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2. Study of sensory function and trismus in patients with head and neck cancer undergoing cancer treatment

Author

Januzzi, Marcella Santos [UNESP], Universidade Estadual Paulista (Unesp), Carvalho, Karina Helga Turcio de [UNESP], and Santos, Daniela Micheline dos [UNESP]

Subjects
Neoplasias de cabeça e pescoço, Dor facial, Trismo, Limiar da dor, Head and neck neoplasms, Hiperalgesia
Abstract

Submitted by Marcella Santos Januzzi (ms.januzzi@unesp.br) on 2022-09-19T14:08:29Z No. of bitstreams: 1 Dissertação Marcella Santos Januzzi .pdf: 62457116 bytes, checksum: 1fb42fee1f619c4c6f9abfa22f9b0d07 (MD5) Approved for entry into archive by Claudio Hideo Matsumoto null (claudio@foa.unesp.br) on 2022-09-19T18:12:04Z (GMT) No. of bitstreams: 1 januzzi_ms_me_araca_int.pdf: 62457116 bytes, checksum: 1fb42fee1f619c4c6f9abfa22f9b0d07 (MD5) Made available in DSpace on 2022-09-19T18:12:04Z (GMT). No. of bitstreams: 1 januzzi_ms_me_araca_int.pdf: 62457116 bytes, checksum: 1fb42fee1f619c4c6f9abfa22f9b0d07 (MD5) Previous issue date: 2022-09-02 O tratamento do câncer de cabeça e pescoço pode trazer comprometimentos importantes para a qualidade de vida de seus portadores, como complicações orais e neurossensoriais. O objetivo deste estudo consistiu em realizar uma série de casos de sete pacientes diagnosticados com câncer de cabeça e pescoço submetidos ao tratamento oncológico, para avaliar possíveis alterações na mobilidade mandibular e função sensorial. Foram selecionados pacientes do Centro de Oncologia Bucal (COB) da Faculdade de Odontologia de Araçatuba (FOA/UNESP). Os tempos de análise do estudo foram: momento inicial (T0), 30 a 45 dias após a cirurgia (T1), 1 semana após a quimioterapia (T2), durante a radioterapia (T3) e 1 semana após a radioterapia (T4). A análise da mobilidade mandibular foi realizada de maneira objetiva, por meio da mensuração da abertura bucal, e de maneira subjetiva, por meio do Questionário de Trismo de Gothenberg (GTQ). A análise da função sensorial foi realizada por meio da avaliação da dor orofacial espontânea e da dor muscular provocada. A dor espontânea foi mensurada pela escala de avaliação numérica (NRS) de 0 a 10 e a dor provocada foi mensurada pela aplicação dos testes de palpometria de 0,5 kg e 1 kg e algometria para os músculos masseter, temporal e esternocleidomastoideo. Dois (caso 3 e 4) de sete pacientes apresentaram trismo, nos tempos T1 e T2, respectivamente. Com relação ao GTQ, o caso 1, portador do tumor mais avançado, foi o que apresentou maiores porcentagens de limitações no T0. Para a função sensorial, apenas 1 paciente (caso 1) reportou dor em T0, e 2 pacientes (casos 3 e 4) reportaram dor relacionada com a radioterapia. A dor muscular provocada foi maior no T0, principalmente nos casos 1, 4 e 7, porém sem relação com o limiar de dor por meio da algometria. Nesta série de casos, a função sensorial e a mobilidade mandibular podem ser afetadas pela presença do tumor, assim como pelo tratamento oncológico, em uma parcela dos pacientes. The treatment of head and neck cancer may bring important compromises to the quality of life of its patients, such as oral and sensorineural complications. The aim of this study was to carry out a case series of seven patients diagnosed with head and neck cancer undergoing oncologic treatment to evaluate possible changes in mandibular mobility and sensory function. Patients were selected from the Oral Oncology Center (COB) of the Araçatuba School of Dentistry (FOA/UNESP). The analysis times of the study were: initial moment (T0), 30 to 45 days after surgery (T1), 1 week after chemotherapy (T2), during radiotherapy (T3) and 1 week after radiotherapy (T4). Analysis of mandibular mobility was performed objectively, by measuring mouth opening, and subjectively, using the Gothenberg Trismus Questionnaire (GTQ). Sensory function was analyzed by assessing spontaneous orofacial pain and provoked muscle pain. Spontaneous pain was measured by the numeric rating scale (NRS) from 0 to 10 and provoked pain was measured by applying the 0.5 kg and 1 kg palpometry and algometry tests for the masseter, temporalis and sternocleidomastoid muscles. Two (case 3 and 4) of seven patients had trismus, at T1 and T2, respectively. Regarding the GTQ, case 1, with the most advanced tumor, had the highest percentage of limitations at T0. For sensory function, only 1 patient (case 1) reported pain at T0, and 2 patients (cases 3 and 4) reported radiotherapy-related pain. The muscle pain provoked was higher at T0, especially in cases 1, 4, and 7, but without relation with pain threshold by algometry. In this series of cases, sensory function and mandibular mobility may be affected by the presence of the tumor as well as by oncologic treatment in a fraction of patients.

Published
2022

3. Treatment of Masticatory Muscle Pain with Acupuncture: Is It Necessary to Associate with Occlusal Splints?

Author

da Silva Emily Viviane Freitas, de Caxias Fernanda Pereira, Zuim Paulo Renato Junqueira, Sant’Anna Crischina Branco Marques, Januzzi Marcella Santos, Turcio Karina Helga Leal, and Universidade Estadual Paulista (UNESP)

Subjects
Facial pain, Acupuncture Therapy, Temporomandibular joint disorder, pain perception, Occlusal Splints, Other systems of medicine, occlusal splint, pressure pain threshold, Acupuncture, Temporomandibular Joint Disorder, Medicine, Pain perception, Humans, Orthodontics, temporomandibular joint disorder, Pressure pain threshold, business.industry, General Medicine, Myalgia, Occlusal splint, Temporomandibular Joint Disorders, Anesthesiology and Pain Medicine, Complementary and alternative medicine, Masticatory Muscles, facial pain, business, Masticatory muscle, acupuncture, RZ201-999
Abstract

Made available in DSpace on 2022-05-01T10:02:58Z (GMT). No. of bitstreams: 0 Previous issue date: 2021-01-01 Background: Temporomandibular disorders (TMDs) are treated by different modalities including splints, physiotherapy, and acupuncture. Although all of these offer evidencebased benefits to the patients, avoiding overtreatment is of paramount importance. Objectives: To assess the effectiveness of muscle pain treatment with acupuncture combined with or without occlusal splints. Methods: Recruited patients were allocated to G1 (acupuncture) and G2 (acupuncture and occlusal splint) groups and treated in four consecutive weekly sessions (P1, P2, P3, and P4). The reported pain (RP) and the pressure pain threshold (PPT) of the masseter and temporalis muscles were assessed before and after each session. Results: RP decreased after each session in G1, except at P4. In G2, the RP decreased only after the first session, and the PPT did not vary. Conclusion: The assessed treatments did not influence the PPT levels of the masseter and anterior temporalis muscles in patients with temporomandibular disorders. Our findings suggest that occlusal splints may not be mandatory along with the acupuncture treatment Department of Dental Materials and Prosthodontics São Paulo State University (UNESP) School of Dentistry Department of Dental Materials and Prosthodontics São Paulo State University (UNESP) School of Dentistry

Published
2021

4. Effect of Rehabilitation with a New Ocular Prosthesis on Electromyography of the Occipitofrontalis, Temporal, Masseter, and Sternocleidomastoid

Author

de Caxias, Fernanda Pereira, additional, Sa Teles, Karen Letícia, additional, dos Santos, Daniela Micheline, additional, de Moraes Melo Neto, Clóvis Lamartine, additional, da Silva, Emily Vivianne Freitas, additional, Goiato, Marcelo Coelho, additional, de Magalhães Bertoz, André Pinheiro, additional, Januzzi, Marcella Santos, additional, and Helga Turcio, Karina, additional

Published
2021
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10. Correlação entre o valor de periotesst e o quociente de estabilidade do implante: uma revisão sistemática.

Author

MELO NETO, Clóvis Lamartine de Moraes, RODRIGUES, Alana Semenzin, JANUZZI, Marcella Santos, dos SANTOS, Daniela Micheline, and GOIATO, Marcelo Coelho

Abstract

Copyright of Universidade Estadual Paulista. Revista de Odontologia is the property of Universidade Estadual Paulista. Revista de Odontologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2023

11. Relationship between self-reported pain, pain threshold, pain catastrophization and quality of life in patients with TMD.

Author

Januzzi MS, Neto CM, Moreno A, Dos Santos EG, de Caxias FP, da Silva EV, de Athayde FF, Volce AS, Rodrigues AS, Dela Líbera J, and Turcio KH

Abstract

Background: The aim of this study was to verify if there is a relationship between self-reported pain, PPT (pressure pain threshold) of the masseter, temporal and sternocleidomastoid muscles, pain catastrophizing and quality of life in patients with TMD (temporomandibular disorder) of muscular origin., Material and Methods: Ninety-seven patients with muscular TMD (TMD group) and 97 asymptomatic (control group) were included in the study. The evaluation methods used were: 1) Self-reported pain was assessed using the Visual Analogue Scale (VAS) for questions 7, 8 and 9 of the RDC/TMD Axis I questionnaire; 2) The PPT assessment was performed using a digital algometer on the masseter, temporal, and sternocleidomastoid muscles (both sides); 3) Pain catastrophizing was assessed using the PCS (Pain Catastrophizing Scale); and 4) Oral health-related quality of life was assessed using the OHIP-14 (Oral Healthy Impact Profile-14). Data were submitted to Spearman correlation and logistic regression ( p <0.05)., Results: There were significant positive correlations between self-reported pain (VAS-Q7, VAS-Q8 and VAS-Q9), pain catastrophizing (PCS-Helplessness, PCS-Magnification, PCS-Rumination and PCS-Total) and quality of life (OHIP-14) ( p <0.05). There was a significant negative correlation of self-reported pain (VAS-Q8) with PPT of the temporal (left) and sternocleidomastoid (both sides) ( p <0.05). The rumination and magnification domains increased the chance of high self-reported pain in all situations (VAS-Q7, VAS-Q8 and VAS-Q9) ( p <0.05). The helplessness domain only increased the chance of high self-reported pain for VAS-Q8 ( p <0.05). The presence of TMD of muscular origin, high self-reported pain (VAS-Q7) or pain catastrophizing increased the chance of a low quality of life in relation to the control group ( p <0.05). In addition, the reduction in sternocleidomastoid PPT increased the chance of poor quality of life ( p <0.05). Key words: Myofascial pain syndromes, pain catastrophizing, myalgia, quality of life, surveys and questionnaires, temporomandibular joint disorders., Competing Interests: Conflicts of interest None of the authors has any conflict of interest related to the conduct of this study., (Copyright: © 2023 Medicina Oral S.L.)

Published
2023
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12. Relationship of excessive daytime sleepiness with bruxism, depression, anxiety, stress, and sex in odontology students - A cross sectional study.

Author

Turcio KH, de Moraes-Melo-Neto CL, de Caxias FP, Goiato MC, Dos Santos DM, Januzzi MS, Guiotti AM, Bertoz AM, and Brandini DA

Abstract

Background: To verify if there is a correlation of excessive daytime sleepiness (EDS) with bruxism, depression, anxiety, stress, and sex in odontology students., Material and Methods: Four hundred dental students were selected. Students included in the study were those that were healthy, over 18 years old, and with similar weekly academic activities. Students excluded were those with temporomandibular disfunction, a high possibility of possessing obstructive sleep apnea and illnesses that cause EDS; along with smokers, users of illicit drugs, users of psychiatric medication, and those that abuse the consumption of alcohol. After the application of these criteria, 128 students were included in this study. EDS, bruxism, depression, anxiety, and stress were evaluated by the Epworth Sleepiness Scale, the Pintado et al. questionnaire, Beck Depression Inventory, Beck Anxiety Inventory, and the LIPP Adult Stress Symptom Inventory. Afterwards, the Spearman test ( p < 0.05) was applied., Results: A high probability of EDS was present in 33.6% of the students. There was a positive correlation of EDS with females (Rank Correlation= 0.209; p = 0.018) and depression (Rank Correlation= 0.174; p = 0.049); between females and stress (Rank Correlation= 0.199; p = 0.024), and between females and anxiety (Rank Correlation= 0.178; p = 0.045). There was a positive correlation of bruxism with anxiety (Rank Correlation= 0.255; p = 0.004) and stress (Rank Correlation= 0.201; p = 0.023). There was no correlation of EDS with bruxism ( p = 0.354), stress ( p = 0.277), or anxiety ( p = 0.114). There was no correlation of bruxism with females ( p = 0.082) or depression ( p = 0.362)., Conclusions: A high probability of EDS was present in 33.6% of dentistry students, and there was a positive correlation of EDS with females and depression. Key words: Bruxism, depression, anxiety, stress, disorders of excessive somnolence, dentistry., Competing Interests: Conflicts of interest The authors declare they have no conflict of interest., (Copyright: © 2022 Medicina Oral S.L.)

Published
2022
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