Mestrado Profissional em Clínica Odontológica
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Navegando Mestrado Profissional em Clínica Odontológica por Orientador "Tuji, Fabrício Mesquita"
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Item A utilização de um dispositivo para a localização e padronização de imagens ultrassonográficas do coxim adiposo bucal no planejamento cirúrgico de bichectomia(Centro Universitário do Estado do Pará, 2024) Santos, Ana Carolina Bentes dos; Tuji, Fabrício Mesquita; http://lattes.cnpq.br/8122254353290848; Couto, Ana Paula Guerreiro Rodrigues; http://lattes.cnpq.br/2692351198150978; Frazão, Marco Antônio Gomes; http://lattes.cnpq.br/2644040557079748Objective: To locate the Buccal Fat Pad using the UStransfer device for anatomical study and the development of an ultrasonic mapping protocol to assist in the surgical planning of Bichectomy. Methodology: Sixteen patients of both genders, with no prior aesthetic procedures and with the presence of the Buccal Fat Pad, were evaluated. The UStransfer device was used to locate and demarcate the study area, which was subsequently analyzed by ultrasonography (Siemens ACUSON S3000™, HELX™ ultrasound model) on both the right and left sides, using a linear dermatological transducer (Siemens 18L6 HD with a frequency of 6.0 MHz - 18.0 MHz) positioned transversely and longitudinally. Volume measurements were taken at two different times, with a 15-day interval, by the same operator. Additionally, the accuracy rate in identifying the anatomical structure, a descriptive analysis of the volume measurements, and the intraclass correlation (evaluator) were assessed. The BioEstat 5.2 software was used for data analysis, followed by a literature review to deepen the study on the topic. Results: The Buccal Fat Pad was identified in 100% of patients, on both sides and at both time points. The intraclass correlation demonstrated excellent replicability (p<0.0001). There was no significant variation in the volume measurements between the two moments, both on the right side (standard deviation time 1: 0.39; time 2: 0.39) and on the left side (standard deviation time 1: 0.32; time 2: 0.29). An ultrasonic protocol for the Buccal Fat Pad was established to aid in the surgical planning of Bichectomy, using the UStransfer device as a localization method. Conclusion: The mapping using the UStransfer device facilitated the identification of Buccal Fat Pad in ultrasonography, providing an alternative that offers greater safety for the professional performing the surgical intervention and more efficiency for the radiologist in conducting the ultrasound examination.Item Avaliação de um novo método para estimativa de idade dentária utilizando a cronologia de erupção de Nolla(Centro Universitário do Estado do Pará, 2024) Soares, Igor Pereira; Tuji, Fabrício Mesquita; http://lattes.cnpq.br/8122254353290848; Guimarães, Douglas Magno; http://lattes.cnpq.br/6439076195866691; Oliveira, Clarissa Mendes Lobato de; http://lattes.cnpq.br/6918464982524558; Celestino Júnior, Aluísio Ferreira; http://lattes.cnpq.br/6186863425175415Obtaining an estimate of the dental age of individuals is a matter of great social interest, as it plays an important role in civil and criminal proceedings, as well as in endocrinology, orthodontics and pediatric dentistry. Several studies aim to validate the methods developed in different populations worldwide, while other studies propose new methods. Methods that use the development of atlases as a way of estimating age are also well known, as they provide a direct and more simplified comparison of images. Objective: A study was carried out to evaluate the pattern of dental eruption, based on a modification of the Nolla method using a Brazilian population sample, in order to determine the dental age of these patients. Materials and methods: This was a retrospective cross-sectional study. The total sample required consisted of 572 participants, 286 for each sex and for each gender, in the age ranges from 6 years to 18 years with a 6-month interval. First, intra-examiner and inter-examiner calibration was performed to determine the reliability calculated using Kappa. Stages of dental development of the left hemiarch of the mandible and maxilla of each radiograph were identified. After evaluating the stages of development, the median for each stage and for each tooth was identified. They were tabulated in Excel spreadsheets and statistics were performed to compare with Nolla, demonstrating that there was no statistically significant difference between genders. Based on the results, a more simplified and faster method was proposed to estimate age that can be interpreted by halving the sum of scores covering the age range of 6 to 18 years and 6 months. An age estimation atlas was created, in electronic format (eBook), for estimating age using panoramic radiography in order to offer potential improvements in the workflow of professionals.Item Determinação da idade óssea através do método de avaliação vertebral cervical versus mão-punho: uma revisão sistemática(Centro Universitário do Estado do Pará, 2021-09-24) Teruel, Daniele Piovezan Mendonça; Tuji, Fabrício Mesquita; http://lattes.cnpq.br/8122254353290848; Pinheiro Júnior, Jesus Maués; http://lattes.cnpq.br/0590122765693339; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309The patient bone age determination is a preponderant factor in obtaining a favorable prognosis for the planned mechanotherapy in orthodontic treatment, so the hand-wrist radiographic evaluation is one of the most reliable and currently used methods. Although the assessment of changes in the radiographic appearance of the long bones epiphyses in this region, allows a strong correlation with general bone growth, a relevant factor for its contraindication is the guidelines published by the British Orthodontic Society, in addition to the concern regarding increased exposure to radiation. Therefore, the analysis of the cervical vertebrae, contained in the lateral cephalograms, has been getting more significance in the determination of bone age. The evaluation of these structures has been described by several authors, justifying the importance to elucidate this issue regarding the appropriate technique and clinical protocol. In this sense, the objective of this systematic review was to evaluate the use of the method that analyzes the morphological changes of the cervical vertebrae, using the lateral cephalometric radiographs, in comparison with the method of hand-wrist radiographs analysis, for determining bone age. A systematic search was performed in four electronic databases, including PubMed, Cochrane Library, Web of Science, Lilacs/BBO, also covering gray literature (OpenGrey). The articles were analyzed by two independent reviewers and the selected studies were evaluated following the guidelines of the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2). The Grading of Recommendations Assessment, Development and Evaluation (GRADE) system was used to assess the quality of evidence. In this selection process, eighteen studies were included in this systematic review, which were ethodologically heterogeneous and with risk of bias classified as uncertain or high. The certainty of the evidence was considered very low, it can be concluded that, despite the different methodologies adopted, the method of analysis of cervical vertebrae is characterized by a high level of reliability, efficacy and correlation with the hand-wrist maturation method, when be used to determine the bone age of the individual. However, more studies are needed to increase the certainty of this evidence.