Publications by authors named "Fabio Abreu Alves"

Introduction: Cases involving invasive cervical root resorption (ICRR) in oncological patients are rare, in addition, follow-up of these patients has not yet been reported in the literature.

Objective: This study aims to present a literature review and report a case of denosumab as a possible cause of ICRR in a patient with breast cancer with 2 years of follow-up.

Case Report: A 39-year-old female with a history of luminal breast cancer was treated with denosumab semiannually for osteopenia with discontinuation 1 year ago.

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Introduction: This study investigated the implications of root canal treatment (RCT) of infected teeth with apical periodontitis (AP) in patients undergoing hematopoietic stem cell transplantation (HSCT).

Methods: One hundred patients were selected. Clinical data, oncologic and endodontic diagnosis and treatment, and type of HSCT were recorded.

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Article Synopsis
  • Medication-related osteonecrosis of the jaw (MRONJ) is a serious condition that can lead to severe bone loss, making diagnosis difficult, especially in patients receiving certain cancer treatments.* -
  • A case study of a 68-year-old man with liver cancer showed symptoms of jaw pain, yet initial dental exams revealed no obvious issues until deeper investigation indicated MRONJ Stage 2.* -
  • After surgical treatment for MRONJ, the patient experienced relief, highlighting the importance of considering MRONJ in patients with jaw pain who are undergoing specific therapies, as well as the need for careful monitoring of dental health in these individuals.*
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Article Synopsis
  • The case involves a 76-year-old male who received multiple endodontic treatments for a misdiagnosed glandular odontogenic cyst, which was initially mistaken for an inflammatory periapical lesion.
  • Glandular odontogenic cysts are known to be more aggressive compared to other types, and there's a lack of extensive research on this in older dental patients.
  • The correct diagnosis was confirmed through a biopsy, leading to successful surgery while ensuring the base of the mandible was preserved, emphasizing the need for careful diagnosis in elderly patients.
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  • A systematic review and meta-analysis evaluated the recurrence and progression risk of oral potentially malignant disorders (OPMD) and precancerous lesions after surgical treatments across various body sites.
  • Twelve studies were included, revealing that the variation in surgical protocols and unclear margin descriptions affected clinical outcomes, particularly for oral leukoplakia and anal intraepithelial neoplasia.
  • The analysis found no significant difference in recurrence risk between cold-knife and ablative treatments for oral leukoplakia and cervical intraepithelial neoplasia, highlighting the need for standardized surgical approaches.
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Objectives: To assess the prevalence of cutaneous and oral immune-related adverse events (irAEs) in cancer patients, risk factors for its development, and overall survival (OS).

Materials And Methods: This retrospective observational study which included 748 medical records of cancer patients who received immune checkpoint inhibitors (ICIs). Demographic and clinicopathological characteristics were collected and analyzed.

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Odontogenic cysts are bony lesions in the jaws that can reach large sizes. Decompression, a technique that helps in their surgical treatment, aims to reduce their size. We aimed to conduct a systematic review of the main types of device used for the decompression of odontogenic cysts and to analyse the indications, types, advantages, and disadvantages of the devices used.

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This study aims to compare whether the use of a salivary substitute including an enzymatic system clinically reduces the intensity of xerostomia, as well as exploring the impact that this has on the quality of life, in patients who had received radiotherapy in the head and neck (HNC) region. Forty patients who had completed radiotherapy treatment within 6 months to 1 year previously were allocated into an Enzymatic Spray group ( = 21) or a Placebo arm ( = 19). It should be noted that two patients in the Placebo arm declined to participate during phase 2 of the study.

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Purpose: This study aimed to evaluate the efficacy of 1W extraoral photobiomodulation (EOPBM) and to compare with our previous results of 2W EOPBM and intraoral photobiomodulation (IOPBM) protocols in the management of oral mucositis (OM) related to hematopoietic stem cell transplantation (HSCT).

Methods: A total of 30 patients underwent autologous or allogenic HSCT. Experimental protocol of 1W EOPBM was performed daily beginning in the first day of the conditioning regimen until 5 days after transplantation.

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The aim of this study was to perform a systematic review to evaluate the impact of photobiomodulation therapy (PBMT) for the prevention of oral mucositis (OM) on the quality of life (QoL) of patients with head and neck cancer (HNC) undergoing radiation therapy. This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. The search strategy was performed in five electronic databases (Cochrane, Embase, PubMed, Scopus, and Web of Science).

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The gingival cyst of the adult (GCA) is a rare odontogenic cyst, consisting of 0.3% of all odontogenic cysts. This case report, based on CARE guidelines for case reports, aims to present a case of a 52-year-old female patient with a symptomatic translucent nodule in the upper left anterior gingiva, measuring approximately 6mm.

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Introduction: Radiotherapy remains one of the main treatments for head and neck cancer; however, it is accompanied by acute and chronic adverse effects. Use of three-dimensional (3D) oral stents to modulate radiation intensity to specific target areas have been developed to minimize these adverse effects. This study aimed to present a scoping review of studies published on 3D printing of oral stents and their clinical applicability.

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Background: This study aimed to investigate the clinicopathological features of metastases in the oral and maxillofacial regions.

Methods: In this retrospective study, biopsy records were obtained from referral centers for oral and maxillofacial diagnosis in Brazil, Guatemala, Mexico, and South Africa.

Results: A total of 120 cases were evaluated.

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Benign fibro-osseous lesions with cystic degenerations have been scarcely reported in craniofacial bones and its unusual characteristics pose a diagnostic challenge. Here, we report a case of craniofacial fibrous dysplasia presenting a large cystic degeneration. A 55-year-old woman had a history of pain, slight asymmetry on the zygomatic region and ocular pressure.

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Aims: Evaluate the existing evidence of osteoradionecrosis (ORN) treatment in adults with head and neck cancer, the methodological quality and the evidence grade within systematic reviews (SRs).

Methods: An extensive systematic literature search of SRs that addressed ORN in head and neck cancer patients was conducted with screening of eligible studies, data extraction, methodological (AMSTAR 2) and evidence quality assessment (GRADE) of the SRs by independent and calibrated authors.

Results: A total of six SRs were enrolled.

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Background And Porpuse: Salivary glands sustain collateral damage following radiotherapy (RT) to treat cancers of the head and neck, leading to complications, including xerostomia and hyposalivation. This systematic review (SR) with meta-analysis was performed to determine the effectiveness of bethanechol chloride in preventing salivary gland dysfunction in this context.

Materials And Methods: Medline/Pubmed, Embase, Scopus, LILACS via Portal Regional BVS and Web of Science were searched electronically in accordance with the Cochrane manual and reported PRISMA guidelines.

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Solitary fibrous tumor (SFT) is a benign mesenchymal neoplasm originally described in pleura with a rare presentation in the oral cavity. Herein, we report a case of a 28-year-old male patient who presented an asymptomatic slow-growing mass in the anterior part of the tongue. Intraoral examination revealed a well-circumscribed mass covered by normal mucosa with a fibrous consistency.

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Nasopharyngeal carcinoma (NPC) is a malignant tumor rarely found in the head and neck, representing about 1% of all malignancies. The main treatment for NPC is radiation therapy, which is often given in combination with chemotherapy. However, such treatment may lead to long-term complications, including second primary tumors (SPTs) and osteoradionecrosis (ORN).

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Immune checkpoint inhibitors (ICIs) are a revolutionary class of antineoplastic therapy that restore anti-tumor immunity. Consequences of this enhanced immune response include a multitude of immune related adverse events (irAEs) that can affect any body system, including the mouth. Orofacial irAEs reproduce features of numerous immune-mediated conditions, including oral lichen planus, mucous membrane pemphigoid, and Sjögren syndrome, among others.

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Article Synopsis
  • This study analyzed the initial biopsies of patients with proliferative leukoplakia (PL) to understand its histopathologic features and their relationship with the risk of malignant transformation (MT).
  • Out of 86 biopsies from 59 patients, common diagnoses included oral epithelial dysplasia (OED) at 53.5% and a significant number lacking clear dysplasia, termed hyperkeratosis/parakeratosis not reactive (HkNR) at 31.4%.
  • Notably, almost half of the patients developed carcinoma over time, with a mortality rate of 11.9%, indicating that even cases without typical dysplastic features can still progress to malignancy.
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Objective: To determine the usefulness of Serum C-terminal telopeptide cross-link of type 1 collagen (sCTX) as a preoperative marker for predicting the risk of developing medication-related osteonecrosis of the jaws (MRONJ) after invasive oral surgery in patients on antiresorptive medication.

Materials And Methods: Two authors independently searched four electronic databases up to March 25, 2021, for case-control studies and prospective and retrospective cohort studies that assessed preoperative sCTX levels in patients taking antiresorptive medication who underwent oral surgery procedures. The main outcome was the number of MRONJ cases in patients with an sCTX value lower and higher than 150 pg/mL.

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Symptoms related to salivary gland damage are one of the most frustrating complications after radioactive iodine (I) therapy. To the best of our knowledge, this is the first study that aimed to evaluate the prophylactic effect of Bethanechol on the radioiodine content of salivary gland. Fifty patients who were referred to I therapy were randomized into Bethanechol and placebo groups.

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