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Article ; Online: The use of E-cigarettes as a risk factor for oral potentially malignant disorders and oral cancer: a rapid review of clinical evidence.

Gallagher, K-P-D / Vargas, P-A / Santos-Silva, A-R

Medicina oral, patologia oral y cirugia bucal

2024 Volume 29, Issue 1, Page(s) e18–e26

Abstract: Background: The popularity of e-cigarettes has increased rapidly in the last decade, particularly among teens and young adults, being advertised as a less harmful alternative to conventional tobacco products. However, in vitro and in vivo studies have ... ...

Abstract	Background: The popularity of e-cigarettes has increased rapidly in the last decade, particularly among teens and young adults, being advertised as a less harmful alternative to conventional tobacco products. However, in vitro and in vivo studies have evidenced a variable quantity of potentially harmful components and some recognized carcinogens which may cause DNA damage in oral cells. Additionally, evidence suggests that e-cigarettes may play active roles in the pathogenesis of other malignancies, such as lung and bladder cancers. Therefore, this rapid review aimed to assess the available clinical evidence about using e-cigarettes as a risk factor for oral potentially malignant disorders (OPMD) and oral cancer. Material and methods: A systematic search for English language articles published was performed in PubMed (MEDLINE), Embase, Scopus, and Web of Science. After the study selection process, the authors included twelve clinical studies about OPMD and oral cancer risk in e-cigarette users. Results: The main findings showed the presence of carcinogenic compounds in saliva and morphologic changes, DNA damage, and molecular pathways related to carcinogenesis in the oral cells of e-cigarette users. However, results were inconsistent compared to tobacco smokers and control groups. Conclusions: the current clinical evidence on this topic is limited and insufficient to support using e-cigarettes as a risk factor for OPMD and oral cancer. Nevertheless, dental care professionals should advise patients responsibly about the potentially harmful effects of e-cigarettes on the oral mucosa cells. Future long-term and well-designed clinical studies are needed.
MeSH term(s)	Adolescent ; Humans ; Young Adult ; Electronic Nicotine Delivery Systems ; Mouth Diseases ; Mouth Mucosa ; Mouth Neoplasms/etiology ; Precancerous Conditions ; Risk Factors
Language	English
Publishing date	2024-01-01
Publishing country	Spain
Document type	Journal Article ; Review ; Systematic Review
ZDB-ID	2171573-7
ISSN	1698-6946 ; 1698-4447
ISSN (online)	1698-6946
ISSN	1698-4447
DOI	10.4317/medoral.26042
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Oral cancer screening outcomes in the Latin American region with special relevance to Brazil and Cuba: a systematic review.

Pedroso, C-M / Normando, A-G / Pérez-de-Oliveira, M-E / Simonato, L-E / Goes, M-F / Ribeiro, A-C / Brandão, T-B / Lopes, M-A / Warnakulasuriya, S / Santos-Silva, A-R

Medicina oral, patologia oral y cirugia bucal

2024

Abstract: Background: The Latin American region represents a hotspot for oral cancer incidence and mortality. To reduce oral cancer mortality rates, screening for early detection of subjects with suspicious or innocuous oral lesions has been promoted. A ... ...

Abstract	Background: The Latin American region represents a hotspot for oral cancer incidence and mortality. To reduce oral cancer mortality rates, screening for early detection of subjects with suspicious or innocuous oral lesions has been promoted. A systematic review was performed to assess the outcomes of oral cancer screening in the Latin American region. Material and methods: An electronic search was conducted in eight databases and grey literature. The eligibility criteria included screening where adult participants underwent any screening test during an organized screening program. Screening programs were assessed to understand trends in oral cancer diagnosis. Rates of oral cancers diagnosed in screening programs were classified as increase, decrease, or stable based on each year assessed. Results: Following our searches, twelve studies conducted in Brazil and Cuba were included. The screening tests reported were visual oral examination (VOE) and in one study in addition light-based fluorescence testing. 13,277,608 individuals were screened and a total of 1,516 oral cancers were detected (0.01%). Only two studies aimed to screen high-risk individuals (smokers and drinkers). Oral cancer cases diagnosed during screening programs were proportionately stable over the years 1997 to 2009 but increased from 2010 to 2021. The fluorescence-associated VOE test demonstrated a sensitivity of 100% and a specificity of 90%. Similarly, the VOE test alone exhibited a sensitivity of 100%, with specificity ranging from 75% to 90%. Conclusions: Screening studies conducted in Latin American countries had serious limitations both in methodology (lack of examiner training) and in reporting data (lack of description of clinical categories of screen positives). Capacitation of health workers to perform VOE in well-designed screening programs should be implemented.
Language	English
Publishing date	2024-02-18
Publishing country	Spain
Document type	Journal Article
ZDB-ID	2171573-7
ISSN	1698-6946 ; 1698-4447
ISSN (online)	1698-6946
ISSN	1698-4447
DOI	10.4317/medoral.26361
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Systemic therapies for salivary gland carcinomas: an overview of published clinical trials.

Silva, L-C / Pérez-de-Oliveira, M-E / Pedroso, C-M / Leite, A-A / Santos-Silva, A-R / Lopes, M-A / Junior, G-D / Martins, M-D / Wagner, V-P / Kowalski, L-P / Squarize, C-H / Castilho, R-M

Medicina oral, patologia oral y cirugia bucal

2024 Volume 29, Issue 2, Page(s) e280–e287

Abstract: Background: There is no consensus about effective systemic therapy for salivary gland carcinomas (sgcs). Our aim was summarized the clinical trials assessing the systemic therapies (ST) on sgcs.: Material and methods: Electronic searches were carried ...

Abstract	Background: There is no consensus about effective systemic therapy for salivary gland carcinomas (sgcs). Our aim was summarized the clinical trials assessing the systemic therapies (ST) on sgcs. Material and methods: Electronic searches were carried out through MEDLINE/pubmed, EMBASE, Scopus, Web of Science, and the Cochrane Library databases, and gray literature. Results: Seventeen different drugs were evaluated, and the most frequent histological subtype was adenoid cystic carcinoma (n=195, 45.5%). Stable disease, observed in 11 ST, achieved the highest rate in adenoid cystic carcinoma treated with sunitinib. The highest complete (11.1%) and partial response (30.5%) rates were seen in androgen receptor-positive tumors treated with leuprorelin acetate. Conclusions: Despite all the advances in this field, there is yet no effective evidence-based regimen of ST, with all the clinical trials identified showing low rates of complete and partial responses. Further, translational studies are urgently required to characterize molecular targets and effective ST.
MeSH term(s)	Humans ; Carcinoma, Adenoid Cystic/drug therapy ; Salivary Gland Neoplasms/drug therapy ; Databases, Factual ; Salivary Glands
Language	English
Publishing date	2024-03-01
Publishing country	Spain
Document type	Journal Article
ZDB-ID	2171573-7
ISSN	1698-6946 ; 1698-4447
ISSN (online)	1698-6946
ISSN	1698-4447
DOI	10.4317/medoral.26264
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Article ; Online: The barriers dentists face to communicate cancer diagnosis: self-assessment based on SPIKES protocol.

Martins, B-N-F-L / Migliorati, C-A / Ribeiro, A-C / Martins, M-D / Brandão, T-B / Lopes, M-A / Alves, C-G / Santos-Silva, A-R

Medicina oral, patologia oral y cirugia bucal

2023 Volume 28, Issue 2, Page(s) e191–e198

Abstract: Background: This study aimed to characterize the barriers faced by Brazilian dentists to deliver bad news (DBN) about oral and oropharyngeal cancer diagnoses to patients by using a questionnaire based on the guidelines of the SPIKES protocol.: ... ...

Abstract	Background: This study aimed to characterize the barriers faced by Brazilian dentists to deliver bad news (DBN) about oral and oropharyngeal cancer diagnoses to patients by using a questionnaire based on the guidelines of the SPIKES protocol. Material and methods: This was an observational cross-sectional study. The questionnaire contained 27 questions based on the SPIKES protocol, which were answered in the SurveyMonkey platform. Results: A total of 186/249 dentists answered the questionnaire. The main specialties reported were 36.02% oral medicine, 21.5% oral pathology, and 9.13% oral and maxillofacial surgery. A total of 44.6% expressed concern about the patient's emotional reactions, and 46.24% of respondents had never participated in any specific training to communicate bad news. Conclusions: The lack of training and low confidence in dealing with patients' emotional reactions dentists were considered the greatest barriers to DBNs. Moreover, most dentists who participated in the survey believe that a protocol to guide the communication of bad news would be useful for clinical practice. For those protocols to be used by dentists, training is critical for these protocols to be incorporated by professionals.
MeSH term(s)	Humans ; Cross-Sectional Studies ; Dentists/psychology ; Oropharyngeal Neoplasms ; Self-Assessment ; Surveys and Questionnaires ; Truth Disclosure
Language	English
Publishing date	2023-03-01
Publishing country	Spain
Document type	Journal Article ; Observational Study
ZDB-ID	2171573-7
ISSN	1698-6946 ; 1698-4447
ISSN (online)	1698-6946
ISSN	1698-4447
DOI	10.4317/medoral.25650
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Histopathological parameters reported in microinvasive oral squamous cell carcinoma: a systematic review.

Saldivia-Siracusa, C / Araújo, A-L / González-Arriagada, W-A / Nava, F-J / Hunter, K-D / Lopes, M-A / Vargas, P-A / Santos-Silva, A-R

Medicina oral, patologia oral y cirugia bucal

2023 Volume 28, Issue 3, Page(s) e255–e263

Abstract: Background: Microinvasive oral squamous cell carcinoma (OSCCmi) is an incipient stage of oral cancer. Through this systematic review, we aim to assess patterns of histopathological outcomes reported in OSCCmi cases.: Material and methods: An online ... ...

Abstract	Background: Microinvasive oral squamous cell carcinoma (OSCCmi) is an incipient stage of oral cancer. Through this systematic review, we aim to assess patterns of histopathological outcomes reported in OSCCmi cases. Material and methods: An online search in major databases was performed without period restriction, and 2,024 publications in English, Spanish and Portuguese were obtained. After screening and eligibility, 4 studies were selected. The risk of bias was assessed using Joanna Briggs Institute Critical Appraisal Checklist. A descriptive synthesis was conducted. Results: All 4 publications included were retrospective, reporting a total of 116 OSCCmi patients, with a male predominance (1.6:1) and a mean age of 55.9 years. The main parameters considered for microinvasion were tumor thickness (TT) (range 4-10mm) and depth of invasion (DOI) (range 0,02-5mm). Definition, cut-off values, and assessment of microscopic features were not standardized. Other relevant measures such as perineural or lymphovascular invasion and pattern of invasive front were barely described, and cytological/architectural characteristics were not discussed. Conclusions: TT and DOI are currently the primary histopathological criteria used to define OSCCmi. Nonetheless, the outcomes of this systematic review showed the absence of standardized quantitative parameters to render the diagnosis of microinvasive OSCC. Therefore, additional studies aiming to standardize histopathological features to diagnose OSCCmi are paramount.
MeSH term(s)	Humans ; Male ; Middle Aged ; Female ; Carcinoma, Squamous Cell/diagnosis ; Carcinoma, Squamous Cell/pathology ; Mouth Neoplasms/pathology ; Squamous Cell Carcinoma of Head and Neck ; Retrospective Studies ; Head and Neck Neoplasms
Language	English
Publishing date	2023-05-01
Publishing country	Spain
Document type	Systematic Review ; Journal Article
ZDB-ID	2171573-7
ISSN	1698-6946 ; 1698-4447
ISSN (online)	1698-6946
ISSN	1698-4447
DOI	10.4317/medoral.25675
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: HIV-related non-Hodgkin lymphomas affecting the oral cavity: a clinicopathologic study of 11 cases.

Uchôa, D-C / Pontes, F-S / Souza, L-L / Santos, G-S / Prado-Ribeiro, A-C / Brandão, T-B / Oliveira, L-R / Gomes, C-C / Santos-Silva, A-R / Fonseca, F-P / Almeida, O-P / Pontes, H-A

Medicina oral, patologia oral y cirugia bucal

2022 Volume 27, Issue 2, Page(s) e99–e105

Abstract: Background: HIV-related non-Hodgkin lymphomas of the oral cavity are rare lesions with aggressive clinical behaviour. The aim of this study is to describe the clinicopathological features of a series of HIV-related oral non-Hodgkin lymphomas.: ... ...

Abstract	Background: HIV-related non-Hodgkin lymphomas of the oral cavity are rare lesions with aggressive clinical behaviour. The aim of this study is to describe the clinicopathological features of a series of HIV-related oral non-Hodgkin lymphomas. Material and methods: Eleven cases of oral lymphomas affecting HIV-positive patients were retrieved from 2012 to 2019. Clinicopathological features regarding age, sex, tumour location, clinical presentation, laboratory findings, disease stage and follow-up were obtained. Histologic, immunohistochemical and in situ hybridization for EBV detection were done for diagnosis confirmation. Overall survival was estimated by Kaplan-Meier curve. Results: Males predominated, with a mean age of 40.3 years-old. Maxilla and mandible were the mostly affected. Plasmablastic lymphoma and diffuse large B-cell lymphoma not otherwise specified (NOS) were the main histological types. Lesions presented as reddish ulcerated swellings, representing the first sign of AIDS in six cases. Stage IV were common (7 cases) and the mean HIV viral load was 10,557 copies/mL, with a mean of 266 CD4+ cells/mm3, 1,278 CD8+ cells/mm3 and a CD4+/CD8+ ratio of 0.26. Eight patients died of the disease (72.7%). Overall survival revealed that 78.2% of the patients died after 21 months of follow-up. Conclusions: HIV-related oral lymphomas present a poor prognosis usually diagnosed in advanced stages and in our series plasmablastic lymphoma was the most common subtype.
MeSH term(s)	Adult ; HIV Infections/complications ; Humans ; In Situ Hybridization ; Lymphoma, Large B-Cell, Diffuse/diagnosis ; Lymphoma, Large B-Cell, Diffuse/pathology ; Lymphoma, Non-Hodgkin/diagnosis ; Lymphoma, Non-Hodgkin/pathology ; Male ; Mouth/pathology
Language	English
Publishing date	2022-03-01
Publishing country	Spain
Document type	Journal Article
ZDB-ID	2171573-7
ISSN	1698-6946 ; 1698-4447
ISSN (online)	1698-6946
ISSN	1698-4447
DOI	10.4317/medoral.24993
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Article ; Online: Clinical manifestations of head and neck cancer in pediatric patients, an analysis of 253 cases in a single Brazilian center.

Arboleda, L-P-A / Pérez-de-Oliveira, M-E / Hoffmann, I-L / Cardinalli, I-A / Gallagher, K-P / Santos-Silva, A-R / Mendonça, R-M

Medicina oral, patologia oral y cirugia bucal

2022 Volume 27, Issue 3, Page(s) e285–e293

Abstract: Background: Pediatric head and neck cancer (PHNC) is rare and its nonspecific clinical manifestations may often lead to delayed diagnosis. We aimed to describe the signs, symptoms, and clinicopathological characteristics of PHNC.: Material and methods! ...

Abstract	Background: Pediatric head and neck cancer (PHNC) is rare and its nonspecific clinical manifestations may often lead to delayed diagnosis. We aimed to describe the signs, symptoms, and clinicopathological characteristics of PHNC. Material and methods: Medical records were retrospectively reviewed for all PHNC cases diagnosed from 1986 to 2016 affecting patients aged 19-years and younger from a tertiary referral center in Brazil. Demographic variables, anatomical site of primary tumors, histopathological diagnoses, signs and symptoms, and patterns of misdiagnosis were collected and interpreted by statistical and descriptive analysis. Results: A total of 253 PHNC cases were included. The mean age was 9.3 years and male patients were more frequently affected (60.9%). Burkitt lymphoma (23.7%), nasopharyngeal carcinoma (15.8%), and rhabdomyosarcoma (15.4%) were the most common cancer types. The nasopharynx (28.9%), cervical/lymph node region (25.3%), and craniofacial bones (8.3%) were the predominant anatomical sites. Tumor/swelling (68.4%), was the clinical finding often presented. The univariable analysis showed association between tumor histology and clinical variables such as sex (p=0.022), age (p<0.0001), anatomical location (p<0.0001) tumor/swelling (p=0.034), pain (p=0.031), systemic/general manifestations (p=0.004), nasal/breathing alterations (p=0.012), orbital/ocular alterations (p<0.0001). Misdiagnosis such as tonsillitis, otitis, and abscess were frequent. Conclusions: Although the clinical findings of PHNC are often unspecific, this study provided signs and symptoms with significant correlations between tumor histology. The suspicion of malignancy should be considered when the main signs and symptoms reported here appear and persist, in order to conduct a timely diagnosis.
MeSH term(s)	Brazil/epidemiology ; Child ; Head and Neck Neoplasms/diagnosis ; Head and Neck Neoplasms/epidemiology ; Humans ; Male ; Neck ; Retrospective Studies ; Rhabdomyosarcoma/diagnosis ; Rhabdomyosarcoma/epidemiology
Language	English
Publishing date	2022-05-01
Publishing country	Spain
Document type	Journal Article
ZDB-ID	2171573-7
ISSN	1698-6946 ; 1698-4447
ISSN (online)	1698-6946
ISSN	1698-4447
DOI	10.4317/medoral.25255
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Article ; Online: New Insights for the Pathogenesis of COVID-19-Related Dysgeusia.

Mariz, B A L A / Brandão, T B / Ribeiro, A C P / Lopes, M A / Santos-Silva, A R

Journal of dental research

2020 Volume 99, Issue 10, Page(s) 1206

MeSH term(s)	Asymptomatic Infections ; Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Dysgeusia ; Humans ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2 ; Salivary Glands
Keywords	covid19
Language	English
Publishing date	2020-06-12
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	80207-4
ISSN	1544-0591 ; 0022-0345
ISSN (online)	1544-0591
ISSN	0022-0345
DOI	10.1177/0022034520936638
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Article ; Online: Use of artificial intelligence in diagnosis of head and neck precancerous and cancerous lesions: A systematic review.

Mahmood, H / Shaban, M / Indave, B I / Santos-Silva, A R / Rajpoot, N / Khurram, S A

Oral oncology

2020 Volume 110, Page(s) 104885

Abstract: This systematic review analyses and describes the application and diagnostic accuracy of Artificial Intelligence (AI) methods used for detection and grading of potentially malignant (pre-cancerous) and cancerous head and neck lesions using whole slide ... ...

Abstract	This systematic review analyses and describes the application and diagnostic accuracy of Artificial Intelligence (AI) methods used for detection and grading of potentially malignant (pre-cancerous) and cancerous head and neck lesions using whole slide images (WSI) of human tissue slides. Electronic databases MEDLINE via OVID, Scopus and Web of Science were searched between October 2009 - April 2020. Tailored search-strings were developed using database-specific terms. Studies were selected using a strict inclusion criterion following PRISMA Guidelines. Risk of bias assessment was conducted using a tailored QUADAS-2 tool. Out of 315 records, 11 fulfilled the inclusion criteria. AI-based methods were employed for analysis of specific histological features for oral epithelial dysplasia (n = 1), oral submucous fibrosis (n = 5), oral squamous cell carcinoma (n = 4) and oropharyngeal squamous cell carcinoma (n = 1). A combination of heuristics, supervised and unsupervised learning methods were employed, including more than 10 different classification and segmentation techniques. Most studies used uni-centric datasets (range 40-270 images) comprising small sub-images within WSI with accuracy between 79 and 100%. This review provides early evidence to support the potential application of supervised machine learning methods as a diagnostic aid for some oral potentially malignant and malignant lesions; however, there is a paucity of evidence using AI for diagnosis of other head and neck pathologies. Overall, the quality of evidence is low, with most studies showing a high risk of bias which is likely to have overestimated accuracy rates. This review highlights the need for development of state-of-the-art deep learning techniques in future head and neck research.
MeSH term(s)	Algorithms ; Artificial Intelligence ; Databases, Genetic ; Deep Learning ; Disease Management ; Disease Susceptibility ; Head and Neck Neoplasms/diagnosis ; Head and Neck Neoplasms/etiology ; Humans ; Neoplasm Grading ; Neoplasm Staging ; Precancerous Conditions/diagnosis
Language	English
Publishing date	2020-07-13
Publishing country	England
Document type	Journal Article ; Meta-Analysis ; Systematic Review
ZDB-ID	1120465-5
ISSN	1879-0593 ; 0964-1955 ; 1368-8375
ISSN (online)	1879-0593
ISSN	0964-1955 ; 1368-8375
DOI	10.1016/j.oraloncology.2020.104885
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Article ; Online: Benign oral vascular lesions treated by sclerotherapy with ethanolamine oleate: A retrospective study of 43 patients.

Fernandes, D-T / Elias, R-A / Santos-Silva, A-R / Vargas, P-A / Lopes, M-A

Medicina oral, patologia oral y cirugia bucal

2018 Volume 23, Issue 2, Page(s) e180–e187

Abstract: Background: Although sclerotherapy is a common treatment for benign oral vascular lesions, there is no well-standardized protocol for this purpose. The aim of the present study was to describe the clinical characteristics of patients treated by ... ...

Abstract	Background: Although sclerotherapy is a common treatment for benign oral vascular lesions, there is no well-standardized protocol for this purpose. The aim of the present study was to describe the clinical characteristics of patients treated by sclerotherapy with ethanolamine oleate (EO), in order to contribute to a better understanding of this technique. Material and methods: Medical records and images of 90 patients treated by the same sclerotherapy protocol were retrieved and analysed. Thus, 43 cases with complete information were selected and described. Results: The most affected age group was 41-70 years, with a female predominance and 86% of patients being Caucasian. Lips were the most affect site (70%) followed by the tongue (16%). Regarding clinical appearance, approximately 90% of lesions were classified as nodules, and 90% of patients reported no pain. Approximately 40% of lesions were 0.5-1.0 cm in size. In 58% of the patients, only one application of ethanolamine oleate was necessary. The application doses varied according to the lesion size and number of applications. Complete clinical regression occurred in 91% of cases, whereas 9% showed partial regression. Conclusions: Sclerotherapy with EO is an acceptable, effective and affordable treatment for benign oral vascular lesions.
MeSH term(s)	Adolescent ; Adult ; Aged ; Blood Vessels/abnormalities ; Child ; Congenital Abnormalities/therapy ; Female ; Hemangioma/therapy ; Humans ; Male ; Middle Aged ; Mouth/blood supply ; Mouth Neoplasms/therapy ; Oleic Acids/therapeutic use ; Retrospective Studies ; Sclerosing Solutions/therapeutic use ; Sclerotherapy ; Young Adult
Chemical Substances	Oleic Acids ; Sclerosing Solutions ; ethanolamine oleate (U4RY8MRX7C)
Language	English
Publishing date	2018-03-01
Publishing country	Spain
Document type	Journal Article
ZDB-ID	2171573-7
ISSN	1698-6946 ; 1698-4447
ISSN (online)	1698-6946
ISSN	1698-4447
DOI	10.4317/medoral.22253
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