Métodos de avaliação da função mastigatória: Análise crítica da literatura selecionada
DOI:
https://doi.org/10.33448/rsd-v11i10.31390Palavras-chave:
Mixing ability; Oral function; Masticatory performance; Chewing; Test food.Resumo
Objetivo: Identificar o ideal ou o mais apropriado método de avaliação da função mastigatória para um determinado tipo de tratamento ou grupo de pacientes. Metodologia: Uma pesquisa foi realizada nas bases de dados MEDLINE, Science Direct, e Embase para artigos publicados desde 1990. Os artigos foram incialmente selecionados baseados em seus títulos e resumos, e após a aplicação de critérios de inclusão ou exclusão, alguns deles foram selecionados para leitura completa. Os estudos foram submetidos a avaliação quantitativa, qualitativa e análise/risco de viés. Resultados: Dos 1.514 estudos conduzidos na busca inicial, 51 foram selecionados para análise completa. As vantagens de alimentos testem como Optocal e Optosil incluíram confiabilidade e capacidade de padronização, enquanto as suas desvantagens foram um tempo de processamento de dados alto e a dureza do material. A cera foi mencionada por sua facilidade de mastigação, e velocidade na realização do teste, com as desvantagens de necessidade de manuseio do material e a influência da temperatura, além da baixa palatabilidade, ou gosto ruim. A goma de mascar exibiu uma rápida e fácil aplicação e manuseio no teste, com baixo custo e boa confiabilidade, além de ser comercialmente disponível. Outros como as balas de goma, cápsulas de fucsina e alimentos naturais, ainda precisam de maior padronização para utilização rotineira. Conclusão: Dentre as existentes metodologias, aquelas que foram usadas em poucos estudos ou não foram validadas ou requerem dados adicionais, por enquanto não tem a sua indicação recomendada. Optocal e Optosil, devem ser indicados para pacientes que não tem limitação de sua função mastigatória, devido a dureza do material. A goma de mascar é um alimento teste mais apropriado para pacientes com a função mastigatória prejudicada ou limitada. A sua praticidade em ser usada em testes e avaliação dos resultados a torna mais compreensível e reproduzível para diferentes tipos de pacientes e tratamentos que tenham a necessidade de avaliação da sua função mastigatória.
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