Denise Fernandes Barbosa | Universidade Estadual de Campinas (original) (raw)
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Papers by Denise Fernandes Barbosa
Sleep Medicine, 2018
Obstructive sleep apnea syndrome (OSAS) is a chronic disease, characterized by progressively incr... more Obstructive sleep apnea syndrome (OSAS) is a chronic disease, characterized by progressively increasing upper airway resistance, with a variable range of symptoms, and high morbidity and mortality rates [1]. About
Orientadores: : Fausto Bérzin, Marcelo Corrêa AlvesDissertação (mestrado) - Universidade Estadual... more Orientadores: : Fausto Bérzin, Marcelo Corrêa AlvesDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Odontologia de PiracicabaResumo: Introdução: A opção mais indicada para tratamento para a Apneia Obstrutiva do Sono (AOS) é o CPAP; contudo, a aderência ou aceitação é limitada. A terapia com aparelho oral (TAO) é frequentemente uma opção ou um tratamento complementar. O aparelho oral de avanço mandibular (AOm) modifica as vias aéreas superiores, melhorando a patência do espaço aéreo e sua construção se baseia normalmente no plano oclusal para a desoclusão. No presente estudo, usamos o DIORS®, um AOm diferente, baseado nos conceitos de Reabilitação Neuro-Oclusal, que utiliza o plano de Camper como referência de desoclusão, favorecendo o equilíbrio neuromuscular e a estabilidade funcional, com potencial impacto no prognóstico global. Objetivo: Avaliar a eficácia do AOm DIORS®, quer sob o ponto de vista clínico, quer sob o ponto de vista polissonográfico e cefalo...
European Journal of Dentistry
Health promotion and disease prevention link intricately with lifestyle habits such as a healthy ... more Health promotion and disease prevention link intricately with lifestyle habits such as a healthy diet, physical activity, and good sleep quality. Temporomandibular joint (TMJ) dysfunction and associated disorders can take away sleep and well-being depending on the form and intensity that affect the individual. A multidisciplinary effort has contributed to significant health advances, improving clinical outcomes concerning TMJ dysfunction. This report presents the case of a 37-year-old Caucasian female physical educator with a good healthy diet with complaints of tooth tightening, constant TMJ and neck pain, and tinnitus. The patient was treated with inferior occlusal splint placement and selective occlusal adjustments based on neuro-occlusal rehabilitation. The patient reported relief of pain symptoms with occlusal and body balance, discontinued analgesic medication, and maintained the occlusal splint to practice sports and sleep due to the perception of improved physical performanc...
European Journal of Dentistry
Objectives Obstructive sleep apnea is an inflammatory, chronic, and evolutive disease often needi... more Objectives Obstructive sleep apnea is an inflammatory, chronic, and evolutive disease often needing adequate treatment and follow-up. The oral appliance (OA) is an accepted alternative therapy for obstructive sleep apnea (OSA) control. Due to greater adherence, OA with mandibular advancement (OAm) is being recommended treatment for patients who refuse or do not tolerate continuous positive airway pressure. The mode of action of OAm is to promote the advancement of the mandible or tongue with a subsequent increase in the tone of the pharyngeal muscles and the permeability of the upper airway, but most OAm use conventional models as reference, analogic, or digital, dissociating dental arches of the skull structures. Materials and Methods A retrospective longitudinal study of 33 OSA patient treated with a different OAm, that use Camper plane as reference with skull structures for dental arches disocclusion, where polysomnographic, cephalometric measures, and subjective data from questi...
Dental Press Journal of Orthodontics
Introduction: The most prescribed treatment option for Obstructive Sleep Apnea (OSA) is CPAP; how... more Introduction: The most prescribed treatment option for Obstructive Sleep Apnea (OSA) is CPAP; however, its adherence is limited. Oral Appliance therapy (OAT) is frequently an option or even an adjuvant, being the mandibular advancement Oral Appliance (OAm) the most used prescription. It modifies the upper airway, improving the airway patency. OAm construction is based on the occlusal plane to disocclusion. In this study, the DIORS® appliance was used, a singular OAm, based on Neuro-Occlusal Rehabilitation concepts, that uses Camper’s plane as a disocclusion reference, in order to achieve neuromuscular balance and functional stability. Objective: This study primarily aimed to assess the DIORS® effectiveness in relation to clinical and polysomnographic outcomes. It was also evaluated if the use of DIORS® is as effective as titrated CPAP to treat CPAP non-adherent patients. Methods: Twenty patients were included in this study. Objective and subjective clinical data were assessed at a s...
Sleep Medicine, 2018
Obstructive sleep apnea syndrome (OSAS) is a chronic disease, characterized by progressively incr... more Obstructive sleep apnea syndrome (OSAS) is a chronic disease, characterized by progressively increasing upper airway resistance, with a variable range of symptoms, and high morbidity and mortality rates [1]. About
Orientadores: : Fausto Bérzin, Marcelo Corrêa AlvesDissertação (mestrado) - Universidade Estadual... more Orientadores: : Fausto Bérzin, Marcelo Corrêa AlvesDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Odontologia de PiracicabaResumo: Introdução: A opção mais indicada para tratamento para a Apneia Obstrutiva do Sono (AOS) é o CPAP; contudo, a aderência ou aceitação é limitada. A terapia com aparelho oral (TAO) é frequentemente uma opção ou um tratamento complementar. O aparelho oral de avanço mandibular (AOm) modifica as vias aéreas superiores, melhorando a patência do espaço aéreo e sua construção se baseia normalmente no plano oclusal para a desoclusão. No presente estudo, usamos o DIORS®, um AOm diferente, baseado nos conceitos de Reabilitação Neuro-Oclusal, que utiliza o plano de Camper como referência de desoclusão, favorecendo o equilíbrio neuromuscular e a estabilidade funcional, com potencial impacto no prognóstico global. Objetivo: Avaliar a eficácia do AOm DIORS®, quer sob o ponto de vista clínico, quer sob o ponto de vista polissonográfico e cefalo...
European Journal of Dentistry
Health promotion and disease prevention link intricately with lifestyle habits such as a healthy ... more Health promotion and disease prevention link intricately with lifestyle habits such as a healthy diet, physical activity, and good sleep quality. Temporomandibular joint (TMJ) dysfunction and associated disorders can take away sleep and well-being depending on the form and intensity that affect the individual. A multidisciplinary effort has contributed to significant health advances, improving clinical outcomes concerning TMJ dysfunction. This report presents the case of a 37-year-old Caucasian female physical educator with a good healthy diet with complaints of tooth tightening, constant TMJ and neck pain, and tinnitus. The patient was treated with inferior occlusal splint placement and selective occlusal adjustments based on neuro-occlusal rehabilitation. The patient reported relief of pain symptoms with occlusal and body balance, discontinued analgesic medication, and maintained the occlusal splint to practice sports and sleep due to the perception of improved physical performanc...
European Journal of Dentistry
Objectives Obstructive sleep apnea is an inflammatory, chronic, and evolutive disease often needi... more Objectives Obstructive sleep apnea is an inflammatory, chronic, and evolutive disease often needing adequate treatment and follow-up. The oral appliance (OA) is an accepted alternative therapy for obstructive sleep apnea (OSA) control. Due to greater adherence, OA with mandibular advancement (OAm) is being recommended treatment for patients who refuse or do not tolerate continuous positive airway pressure. The mode of action of OAm is to promote the advancement of the mandible or tongue with a subsequent increase in the tone of the pharyngeal muscles and the permeability of the upper airway, but most OAm use conventional models as reference, analogic, or digital, dissociating dental arches of the skull structures. Materials and Methods A retrospective longitudinal study of 33 OSA patient treated with a different OAm, that use Camper plane as reference with skull structures for dental arches disocclusion, where polysomnographic, cephalometric measures, and subjective data from questi...
Dental Press Journal of Orthodontics
Introduction: The most prescribed treatment option for Obstructive Sleep Apnea (OSA) is CPAP; how... more Introduction: The most prescribed treatment option for Obstructive Sleep Apnea (OSA) is CPAP; however, its adherence is limited. Oral Appliance therapy (OAT) is frequently an option or even an adjuvant, being the mandibular advancement Oral Appliance (OAm) the most used prescription. It modifies the upper airway, improving the airway patency. OAm construction is based on the occlusal plane to disocclusion. In this study, the DIORS® appliance was used, a singular OAm, based on Neuro-Occlusal Rehabilitation concepts, that uses Camper’s plane as a disocclusion reference, in order to achieve neuromuscular balance and functional stability. Objective: This study primarily aimed to assess the DIORS® effectiveness in relation to clinical and polysomnographic outcomes. It was also evaluated if the use of DIORS® is as effective as titrated CPAP to treat CPAP non-adherent patients. Methods: Twenty patients were included in this study. Objective and subjective clinical data were assessed at a s...