Banca de DEFESA: AMANDA SILVA SANTOS

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : AMANDA SILVA SANTOS
DATA : 15/01/2020
HORA: 08:00
LOCAL: Salas Especiais - Qualificação e Defesa 1º andar, Instituto de Ciências da Saúde
TÍTULO:

Evaluation of the Effectiveness of Laser Phototherapy in the Treatment of Orofacial Paresthesias in the Unified Health System

PALAVRAS-CHAVES:

Nervous Regeneration; Neurosensitive Disorder; Low Intensity Light Therapy; Biotechnology.

PÁGINAS: 100
GRANDE ÁREA: Outra
ÁREA: Tecnologia e Inovação
RESUMO:

Orofacial paraesthesia is a sensorineural disorder that can affect daily quality of life of individuals undergoing some dental procedures or facial trauma. A more technological and innovative treatment option for this condition is laser phototherapy, which can be employed in the public health service, thus meeting the principles of bioethics and justice, as long as it is equally available to society as a whole. The objective of this cross-sectional study was to evaluate the effectiveness of laser phototherapy in the treatment of orofacial paresthesias. Through a database, 296 laser therapy cycles from 101 patients were selected. It contained information on gender, age, medical and dental history of patients treated from 2003 to 2018, at the Laser Clinic of the FOUFBA Biophotonics Center. Infrared diode lasers (700-808nm) were used in continuous emission mode, with individualized application protocol, being performed every 48 hours, totaling 12 sessions. The Visual Analog Scale was used to evaluate nerve sensitivity at each session. The records of this scale were evaluated together with the other bank data and statistically analyzed. The results showed that approximately 62% of the cycles had satisfactory outcomes (improvement and asymptomatic), with 80% being women and 20% men (p = 0.02); 55.68% were patients aged 19 to 42 years and 44.32% were 43 to 90 years old (p = 0.04). Regarding medical history, 51.35% of those who had some comorbidity and 48.65% did not (p> 0.05); 25.41% of those taking vitamin B and 74.59% of those not using this associated supplement obtained satisfactory results after laser therapy cycles (p> 0.05). The average cyclic dose (DC) used was 280.5 ± 11.0J / cm² and the average DC that obtained a satisfactory result was 293.6J / cm² ± 201.2J / cm². There was statistical significance between the mean DC in some variables such as: type of injured nerve, being the lingual, with higher DC; If the paresthesia was in an isolated nerve or in more than one nerve, the latter with higher DC, the cause involved, being orthognathic surgery requiring higher DC, affected side, and the left side had lower doses; Number of application regions, the fewer regions, lower dose usage and Cycle status, with full cycles at higher DC. It was concluded that laser phototherapy is effective in the treatment of orofacial paresthesias, however, women and those aged 19 to 42 years had the most satisfactory outcomes. The average cyclic / therapeutic dose used was efficient, and the variables of injured nerve type, number of regions of application and cause involved are essential to identify them to establish the best dose to be used. Through an individualized protocol and specific parameters in the treatment of orofacial paraesthesia with laser therapy, it is possible to improve the quality of life of these patients

MEMBROS DA BANCA:
Interno - 1134693 - ANTONIO LUIZ BARBOSA PINHEIRO
Externo à Instituição - JULIANA SANTOS DE CARVALHO MONTEIRO
Presidente - 1217990 - MARIA CRISTINA TEIXEIRA CANGUSSU
Externo à Instituição - SUSANA CARLA PIRES SAMPAIO - UNIME