagn?stico

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-11-03T21:39:42Z No. of bitstreams: 1 FernandaGondimLemosDeOliveiraMedeiros_DISSERT.pdf: 2018995 bytes, checksum: 637011e566f152bb815b954afcd07a2b (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-11-17T23:58:29Z (GMT) No. of bitstreams: 1 FernandaGondimLemosDeOliveiraMedeiros_DISSERT.pdf: 2018995 bytes, checksum: 637011e566f152bb815b954afcd07a2b (MD5) / Made available in DSpace on 2017-11-17T23:58:30Z (GMT). No. of bitstreams: 1 FernandaGondimLemosDeOliveiraMedeiros_DISSERT.pdf: 2018995 bytes, checksum: 637011e566f152bb815b954afcd07a2b (MD5) Previous issue date: 2017-09-29 / Introdu??o: A disfun??o temporamandibular (DTM) definida como um conjunto de dist?rbios que envolvem os m?sculos mastigat?rios, a articula??o temporomandibular e estruturas associadas. A DTM pode gerar um grande impacto sobre a vida di?ria do paciente, limitando sua qualidade de vida e do sono. Diante da variedade de tratamentos existentes, torna-se necess?rio determinar quais inferferem nestes fatores. Objetivo: Avaliar a efetividade de diferentes terapias conservadores na qualidade de vida, qualidade do sono e dor em pacientes com DTM. Metodologia: O ensaio cl?nico foi constitu?do de 89 pacientes e distribu?dos em quatro modalidades aleatoriamente: placa oclusal (PO; n=24), terapia manual (TM; n=21), aconselhamento (AC; n=19) e placa oclusal em associa??o com aconselhamento (PAC; n=25). As cr?terios foram avaliados por meio da Escala Visual Anal?gica de Dor (EVA), ?ndice de Qualidade do Sono de Pittsburgh (PSQI), World Health Organization Quality Of Life (WHOQOL-BREF) e Oral Health Impact Profile (OHIP-14). Foi utilizado o teste estat?stico Slip Plot ANOVA com n?vel de confian?a de 95%. Resultados: Todas as terapias foram efetivas ao longo do tempo, influenciando a dor (p<0,001), qualidade do sono (p=0,001), impacto da sa?de oral na qualidade de vida (p<0,001) e qualidade de vida geral (p<0,006), sem diferen?a estat?stica entre elas. Conclus?o: As terapias conservadoras estudadas foram eficazes na melhoria da dor, qualidade do sono e qualidade de vida, entretanto, nenhum grupo terap?utico foi superior ao outro. / Introduction: Temporamandibular dysfunction (TMD) can have a major impact on a patient's daily life, limiting their quality of life and sleep. In view of the variety of existing treatments, it is necessary to determine which ones inferred in these factors. Objective: To evaluate the effectiveness of different conservative therapies in the quality of life, sleep and pain in TMD diagnosed patients. Methods: The clinical trial consisted of 89 patients and distributed in four modalities: occlusal splints (n=24), manual therapy (n = 21), counseling (n = 19) and occlusal splints in association with counseling (n = 25), counseling and occlusal s in association with counseling. The critters were evaluated by means of the Visual Analogue Pain Scale (VAS), Pittsburgh Sleep Quality Index (PSQI), World Health Organization Quality of Life (WHOQOL-BREF) and Oral Health Impact Profile (OHIP-14). Slip Plot ANOVA statistical test was used to observe the results, with a confidence level of 95%. Results: All therapy modalities were successful in TMD treatment over time with regard to pain (p <0.001), sleep quality (p = 0.001), oral health impact on quality of life (p <0.001) and quality of life (p<0.006), but there was no significant difference between therapies. Conclusion: The conservative therapies studied were effective in improving pain, quality of sleep and quality of life, however, no therapeutic group was superior to the other.

Made available in DSpace on 2014-12-17T15:30:58Z (GMT). No. of bitstreams: 1 CamilaMBMR_DISSERT.pdf: 1636154 bytes, checksum: 93436bf05df2fc24b28357dc92d0d373 (MD5) Previous issue date: 2011-08-04 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / Even nowadays there is in Brasil a large number of edentulous and a precarious financial condition of most of the population. In addition, World Health Organization aims for oral health, which consists on the maintenance of a natural dentition, functional and aesthetic composed of at least 20 teeth, without need of prosthetic intervention throughout life. From this and considering the lack of researches about the permanence of edentulous spaces in the oral cavity, and also avoiding overtreatment, this research has been proposed. Thus, the aim was to evaluate the effect of different lengths of the shortened lower dental arch in the presence or absence of a removable partial denture (RPD) on masticatory function, quality of life and occurrence of temporomandibular dysfunction. To achieve this goal, we compared the masticatory efficiency (colorimetric test), the oral comfort through the analysis of the impact of oral health in quality of life (OHIP-14), the presence of temporomandibular dysfunction (RDC/TMD) and the general quality of life (WHOQOL) of patients with shortened dental arches (SDA) (n=60), which is an arch with a reduction of teeth starting posteriorly, and patients with complete dental arch (Complete DA) (n = 34). The group of patients whit SDA was divided among PPR wears (PPD + SDA) (n = 17) and non-wears (n = 43). The population of this study consisted on patients who received or looked for treatment at the clinics of the Department of Dentistry of UFRN, from clinical analysis and records. The sample was chosen by convenience. For statistical analysis, it was a database in SPSS 17.0, followed by descriptive analysis with frequencies, absolute values, tests of central tendency and variability. The statistical tests used were chi-squared and analysis of variance as well as Tukey s post test, when applicable, all with a 95% confidence level. The results shown a prevalence of TMD of 47,1% among patients using PRP and 69,8% among those who didn t, but this result wasn t statistically significant. The mean of the results of masticatory efficiency, WHOQOL and OHIP didn t show association to the presence or absence of PPR and to the lower number of occlusal units of the patients (0, 1, 2 or more occlusal). The association only occurred among the different groups of SDA and the patients with complete dental arch. Taking into account the results, it could be observed that studied patients with low posterior support using lower PRP didn t have better masticatory efficiency, general quality of life, less impacts of their oral conditions in quality of life or not even less temporomandibular dysfunction or better masticatory efficiency when compared to those who didn t use the prosthesis / Existe ainda hoje no Brasil um grande n?mero de desdentados e uma prec?ria condi??o financeira da maior parte da popula??o. Al?m disso, existe uma meta preconizada pela Organiza??o Mundial de Sa?de para sa?de bucal, que consiste na manuten??o de uma denti??o natural, funcional e est?tica composta de, pelo menos, 20 dentes, sem que haja necessidade de uma interven??o prot?tica ao longo da vida. A partir disso e da escassez de estudos sobre a perman?ncia destes espa?os ed?ntulos na cavidade bucal e ainda, buscandose evitar sobretratamentos, esta pesquisa foi proposta. Desta forma, objetivou-se avaliar o efeito da varia??o do encurtamento do arco dental inferior na presen?a ou aus?ncia de pr?tese parcial remov?vel (PPR) sobre a fun??o mastigat?ria, qualidade de vida e presen?a ou n?o de disfun??o temporomandibular. Com este intuito comparou-se a efici?ncia mastigat?ria (teste colorim?trico), o conforto oral atrav?s do impacto das condi??es bucais na qualidade de vida (OHIP-14), a presen?a de disfun??o temporomandibular (RDC/TMD) e qualidade de vida geral (WHOQOL) de pacientes com arco dental curto (ADC) (n=60), ou seja suporte posterior reduzido e ainda a um grupo de indiv?duos com arco dental completo (AD Completo) (n = 34). O grupo de pacientes que apresentava ADC foi subdividido entre usu?rios de PPR (ADC +PPR) (n=17) e n?o usu?rios (n=43). A popula??o foi constitu?da por pacientes que recebem tratamento nas cl?nicas do Departamento de Odontologia da UFRN ou que est?o em busca do mesmo, a partir de an?lise de prontu?rios e triagem pr?via. A amostra foi por conveni?ncia. Para a an?lise estat?stica, fez-se um banco de dados no SPSS 17.0, seguida da an?lise descritiva com freq??ncias, valores absolutos, testes de medidas de tend?ncia central e variabilidade. Os testes estat?sticos utilizados foram o qui quadrado e an?lise de vari?ncia seguido do p?s teste de Tukey quando aplic?vel, tudo com n?vel de confian?a de 95%. Com os resultados observou-se que a preval?ncia de DTM foi de 47,1% entre os pacientes que utilizavam PPR e 69,8% entre os que n?o utilizavam, mas isto n?o foi estatisticamente significante. Quanto ?s m?dias dos resultados da efici?ncia mastigat?ria, WHOQOL e OHIP n?o houve associa??o com a presen?a ou aus?ncia de PPR inferior e nem com o n?mero de unidades oclusais dos pacientes (0, 1, 2 ou mais unidades oclusais). A associa??o s? ocorreu entre o grupo AD Completo e os subgrupos de ADC. Levando-se em considera??o os resultados pode-se observar que pacientes com suporte posterior bastante reduzido que utilizam PPR inferior n?o possuem melhor efici?ncia mastigat?ria, qualidade de vida geral, nem as condi??es bucais impactam menos na sua qualidade de vida, nem apresentam menos DTM e nem possuem uma melhor efici?ncia mastigat?ria quando compar?veis aos pacientes que n?o utilizam PPR com as mesmas condi??es bucais