This study aimed to determine the access and utilization of dental services in a reference center for orofacial defects in the state of Bahia, Brazil. In an interview, a questionnaire was done about socio-demographic information, cleft type, specialized treatments, scheduling time and return of the consultation of 101 patients with nonsyndromic cleft lip with or without cleft palate and 101 healthy controls. In both groups the age was between 5 to 12 years old. It was observed that individuals with cleft had faster access to the dental service in relation to the control group and shorter scheduling time between the first consultation and their return. Different needs in the use of dental services were observed in the study groups with differences in relation to the specialties (p=0.000). The nonsyndromic cleft lip with or without cleft palate individuals showed socialization difficulties in the age group between 9 and 12 years and did not present difficulties in accessing primary dental care in specialized service. In conclusion, in this study NSCL±P individuals did not present difficulties in accessing the specialized dental center. To complement the comprehensive care, it is suggested the performance of educational activities of oral health, not yet fully implemented in this multidisciplinary treatment center.
This systematic review protocol aims to verify the existence of synergistic effect of phototherapy in tissues that received dermal fillers. The review will be carried out through the stages of preparation of the research question, search for primary studies, selection of studies according to eligibility criteria, data extraction, analysis, and synthesis of evidence. The question will be based on the PICOS strategy: “Does the combined use of dermal fillers and phototherapy have a synergistic effect on facial rejuvenation?” The search in the literature will be carried out in seven databases and in sources of gray literature. The results will be exported to the Rayyan application for the purpose of deleting duplicate studies. The reading of the titles and abstracts will be carried out by two independent and blind reviewers. Randomized clinical studies that associated phototherapy in tissues that received dermal fillers will be selected for full reading. The data will be extracted and submitted to a narrative synthesis, and if possible, the meta-analysis. In the methodological quality analysis, the RoB2 tool will be used for the risk of bias and the GRADE tool for the quality of evidence.
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