Bioengenharia
URI permanente para esta coleçãohttps://repositorioacademico.universidadebrasil.edu.br/handle/123456789/31
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Resultados da Pesquisa
Item Fotobiomodulação no manejo da mucosite oral em hospitais do Brasil: a busca por uma diretriz clínica(Universidade Brasil, 2022) Passos, Januaria Lima Ribeiro; Nunez, Silvia CristinaCancer is one of the most frequent diseases worldwide. Oral mucositis (OM) is a common and debilitating complication of chemotherapy (CT), head and neck radiotherapy (RT) and hematopoietic stem cell transplantation (HSCT). Photobiomodulation (PBM) IS one of the therapeutic alternatives for prevention and treatment of OM. The objective of this study was to carry out a survey of data from the protocols applied for PBM in public and private hospitals in Brazil. A cross-sectional, quantitative study was carried out with the application of questionnaires to dentists, built specifically to understand the establishment of protocols and their outcomes, to verify if there is a consensus on the use of PBM in OM in Brazil. According to the analysis of the results, we observed that dentists work both in public and private hospitals in Brazil and most of them are employed by the institution. The PBM protocols, as well as, the initial assessment of patients, are performed by the dental surgeon who claims to use protocols based on scientific evidence. More modern equipment’s with 100 mW of power are the most used ones and, according to the interviewees, frequently checked. For OM induced by QT and HSCT, preventive and therapeutic protocols were cited, while for RT only one protocol was cited. The prevailing wavelength was red, and only for therapeutic HSCT the 2 wavelengths had the same frequencies. In all cases, energies of 1 and 2 J were the prevailing ones, with irradiation performed in a punctual way. The frequency of irradiation depends on the duration of RT, or it is performed for 5 days in a week for QT and HSCT, and only in therapeutic HSCT did the interviewees point out the symptomatology and the clinical aspect as relevant for the choice of treatment. According to our results, the treatment of OM with PBM presents constancy of energy and form of application, which may explain its spread and successful application in different regions of the country in a homogeneous way.