RESUMEN Introducción: El bruxismo puede ser fisiológico o patológico y es considerado un fenómeno neuropsicosocial vigente, con importante repercusión en el sistema estomatognático, cuyas consecuencias conllevan a la disfunción masticatoria y a la necesidad de prótesis dental. Objetivo: Caracterizar a los pacientes con bruxismo según variables clínicas y epidemiológicas. Métodos: Se realizó un estudio observacional, descriptivo y transversal de 46 pacientes con bruxismo, atendidos en la Clínica Estomatológica Provincial Docente Mártires del Moncada de Santiago de Cuba desde marzo hasta septiembre del 2022. Entre las variables analizadas figuraron la edad, el sexo, la ocupación, el tipo de bruxismo, las manifestaciones clínicas y la necesidad de prótesis. Los instrumentos aplicados fueron el cuestionario, el interrogatorio y el examen clínico. Se confeccionó una planilla para la recolección de la información, la cual se procesó mediante el sistema estadístico SPSS, versión 22.0. Resultados: Predominaron el grupo etario de 35-54 años (45,6 %), el sexo femenino (58,6%), los profesionales como principal ocupación (28,3 %) y el bruxismo del sueño (69,5 %), específicamente el de tipo excéntrico (65,2 %). El total de la muestra presentó patrones de desgaste no funcional; mientras que 56,5 % manifestó dolor y/o cansancio muscular y 89,1 % tenía necesidad de prótesis parcial. Conclusiones: Los pacientes con bruxismo se caracterizan por presentar patrones de desgaste oclusal, dolor muscular y necesidad de prótesis parcial.

ABSTRACT Introduction: Bruxism can be physiological or pathological and is considered an existing neuropsychosocial phenomenon, with important repercussion in the stomatognathic system whose consequences lead to the masticatory dysfunction and the necessity of dental prosthesis. Objective: To characterize patients with bruxism according to clinical, epidemiological variables. Methods: An observational, descriptive and cross-sectional study of 46 patients with bruxism, who were assisted in Mártires del Moncada Teaching Provincial Stomatological Clinic in Santiago de Cuba from March to September, 2022. The analyzed variables were age, sex, occupation, type of bruxism, clinical manifestations and prosthesis necessity. The applied instruments were the questionnaire, interrogation and clinical exam. A schedule was made for gathering the information, which was processed by means of the statistical system SPSS, version 22.0. Results: There was a prevalence the 35-54 age group (45.6%), the female sex (58.6%), professionals as main occupation (28.3%) and sleep bruxism (69.5%), specifically that of eccentric type (65.2%). The total of the sample presented patterns of non functional waste; while 56.5% manifested pain and/or muscular fatigue and 89.1% had necessity of partial prosthesis. Conclusions: Patients with bruxism are characterized by presenting patterns of occlusal waste, muscular pain and necessity of partial prosthesis.

RESUMEN Introducción: La deglución es una actividad compleja y de carácter evolutivo, que requiere de una atención estomatológica adecuada para mantener el equilibrio del sistema estomatognático. Objetivo: Identificar las insuficiencias en la atención estomatológica integral del nivel primario ante trastornos de la deglución en niños. Métodos: Se realizó un estudio descriptivo y transversal, con enfoque mixto, de 24 estomatólogos generales integrales de la Clínica Estomatológica Victoria de Santa Clara, provincia de Villa Clara, que se encontraban laborando durante enero-marzo del 2023 y tenían más de 3 años de experiencia profesional, para lo cual se utilizaron métodos teóricos y empíricos. Se efectuó el análisis cualitativo y cuantitativo de los datos mediante el empleo de frecuencias absolutas y relativas. Resultados: En los documentos normativos-metodológicos revisados no están reflejadas de forma explícita todas las actividades de promoción y prevención, así como los aspectos necesarios para el diagnóstico y tratamiento adecuados de pacientes con alteraciones de la deglución. La mayoría de los encuestados (83,3 %) identificó la deglución como un hábito; en tanto, entre los factores medioambientales condicionantes, hubo poco reconocimiento de la posición del niño al comer (20,8 %), del uso de la cuchara y el vaso (29,1 %) y de la respiración nasal (33,3 %). Igualmente, 50,0 % de la muestra presentó un nivel medio de conocimientos. Conclusiones: Existen insuficiencias en la atención estomatológica integral en el nivel primario ante trastornos de la deglución en niños.

ABSTRACT Introduction: Deglutition is a complex activity of evolutionary character that requires of an appropriate stomatologic care to maintain the balance of the stomatognathic system. Objective: To identify inadequacies in the comprehensive stomatologic care to children with deglutition disorders in primary health care. Methods: A descriptive and cross-sectional study was carried out, with mixed approach, of 24 comprehensive general stomatologists from Victoria Stomatologic Clinic in Santa Clara, Villa Clara province that were working during January-March, 2023 and had more than 3 years of professional experience, for which theoretical and empiric methods were used. The qualitative and quantitative analysis of the data was carried out by means of the absolute and relative frequencies. Results: In the revised normative-methodological documents are not explicitly reflected all the promotion and prevention activities, as well as the necessary aspects for the diagnosis and treatment of patients with deglutition disorders. Most of those interviewed (83.3%) identified deglutition as a habit; as long as, among the determining environmental factors there was little recognition of the kid position when eating (20.8 %), the use of tablespoon and glass (29.1 %) and nasal respiration (33.3 %). Equally, 50.0 % of the sample presented a medium level of knowledge. Conclusions: There are inadequacies in the comprehensive stomatologic care to children with deglutition disorders in primary health care.

RESUMO Os disturbios de linguagem podem interferir na integrando social e afetar o desenvolvimento dos individuos. O trabalho multidisciplinar entre fonoaudiologia e odontologia é muito importante para a promogdo da saúde. O equilibrio do sistema estomatognático interfere na linguagem. Objetivo Analisar os100 artigos mais citados sobre distúrbios de linguagem em criannas e adolescentes e verificar a interando com a odontologia por meio de análise bibliométrica. Material e Método Foi realizada uma busca pelos 100 artigos mais citados sobre distúrbios de linguagem na base de dados Web of Science Core Collection até dezembro de 2021. Quatro pesquisadores extrairam os dados referentes a número de citanoes, titulo, autores, país, ano de publicando, periódicos, desenho de estudo, condinoes clínicas prevalentes e área de especializando. As análises foram realizadas utilizando VOSviewer e Excel. Resultados O número total de citanoes variou de 251 a 1.431. Quatro artigos foram citados mais de 1.000 vezes. Bishop DVM (10 artigos; 3.653 citanoes) e Tomblin JD (10 artigos; 4.261 citanoes) foram os autores mais frequentemente citados. As instituinoes com maior número de publicanoes foram a Universidade de Oxford/Inglaterra (11%) e a Universidade de Kansas/EUA (8%). O desenho de estudo observacional foi o mais frequente (77%). O transtorno do espectro autista (18%) e a dislexia (14%) foram as condinoes clínicas mais amplamente investigadas. A Fonoaudiologia (32%) foi a área de atuando com maior número de artigos e nenhum estudo, entre os top100, mostrou interando com a Odontologia. Conclusao Os 100 artigos mais citados sobre distúrbios de linguagem sdo em sua maioria observacionais, abordam principalmente transtornos do espectro do autismo e estdo na área de fonoaudiologia. Nenhum estudo apresentou interando com a odontologia.

ABSTRACT Language disorders may interfere with social integration and affectpersonal development. Beca-use the balance of the stomatognathic system can interfere with language, it is important for speech therapy and dentistry to work together, providing multidisciplinar y Healthcare. Aim To analyze the 100 most frequently cited articles on language disorders in children and adolescents and assess the interplay with dentistry by means of a bibliometric analysis. Materials and Method A search of the 100 most frequently cited articles up to December 2021 on language disorders was performed in the Web of Science Core Collection database. Four researchers extracted the data on number of citations, title, authors, country, year of publication, journals, study design, prevalent clinical conditions, and area of expertise. The analyses were performed using VOSviewer and Excel. Results The total number of citations ranged from 251 to 1,431. Four articles were cited more than 1,000 times. Bishop DVM (10 articles; 3,653 citations) and Tomblin JD (10 articles; 4,261 citations) were the most frequently cited authors. The institutions with the largest number of publications were the University of Oxford/England (11%) and the University of Kansas/USA (8%). Observational study design was the most frequent (77%). Autism spectrum disorder (18%) and dyslexia (14%) were the most broadly investigated clinical conditions. Speech-language pathology (32%) was the area of expertise with the largest number of articles, and none of the top 100 studies showed interplay with dentistry Conclusion The 100 most widely cited articles on language disorders are mostly observational, mainly address autism spectrum disorder, and are in the field of speech-language pathology No study reported interplay with dentistry

ABSTRACT Purpose To identify orofacial myofunctional complaints and sleep-disordered breathing and correlate them with sleep habits in childhood. Methods The study included 71 parents/guardians of public school children aged 6 to 11 years. They answered a form with semi-structured medical history questions and the Nordic Orofacial Test-Screening - interview, the Pediatric Obstructive Sleep Apnea Screening Tool Questionnaire, and the Children’s Sleep Habits Questionnaire - all of them in their Portuguese/Brazilian versions in an online format. Statistical analyses used Spearman’s correlation, setting the significance level at 5%. Results There were 29 female children (40.8%) and 42 male ones (59.2%), with a mean age of 8.52 years. The study found orofacial myofunctional complaints related to breathing functions (35.2%), chewing and swallowing (32.4%), and deleterious habits (33.8%). All children were at a low risk of sleep-disordered breathing. As for sleep habits, 23 children (32.39%) had a lower total score, whereas 48 children (67.61%) exceeded 41 points. Conclusion There was a correlation between the risk of sleep-disordered breathing in children with complaints of orofacial myofunctional disorders and poor sleep quality/habits. sleepdisordered disordered childhood 7 parentsguardians parents guardians 1 years semistructured semi structured TestScreening Test interview Childrens Children s PortugueseBrazilian Portuguese Brazilian format Spearmans Spearman 5 5% 2 40.8% 408 40 8 (40.8% 4 59.2%, 592 59.2% , 59 (59.2%) 852 52 8.5 35.2%, 352 35.2% 35 (35.2%) 32.4%, 324 32.4% 32 (32.4%) 33.8%. 338 33.8% . 33 (33.8%) 32.39% 3239 39 (32.39% score 67.61% 6761 67 61 (67.61% points qualityhabits quality quality/habits 40.8 (40.8 59.2 (59.2% 85 8. 35.2 3 (35.2% 32.4 (32.4% 33.8 (33.8% 32.39 323 (32.39 67.61 676 (67.61 40. (40. 59. (59.2 35. (35.2 32. (32.4 33. (33.8 32.3 (32.3 67.6 (67.6 (40 (59. (35. (32. (33. 67. (67. (4 (59 (35 (32 (33 (67 ( (5 (3 (6

RESUMO Objetivo Identificar e correlacionar as queixas de alterações miofuncionais orofaciais e de risco para distúrbios respiratórios do sono com hábitos de sono na infância. Método Participaram 71 pais ou responsáveis de crianças de 6 a 11 anos, matriculadas em uma escola pública. Foi aplicado um formulário com questões semiestruturadas/anamnese e os protocolos Nordic Orofacial Test-Screening - entrevista, Pediatric Obstructive Sleep Apnea Screening Tool Questionnaire, e Children’s Sleep Habits Questionnaire - todos em suas versões em português/Brasil no formato online. Para a análise estatística, realizou-se o teste de correlação de Spearman, considerando o nível de significância de 5%. Resultados 29 crianças eram do sexo feminino (40,8%) e 42 do sexo masculino (59,2%), com média de idade de 8,52 anos. As queixas miofuncionais orofaciais encontradas foram relacionadas às funções de respiração (35,2%), mastigação e deglutição (32,4%) e hábitos deletérios (33,8%). Todas as crianças apresentaram um baixo risco para distúrbios respiratórios do sono e quanto aos hábitos de sono, 23 crianças (32,39%) apresentaram uma somatória menor, enquanto que 48 crianças (67,61%) ultrapassaram 41 pontos. Conclusão Houve correlação entre risco para distúrbios respiratórios do sono em crianças com as queixas de alterações miofuncionais orofaciais e com a baixa qualidade/maus hábitos de sono. infância 7 1 anos pública semiestruturadasanamnese semiestruturadas anamnese TestScreening Test entrevista Childrens Children s portuguêsBrasil português Brasil online estatística realizouse realizou se Spearman 5 5% 2 40,8% 408 40 8 (40,8% 4 59,2%, 592 59,2% , 59 (59,2%) 852 52 8,5 35,2%, 352 35,2% 35 (35,2%) 32,4% 324 32 (32,4% 33,8%. 338 33,8% . 33 (33,8%) 32,39% 3239 39 (32,39% menor 67,61% 6761 67 61 (67,61% pontos qualidademaus qualidade maus 40,8 (40,8 59,2 (59,2% 85 8, 35,2 3 (35,2% 32,4 (32,4 33,8 (33,8% 32,39 323 (32,39 67,61 676 (67,61 40, (40, 59, (59,2 35, (35,2 32, (32, 33, (33,8 32,3 (32,3 67,6 (67,6 (40 (59, (35, (32 (33, 67, (67, (4 (59 (35 (3 (33 (67 ( (5 (6

Abstract This study validated the content of an instrument designed to assess the knowledge, involvement (attitudes) and management (practice) of dentists relative to sickle-cell disease (KAPD-SCD). The instrument consisted of five domains composed of a total of thirteen items: I. Dentist’s self-assessment relative to sickle-cell disease; II. Dentist’s knowledge of the repercussions of sickle-cell disease on the stomatognathic system; III. Dentist’s knowledge of the complications of sickle-cell disease in the stomatognathic system; IV. Dentist’s knowledge concerning the dental management of sickle-cell disease patients; and V. Dentist’s involvement in an approach to sickle-cell disease. Twelve experts assigned scores to each item of the instrument. The criteria were clarity, understanding and appropriateness, leaving open fields for comments. Descriptive and content analyses of the data were made. Each expert analyzed 39 assessment units. The percentages considered for agreement were high (>80%), medium (70%-80%), or low (<70%), and each item was maintained or revised according to the percentage observed. There was high consensus in 74% of the assessment units (the corresponding items were maintained), medium consensus in 24% of them (the corresponding items were revised), and disagreement in 2% of them, namely as regards the “appropriateness” of item 5 (“Are there oral complications in sickle-cell disease?”), which was revised. The final version of the instrument had 16 items for different applications such as in the clinical care program, teaching program, or research program, with different cut-off scores for each application. In conclusion, the level of agreement among experts showed evidence of the content validity of the instrument. attitudes (attitudes practice (practice sicklecell sickle cell KAPDSCD. KAPDSCD KAPD SCD . (KAPD-SCD) I Dentists Dentist s selfassessment self II system III IV patients V clarity appropriateness comments made 3 >80%, 80 >80% , (>80%) 70%80%, 7080 70% 80% 70 (70%-80%) <70%, <70% (<70%) observed 74 maintained, maintained) 24 revised, revised) 2 “appropriateness Are disease, disease?”) 1 program cutoff cut off application conclusion (KAPD-SCD 8 >80 (>80% 70%80% 708 7 (70%-80% <70 (<70% disease?” >8 (>80 70%80 (70%-80 <7 (<70 disease? > (>8 70%8 (70%-8 < (<7 (> (70%- (< ( (70% (70 (7

ABSTRACT Purpose This study aimed to investigate three-dimensional facial soft tissue dimensions, maximum bite force (MBF), and occlusal contact area in patients with DFD. In addition, we analyzed the relationship between MBF and the three-dimensional facial measurements. Methods Thirty-two patients with skeletal Class III DFD and 20 patients with Class II DFD underwent a soft tissue evaluation using surface laser scanning, as well as MBF and occlusal contact area assessments. The DFD groups were compared with each other and with 25 healthy subjects. Results Significant morphological differences were found in the transversal, vertical, and anteroposterior dimensions between Class II DFD and Class III DFD. Both DFD groups presented an increased linear distance of chin height, which was strongly related with decreased MBF magnitude. The DFD groups exhibited lower MBF and occlusal contact area, with no significant differences between Class II and Class III DFD. Conclusion The presence of DFD affected 3D measurements of facial soft tissue, causing variations beyond normal limits, lower MBF, and occlusal contact area in both Class II and Class III DFD patients. The vertical dimension might have influenced the lower MBF magnitude in the studied skeletal deformities. threedimensional three dimensional , (MBF) addition Thirtytwo Thirty two 2 scanning assessments subjects transversal height D limits deformities (MBF

Resumen La videodeglución es un estudio fisiológico y en tiempo real que, al momento, no tiene reemplazo por otra modalidad. Ofrece información relevante sobre el sistema estomatognático del paciente, así como sobre la estructura y la funcionalidad orofaríngea y esofágica. Este estudio cuenta con distintas fases (oral, faríngea y esofágica) en las que se analizan diversas estructuras, así como la funcionalidad de estas a través de degluciones inducidas de diferentes consistencias (semisólido, líquido, sólido). Las patologías que pueden encontrarse son múltiples, siendo algunas de las más frecuentes la disfunción del músculo cricofaríngeo, la penetración/aspiración en la vía aérea, los divertículos y la acalasia. Resulta fundamental su ejecución con una técnica correcta, conociendo previamente la sintomatología, el motivo por el cual fue indicada, la anatomía de las estructuras/cavidades y la fisiología de la deglución. Por lo tanto, una adecuada técnica en la ejecución de la videodeglución y el conocimiento preliminar de la anatomía y la fisiología, así como de los hallazgos y patologías más frecuentes, son fundamentales para una adecuada evaluación del paciente y una correcta interpretación de las imágenes.

Abstract Video swallowing is a physiological and real-time study that, at the moment, cannot be replaced by another modality. It offers relevant information about the patient’s stomatognathic system, as well as the oropharyngeal and esophageal structure and function. This study has different phases (oral, pharyngeal and esophageal) where various structures are analyzed, as well as their functionality through induced objects of different consistencies (semi-solid, liquid and solid). The pathologies that can be found are multiple, some of the most frequent being dysfunction of the cricopharyngeal muscle, penetration/aspiration into the airway, diverticula and achalasia. Its execution with a correct technique is fundamental, knowing previously the symptomatology, reason for which it was indicated, the anatomy of the structures/cavities and the physiology of swallowing. Therefore, an adequate technique in the execution of video swallowing and preliminary knowledge of anatomy and physiology, as well as the most frequent findings and pathologies, are fundamental for a correct evaluation of the patient and interpretation of the images.

ABSTRACT Purpose To investigate oropharyngeal structures and functions in a pediatric population with Down Syndrome (DS) and obstructive sleep apnea (OSA) and to correlate with the apnea/hypopnea index (AHI) and sleep questionnaires. Methods 12 Children with DS and OSA, between the age of 4 and 12 years old, underwent polysomnography (PSG); sleep questionnaires, Pediatric Sleep Questionnaire (PSQ) and Obstructive Sleep Apnea-18 (OSA-18); and speech-language evaluation using the Short Evaluation of Orofacial Myofunctional Protocol (ShOM). Results There was a positive correlation between ShoM higher scores and the apnea-hypopnea index (AHI) and between ShoM and the number of hypopneas. The orofacial myofunctional alterations observed in the studied group were: oral breathing, alteration in lip tonus and competence, tongue posture at rest and in swallowing, and occlusal alteration. There was also an increased risk for OSA according to the sleep questionnaires, as well as the presence of obesity and overweight, but without correlation with the severity of OSA. Conclusion All DS children show alterations in orofacial characteristics, higher scores being associated to severe OSA. Orofacial myofunctional evaluation may help to identify different phenotypes in Down syndrome children with Obstructive sleep Apnea, enhancing the need for a multidisciplinary approach. (DS (OSA apneahypopnea hypopnea AHI (AHI questionnaires 1 old PSG (PSG) PSQ (PSQ Apnea18 Apnea 18 Apnea-1 OSA18 (OSA-18) speechlanguage speech language ShOM. ShOM . (ShOM) hypopneas were breathing competence swallowing overweight characteristics approach (PSG Apnea1 Apnea- OSA1 (OSA-18 (ShOM (OSA-1 (OSA-

RESUMO Objetivo Investigar as estruturas e funções orofaríngeas de uma população pediátrica com Síndrome de Down (SD) e apneia obstrutiva do sono (AOS) e correlacionar com o índice de apneia/hipopneia (IAH) e questionários do sono. Método 12 Crianças com SD e AOS, entre 4 e 12 anos, foram submetidas à polissonografia (PSG); questionários do sono, Pediatric Sleep Questionnaire (PSQ) e Obstructive Sleep Apnea-18 (OSA-18); e triagem fonoaudiológica por meio do Short Evaluation of Orofacial Myofunctional Protocol (ShOM). Resultados Verificou-se uma correlação positiva entre pontuações mais elevadas no ShOM e o índice de apneia hipopneia (IAH) e entre o ShOM e número de hipopneias. As alterações miofuncionais orofaciais observadas no grupo estudado foram: respiração oral, alteração no tônus e competência labial, na postura de língua em repouso e na deglutição e alteração oclusal. Verificou-se também, um risco aumentado para AOS conforme os questionários do sono, bem como presença de obesidade e sobrepeso, mas sem correlação com a gravidade da AOS. Conclusão Todas as crianças apresentaram alterações miofuncionais orofaciais, sendo que escores mais altos no ShOM, ou seja, um maior comprometimento miofuncional orofacial, estavam associados à maior gravidade de AOS, sugerindo que a avaliação miofuncional orofacial dentro de uma abordagem multidisciplinar pode auxiliar na identificação de fatores de risco para AOS em crianças com SD. (SD (AOS apneiahipopneia IAH (IAH 1 anos PSG (PSG) PSQ (PSQ Apnea18 Apnea 18 Apnea-1 OSA18 OSA (OSA-18) ShOM. . (ShOM) Verificouse Verificou se hipopneias oral labial oclusal também sobrepeso seja (PSG Apnea1 Apnea- OSA1 (OSA-18 (ShOM (OSA-1 (OSA- (OSA

ABSTRACT Purpose Present the step of evidence of validity based on the responses to procedures of the MMBGR Protocol Infants and Preschoolers: Instructional and Orofacial Myofunctional Clinical History. Methods Study developed according to phonoaudiologic tests validations recommendations. Validity analysis performed based on the process of instrument response. Ten speech therapists, that work on phonoaudiology clinic and/or orofacial myofunctional research on the population with age between 6 to 71 months, participated and applied the MMBGR Protocol Infants and Preschoolers: Instructional and Orofacial Myofunctional Clinical History with those responsible for the children. The speech therapists appraised the instrument applicability via Google®️ electronic forms, containing dichotic and/or multiple-choice questions, and likert scale with space to justify negative answers. The data was tabulated on Microsoft Excel 2016®️ worksheets and analyzed by the content validity index (CVI). The software R Core Team 2022 (Versão 4.2.2) was used. Results All items from the MMBGR Protocol Infants and Preschoolers: Instructional and Orofacial Myofunctional Clinical History were valid when applied to real contexts. Orofacial Myofunctional Clinic history protocol- IVC 100% in terms of ease of application and filling and usage in professional practice; IVC 90% in terms of usefulness for phonoaudiology clinic. The instructional got IVC 80% in terms of clinic usefulness and 70% regarding to the prior reading necessity to fill the MMBGR Protocol Infants and Preschoolers. Conclusion The Instrucional and Orofacial Myofunctional Clinical History, in the MMBGR Protocol Infants and Preschoolers had its validity proven based on the processes of responses to the usage on phonoaudiology clinic. recommendations response andor or 7 months children Google Google® forms multiplechoice multiple choice questions answers 2016 2016® CVI. CVI . (CVI) 202 Versão 4.2.2 422 4 2 used contexts protocol 100 practice 90 80 70 201 (CVI 20 4.2. 42 10 9 8 4.2 1 4.

RESUMO Objetivo Apresentar a etapa da evidência de validade baseada nos processos de respostas do Protocolo MMBGR Lactentes e Pré-escolares: Instrutivo e História Clínica Miofuncional Orofacial. Método Estudo desenvolvido conforme recomendações para validação de testes em Fonoaudiologia. Realizada análise da validade baseada nos processos de resposta do instrumento. Participaram dez fonoaudiólogos, que atuam em clínica e/ou pesquisa da Motricidade Orofacial com população entre 6 e 71 meses de idade, que aplicaram o Protocolo MMBGR Lactentes e Pré-escolares: Instrutivo e História Clínica Miofuncional Orofacial junto aos responsáveis pelas crianças. Os fonoaudiólogos emitiram apreciação sobre aplicabilidade do instrumento via formulário eletrônico do Google®, contendo questões dicóticas e/ou múltipla escolha, e escala likert com espaço para justificar respostas negativas. Os dados foram tabulados em planilhas Microsoft Excel 2016® e analisados pelo Índice de Validade de Conteúdo (IVC). Utilizado software R Core Team 2022 (Versão 4.2.2). Resultados Todos os itens do Protocolo MMBGR Lactentes e Pré-escolares: Instrutivo e História Clínica Miofuncional Orofacial foram válidos na aplicação em contexto real. Protocolo de História Clínica Miofuncional Orofacial - IVC 100% quanto à facilidade de aplicação e preenchimento, e uso na prática profissional; e IVC 90% quanto à utilidade para clínica fonoaudiológica. O Instrutivo obteve IVC 80% quanto à utilidade e 70% referente à necessidade de leitura prévia para preenchimento do Protocolo MMBGR Lactentes e Pré-escolares. Conclusão O Instrutivo e o Protocolo História Clínica Miofuncional Orofacial, pertencentes ao protocolo MMBGR – Lactentes e Pré-escolares tiveram comprovada validade baseada nos processos de resposta, para uso na clínica fonoaudiológica. Préescolares Pré escolares Fonoaudiologia eou ou 7 idade crianças Google Google® escolha negativas 2016 IVC. . (IVC) 202 Versão 4.2.2. 422 4.2.2 4 2 4.2.2) real 100 profissional 90 fonoaudiológica 80 70 Préescolares. escolares. 201 (IVC 20 42 4.2. 10 9 8 4.2 1 4.

RESUMEN Introducción: La salud del sistema estomatognático depende de la eficiencia en el desarrollo de sus funciones y una de ellas es la deglución. Es una actividad motora, automática, coordinada y neuromuscular compleja que transporta el alimento hacia el estómago. Los componentes del sistema estomatognático son verdaderos condicionantes de la fisiología deglutoria, y en esta, la neuromusculatura desempeña un rol preponderante en su eficiencia, al ser el primer componente en regular su actividad mediante la modificación del tono y longitud de sus fibras; además, determina el patrón a desarrollar como resultado del registro de las experiencias sensoriales-motoras y psico-emocionales en interacción con el medio ambiente. Los procesos de estabilidad músculo-esquelético, a partir de las bases posturales y las características del espacio bucal funcional, también adquieren importancia en la eficiencia de la deglución, al permitir los desplazamientos y el desarrollo en sí de las fases preparatoria y bucal de la misma. Objetivo: Argumentar los fundamentos sobre la eficiencia de la deglución. Métodos: Se realizó una búsqueda en las páginas SciELO, LILACS, Google académico, biblioteca Cochrane, Pubmed y revisión de artículos impresos desde octubre a noviembre de 2022. Se obtuvieron 46 documentos sin restricción de fecha de publicación y se incluyeron 32 citas bibliográficas con un 87,5% de actualización. Conclusiones: La eficiencia funcional de la deglución se fundamenta en la organización y coordinación de todas las estructuras involucradas con un mínimo gasto energético; es un proceso de autorregulación constante para preservar el equilibrio entre la morfología y la función del sistema estomatognático.

ABSTRACT Introduction: the health of the stomatognathic system depends on the efficiency in the development of its functions, and swallowing is one of them. Swallowing is a complex motor, automatic, coordinated and neuromuscular activity to transport food to the stomach. The components of the stomatognathic system are true determinants of swallowing physiology and the neuromusculature plays a predominant role in efficiency, being the first component to regulate its activity by modifying the tone and length of its fibers; in addition to determining the pattern to develop, as a result of the registration of sensory-motor and psycho-emotional experiences in interaction with the environment. The musculoskeletal stability processes based on the postural bases and the characteristics of the functional oral space also acquire importance in the efficiency of swallowing, by allowing the movements and development of the preparatory and oral phases of swallowing. Objective: to argue the fundamentals of swallowing efficiency. Methods: a search in SciELO, LILACS, Google Scholar, Cochrane Library and Pubmed pages was carried as well as a review of non-digital articles published from October to November 2022. A number of 46 documents were obtained without restriction of publication date and 32 bibliographic citations were included with 87.5% update. Conclusions: The functional efficiency of swallowing is based on the organization and coordination of all the structures involved, with minimal energy expenditure and a constant self-regulation process to preserve the balance between the morphology and function of the stomatognathic system.

RESUMO Introdução: O CrossFit® é um método de treinamento físico que visa promover a aptidão física por meio do desenvolvimento de componentes como capacidade aeróbia, força e resistência muscular. Os dados sobre comportamentos de bruxismo em praticantes de CrossFit® são escassos, mas estudos prévios mostraram aumento do comportamento de apertamento dentário durante as práticas de levantamento de peso. Objetivo: O presente estudo teve como objetivo avaliar os sinais clínicos de bruxismo em praticantes de CrossFit®. Métodos: O estudo foi composto por uma amostra de conveniência de praticantes de CrossFit® (n=57), de ambos os sexos, com idade entre 19 e 58 anos, e as variáveis de desfecho foram: Lista de Verificação de Comportamento Oral, Questionário Internacional de Atividade Física e Ferramenta Padronizada para Avaliação do Bruxismo. Os dados foram expressos em termos de valores absolutos e percentuais. Para análise estatística, foram utilizados os testes de correlação de Spearman e exato de Fisher, e considerou-se nível de significância de 5%. Resultados: A média de idade foi de 32,82 anos, com maioria feminina (63,15%). Os praticantes de CrossFit® relataram frequentemente apertar os dentes durante a prática do treinamento (61,40%) e apresentaram linha alba (82,45%), impressão labial (54,38%), impressão de língua (26,31%), exostose óssea (19,29%), desgaste dentário (61,40%) e lesões cervicais não cariosas (35,09%). Conclusões: Não foi encontrada correlação entre sinais clínicos de bruxismo, comportamentos orais e intensidade da atividade física; no entanto, os resultados sugerem que indivíduos que praticam o treinamento CrossFit® apresentam comportamentos orais que podem causar alterações morfofuncionais no sistema estomatognático, principalmente o hábito de apertar os dentes durante o treinamento. Além disso, os dados enfatizam a necessidade de educação em saúde bucal entre os praticantes de CrossFit®, sendo necessários mais estudos com amostras representativas. Introdução CrossFit aeróbia muscular escassos peso Objetivo Métodos n=57, n57 n n=57 , 57 (n=57) sexos 1 5 anos Oral Bruxismo percentuais estatística Fisher considerouse considerou se 5% Resultados 3282 32 82 32,8 63,15%. 6315 63,15% . 63 15 (63,15%) 61,40% 6140 61 40 (61,40% 82,45%, 8245 82,45% 45 (82,45%) 54,38%, 5438 54,38% 54 38 (54,38%) 26,31%, 2631 26,31% 26 31 (26,31%) 19,29%, 1929 19,29% 29 (19,29%) 35,09%. 3509 35,09% 35 09 (35,09%) Conclusões entanto estomatognático disso representativas n5 n=5 (n=57 328 3 8 32, 631 63,15 6 (63,15% 61,40 614 4 (61,40 824 82,45 (82,45% 543 54,38 (54,38% 263 26,31 2 (26,31% 192 19,29 (19,29% 350 35,09 0 (35,09% n= (n=5 63,1 (63,15 61,4 (61,4 82,4 (82,45 54,3 (54,38 26,3 (26,31 19,2 (19,29 35,0 (35,09 (n= 63, (63,1 61, (61, 82, (82,4 54, (54,3 26, (26,3 19, (19,2 35, (35,0 (n (63, (61 (82, (54, (26, (19, (35, (63 (6 (82 (54 (26 (19 (35 ( (8 (5 (2 (1 (3

ABSTRACT Introduction: CrossFit® is a physical training method that aims to promote physical fitness through the development of components such as aerobic capacity, strength and muscular endurance. Data regarding bruxism behaviors in CrossFit® practitioners are scarce, but previous studies have shown increased dental clenching behavior during weightlifting practices. Objective: The present study aimed to evaluate clinical signs of bruxism in CrossFit® practitioners. Methods: The sample comprised a convenience sample of CrossFit® practitioners (n=57), of both genders, aged 19-58 years. Outcome variables were as follows: Oral Behavior Checklist, the International Physical Activity Questionnaire and the Standardized Tool for the Assessment of Bruxism. Data were expressed in terms of absolute values and percentages. Spearman’s correlation and Fisher exact tests were used for statistical analysis, and a significance level of 5% was considered. Results: The mean age was 32.82 years, with a female majority (63.15%). CrossFit® practitioners frequently reported clenching their teeth during training practice (61.40%) and presented linea alba (82.45%), lip impression (54.38%), tongue impression (26.31%), bone exostosis (19.29%), tooth wear (61.40%) and non-carious cervical lesions (35.09%). Conclusions: No correlation was found between clinical signs of bruxism, oral behaviors and physical activity intensity; however, the results suggest that individuals who practice CrossFit® training have oral behaviors that can cause morpho-functional changes in the stomatognathic system, especially the habit of clenching their teeth during training. In addition, data emphasize the need for dental health education among CrossFit® practitioners, and more studies with a representative sample are necessary. Introduction CrossFit capacity endurance scarce practices Objective Methods n=57, n57 n n=57 , 57 (n=57) genders 1958 19 58 19-5 years follows Checklist Bruxism percentages Spearmans Spearman s analysis 5 considered Results 3282 32 82 32.8 63.15%. 6315 63.15% . 63 15 (63.15%) 61.40% 6140 61 40 (61.40% 82.45%, 8245 82.45% 45 (82.45%) 54.38%, 5438 54.38% 54 38 (54.38%) 26.31%, 2631 26.31% 26 31 (26.31%) 19.29%, 1929 19.29% 29 (19.29%) noncarious non carious 35.09%. 3509 35.09% 35 09 (35.09%) Conclusions intensity however morphofunctional morpho functional system addition necessary n5 n=5 (n=57 195 1 19- 328 3 8 32. 631 63.15 6 (63.15% 61.40 614 4 (61.40 824 82.45 (82.45% 543 54.38 (54.38% 263 26.31 2 (26.31% 192 19.29 (19.29% 350 35.09 0 (35.09% n= (n=5 63.1 (63.15 61.4 (61.4 82.4 (82.45 54.3 (54.38 26.3 (26.31 19.2 (19.29 35.0 (35.09 (n= 63. (63.1 61. (61. 82. (82.4 54. (54.3 26. (26.3 19. (19.2 35. (35.0 (n (63. (61 (82. (54. (26. (19. (35. (63 (6 (82 (54 (26 (19 (35 ( (8 (5 (2 (1 (3

ABSTRACT Purpose To investigate and correlate the lingual pressure of the anterior and posterior region in isometric contraction and during saliva swallowing of individuals with Osteogenesis Imperfecta (OI). Methods This was an observational cross-sectional study, 22 subjects participated, with an average age of 12.09 years, divided into mild OI (OIL) (type 1) (n=15) and moderate/severe OI (OIMG) (types 3, 4 and 5) (n=7). The Iowa Oral Pressure Instrument (IOPI) was used and tongue isometry pressure was measured in the anterior region, posterior region and during swallowing. Statistical analyses was done with the SPSS program using the Mann Whitney test, Spearman correlation and simple linear regression model. The significance level of p<0.05 was used. Results Pressure in tongue isometry was greater in the anterior region than in the posterior region in the total sample and in the OIMG group. The pressure of the anterior region during saliva swallowing was higher in the OIL group. Greater tongue pressure was also observed in the posterior region in the OIL group. Conclusion Greater pressure in the anterior region of the tongue is correlated with greater pressure in the posterior region of the tongue, but there is no significant correlation between the isometric tongue capacity and the tongue pressure during the saliva swallowing function. OI. . (OI) crosssectional cross sectional study 2 participated 1209 12 09 12.0 years (OIL type 1 n=15 n15 n 15 (n=15 moderatesevere moderate severe (OIMG types 3 5 n=7. n7 n=7 7 (n=7) IOPI (IOPI test model p005 p 0 05 p<0.0 group function (OI 120 12. n=1 n1 (n=1 n= (n=7 p00 p<0. (n= p0 p<0 (n p<

RESUMO Objetivo Investigar e correlacionar a pressão lingual da região anterior e posterior em contração isométrica e durante deglutição de saliva de indivíduos com osteogênese imperfeita. Métodos Estudo transversal observacional, do qual participaram 22 sujeitos, com média de idade de 12,09 anos, divididos em osteogênese imperfeita leve (tipo 1) (n=15) e osteogênese imperfeita moderada-grave (tipos 3, 4 e 5) (n=7). O Iowa Oral Pressure Instrument foi utilizado e foi aferida a pressão em isometria de língua da região anterior, da região posterior e durante deglutição. As análises estatísticas foram realizadas no programa SPSS, por meio dos testes Mann Whitney, correlação de Spearman e modelo de regressão linear simples. O nível de significância de p<0,05 foi utilizado. Resultados A pressão em isometria de língua foi maior na região anterior do que na região posterior na amostra total e no grupo com osteogênese imperfeita moderada-grave. A pressão da região anterior durante deglutição de saliva foi maior no grupo com osteogênese imperfeita leve. Também foi observada maior pressão de língua da região posterior nesse grupo. Conclusão Maior pressão da região anterior de língua correlaciona-se à maior pressão da região posterior de língua, porém, não há correlação significativa entre a capacidade isométrica de língua e a pressão de língua durante a função de deglutição de saliva. observacional 2 sujeitos 1209 12 09 12,0 anos tipo 1 n=15 n15 n 15 (n=15 moderadagrave moderada grave tipos 3 5 n=7. n7 n=7 . 7 (n=7) SPSS Whitney simples p005 p 0 05 p<0,0 moderadagrave. grave. correlacionase correlaciona se porém 120 12, n=1 n1 (n=1 n= (n=7 p00 p<0, (n= p0 p<0 (n p<

ABSTRACT Purpose: to characterize the electrical activation of the masseter and suprahyoid muscles at rest and during swallowing tasks, to compare it with clinical aspects of swallowing. Methods: a cross-sectional study, divided into mild osteogenesis imperfecta and moderate-to-severe osteogenesis imperfecta groups. Surface electromyography was performed on the masseter and suprahyoid muscles at rest and during swallowing tasks. The Orofacial Myofunctional Evaluation with Scores assessment form was used to assess clinical aspects of swallowing. Results: moderate-to-severe osteogenesis imperfecta participants presented a higher percentage of masseter activation than mild osteogenesis imperfecta ones. Regarding the clinical aspects of swallowing, the total sample presented 40.9% normal lip occlusion or with slight effort; 59.1% demonstrated tongue protrusion and 50% showed two other signs of atypical function. Furthermore, the higher the score for lip activity during swallowing, the lower the activation of the suprahyoid muscles at rest. Conclusions: the activation of the suprahyoid muscles while swallowing saliva and during consecutive swallows of liquid was similar, and activation during different tasks was higher in the moderate-to-severe osteogenesis imperfecta group. The better the labial myofunctional condition during swallowing, the lower the electrical activation of the suprahyoid muscles at rest. Purpose Methods crosssectional cross sectional study moderatetosevere moderate severe groups Results ones 409 40 9 40.9 effort 591 59 1 59.1 50 function Furthermore Conclusions similar group 4 40. 5 59.

ABSTRACT Introduction: Due to edentulousness, masticatory performance and masticatory force decrease, which implies a disorganization and decompensation of the stomatognathic system with forces provoked by mastication, which are distributed in the bone through teeth and mucous membranes and cause bone resorption in edentulous areas. Objective: To compare masticatory performance and maximum functional masticatory force in partially edentulous patients with dentomucosally supported removable partial dentures before and after surgical installation of osseointegrated implants as auxiliary prosthetic abutments. Methods: Ten patients rehabilitated with removable partial dentures were selected. The biomechanical test of masticatory force measurement and the Manly test were performed to evaluate masticatory performance before implant installation and at three- and six-months post-surgery. Results: An average masticatory performance value of 24.2 ( 9.73 % was obtained before implant surgery, 44.1 ( 13.28 % at three months and 45.6 ( 14.33 % at six months after implant surgery (p = 0.001). Before implant surgery, an average masticatory force of 10.6 ( 4.34 kg, 12.5 4.28 kg at three months and 15.1 ( 5.12 kg at six months after implant surgery was obtained (p = 0.008). Conclusions: The use of osseointegrated implants as auxiliary abutments in dentomucosally supported removable prostheses are associated with increased masticatory performance and increased maximum functional masticatory force, associated with relief of direct load on edentulous maxillary ridges.

RESUMEN Introducción: Debido al desdentamiento, el rendimiento y la fuerza masticatoria disminuyen, lo que implica una desorganización y descompensación del sistema estomatognático con fuerzas provocadas por la masticación, que se distribuyen en el hueso a través de dientes y mucosas y provocan la reabsorción ósea en zonas edéntulas. Objetivo: Comparar el rendimiento masticatorio y la fuerza masticatoria máxima funcional en pacientes desdentados parciales portadores de prótesis parcial removible dentomucosoportadas, antes y después de la instalación quirúrgica de implantes oseointegrados como pilares protésicos auxiliares. Métodos: Se seleccionaron 10 pacientes rehabilitados mediante prótesis parcial removibles. Se les realizaron el test biomecánico de medición de fuerza masticatoria y test de Manly para la evaluación del rendimiento masticatorio antes de la instalación del implante y a los tres y seis meses poscirugía. Resultados: Se obtuvo un valor promedio de rendimiento masticatorio de 24,2 ( 9,73 % antes de la cirugía de implantes, de 44,1 ( 13,28 % a los tres meses y de 45,6 ( 14,33 % a los seis meses posterior a esta (p = 0,001). Antes de la cirugía implantaria se obtuvo como promedio una fuerza masticatoria de 10,6 ( 4,34 kg, de 12,5 ( 4,28 kg a los tres meses y de 15,1 ( 5,12 kg a los seis meses posterior a esta (p = 0,008). Conclusiones: La utilización de implantes oseointegrados como pilares auxiliares en prótesis removibles dentomucosoportadas se asocian a un mayor rendimiento masticatorio y a un aumento de la fuerza masticatoria máxima funcional, asociado al alivio de la carga directa sobre los rebordes maxilares edéntulos.

ABSTRACT Introduction: Mandibular advancement surgery corrects bone bases while establishing patients’ functional and aesthetic rehabilitation. However, little is known about the results of this procedure in the structures that make up the stomatognathic system, as the condyles. Objective: This study aimed to evaluate the structural and positional changes of mandibular condyles in ortho-surgical patients who underwent mandibular advancement surgery. Material and Methods: A prospective investigation was conducted with cone-beam computed tomography images. Using Dolphin Imaging® software, seven ortho-surgical patients with Angle Class II malocclusion and mandibular deficiency were evaluated. The images assessed were obtained at pre-surgical phase and after, at least, 1 year of the procedure. To study the structural and positional changes of condyles, linear and angular measurements were obtained, and the right and left sides of patients were compared. Descriptive statistical analysis was performed and, in order to verify possible significant differences, normality tests (Kolmogorov-Smirnov) were applied, followed by a paired t-test to define significance. Results: For all measures evaluated in this study, no statistically significant differences were found. Conclusion: The ortho-surgical procedure performed did not change the structure and position of the condyles of patients who underwent surgical mandibular advancement. Right and left mandibular condyles behaved similarly, suggesting stability and condylar adaptation after surgery. Introduction rehabilitation However system Objective orthosurgical ortho Methods conebeam cone beam Imaging software presurgical pre least compared KolmogorovSmirnov Kolmogorov Smirnov (Kolmogorov-Smirnov applied ttest t test significance Results found Conclusion similarly

RESUMO Introdução: A cirurgia de avanço mandibular corrige as bases ósseas e estabelece a reabilitação funcional e estética dos pacientes. Entretanto, pouco se sabe sobre os resultados desse procedimento nas estruturas que compõem o sistema estomatognático, como os côndilos. Objetivo: Este estudo teve como objetivo avaliar as alterações estruturais e posicionais dos côndilos mandibulares em pacientes ortodôntico-cirúrgicos submetidos à cirurgia de avanço mandibular. Material e Métodos: Foi realizada investigação prospectiva com imagens de tomografia computadorizada de feixe cônico. Utilizando o software Dolphin Imaging®, foram avaliados sete pacientes ortodôntico-cirúrgicos com má oclusão Classe II de Angle e deficiência mandibular. Foram avaliadas imagens da fase pré-cirúrgica e de, no mínimo, um ano após o procedimento. Para estudar as alterações estruturais e posicionais dos côndilos, foram obtidas medidas lineares e angulares e comparados os lados direito e esquerdo dos pacientes. Foi realizada análise estatística descritiva e, para verificar possíveis diferenças significativas, foram aplicados testes de normalidade (Kolmogorov-Smirnov), seguido de teste t pareado, para definição de significância. Resultados: Para nenhuma das medidas avaliadas nesse estudo foram encontradas diferenças estatisticamente significativas. Conclusão: O procedimento ortodôntico-cirúrgico realizado não alterou a estrutura e a posição dos côndilos dos pacientes submetidos à cirurgia de avanço mandibular. Os côndilos mandibulares direito e esquerdo comportaram-se de forma semelhante, sugerindo estabilidade e adaptação condilar após a cirurgia. Introdução Entretanto estomatognático Objetivo ortodônticocirúrgicos ortodôntico cirúrgicos Métodos cônico Imaging Imaging® précirúrgica pré cirúrgica mínimo significativas KolmogorovSmirnov, KolmogorovSmirnov Kolmogorov Smirnov , (Kolmogorov-Smirnov) pareado significância Resultados Conclusão ortodônticocirúrgico cirúrgico comportaramse comportaram semelhante (Kolmogorov-Smirnov