Impacto da protração maxilar nas vias aéreas e do software na avaliação do complexo nasal em tomografia computadorizada de pacientes com fissura de lábio e/ou palato
Ano de defesa: | 2021 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , , , |
Tipo de documento: | Tese |
Tipo de acesso: | Acesso embargado |
Idioma: | por |
Instituição de defesa: |
Universidade Estadual da Paraíba
|
Programa de Pós-Graduação: |
Programa de Pós-Graduação em Odontologia - PPGO
|
Departamento: |
Centro de Ciências Biológicas e da Saúde - CCBS
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://tede.bc.uepb.edu.br/jspui/handle/tede/3944 |
Resumo: | Article 1: Objective: To compare Dolphin Imaging and 3D Slicer evaluating reconstructions made using computed tomography (CT) images of nasal septum deviation (NSD), concha hypertrophy and nasal cavity volume in patients with cleft lip and/or palate (FL/P) before (T1) and after (T2) alveolar bone graft. Methods: Medical records and craniofacial CT images of 12 patients with CL/P between 9 and 24 years of age attending a support center were collected. After orientation of the images, measurements of the NSD and nasal concha hypertrophy were performed, in addition to the evaluation of the volume of the nasal cavity. (P < 0.05), a statistical analysis was performed using the Wilcoxon test. Results: The medians of all groups represent the NSD level. Most comparisons do not show statistically related differences, except for T1 and T2 in the Dolphin software (p = 0.026). There were no significant differences compared to right and left concha hypertrophy. Nasal cavity volume assessment showed no difference within the software; however, statistical differences comparing T1 (p = 0.034) and T2 (p = 0.015) for both software. Article 2: Objective: To synthesize the effects of maxillary protraction on the dimensions of the upper airways of growing patients with CLP. Methods: The systematic review was conducted in accordance with the 2020 Statement of Preferred Reporting Items for Systematic Reviews and MetaAnalyses (PRISMA). The search was conducted in MEDLINE, EMBASE, LILACS, Web of Science and Scopus until February 2021. Additional literature was identified in Google Scholar, Proquest and manual searches of bibliographies of the included studies. After removing the duplicates, the studies were selected for full reading to confirm their eligibility, and as required information from the selected articles was collected. ROBINS-I (the risk of bias in nonrandomized intervention studies) was used to assess the included studies. A qualitative synthesis of the included studies was performed, however, quantitative synthesis was not feasible. Results: After searching the database, 530 results were identified. Only nine articles were selected for full-text review, launching into 4 included studies. Necessary heterogeneity in the assessment of the dimension of the upper airways was obtained. Regarding the assessment of risk of bias, three studies were classified as having moderate risk of bias and one with serious risk of bias. The four studies differences before and after maxillary protraction. Conclusions: The software used cannot be conducted if it considers the assessment of the nasal complex in patients with CL / P. Although there was some variability between the software in relation to nasal cavity volume and nasal septum deviation, as differences may not be considered clinically relevant. Furthermore, based on low levels of evidence, how upper airway dimensions with FLP may change with maxillary protraction, but the magnitude of the changes is unlikely to be clinically relevant. Furthermore, there was no consistency in the changes. |
id |
UEPB_091d42c6a04abfb395756967d884b2b9 |
---|---|
oai_identifier_str |
oai:tede.bc.uepb.edu.br:tede/3944 |
network_acronym_str |
UEPB |
network_name_str |
Biblioteca Digital de Teses e Dissertações da UEPB |
repository_id_str |
|
spelling |
Gordón-Núñez, Manuel Antonio97866326487Flores-Mir, CarlosMelo, Saulo Leonardo Sousa004.007.075-19Melo, Daniela Pita de70052719553Marques, Fabiana Tolentino de Almeida84492104100Pontual, Andrea dos Anjos0358464641307518950405http://lattes.cnpq.br/9139316359471274Nóbrega, Marina Tavares Costa2021-12-20T14:04:46Z2999-12-312021-08-16NÓBREGA, M. T. C. Impacto da protração maxilar nas vias aéreas e do software na avaliação do complexo nasal em tomografia computadorizada de pacientes com fissura de lábio e/ou palato. 2021. 107f. Tese (Programa de Pós-Graduação em Odontologia - PPGO) - Universidade Estadual da Paraíba, Campina Grande, 2021.http://tede.bc.uepb.edu.br/jspui/handle/tede/3944Article 1: Objective: To compare Dolphin Imaging and 3D Slicer evaluating reconstructions made using computed tomography (CT) images of nasal septum deviation (NSD), concha hypertrophy and nasal cavity volume in patients with cleft lip and/or palate (FL/P) before (T1) and after (T2) alveolar bone graft. Methods: Medical records and craniofacial CT images of 12 patients with CL/P between 9 and 24 years of age attending a support center were collected. After orientation of the images, measurements of the NSD and nasal concha hypertrophy were performed, in addition to the evaluation of the volume of the nasal cavity. (P < 0.05), a statistical analysis was performed using the Wilcoxon test. Results: The medians of all groups represent the NSD level. Most comparisons do not show statistically related differences, except for T1 and T2 in the Dolphin software (p = 0.026). There were no significant differences compared to right and left concha hypertrophy. Nasal cavity volume assessment showed no difference within the software; however, statistical differences comparing T1 (p = 0.034) and T2 (p = 0.015) for both software. Article 2: Objective: To synthesize the effects of maxillary protraction on the dimensions of the upper airways of growing patients with CLP. Methods: The systematic review was conducted in accordance with the 2020 Statement of Preferred Reporting Items for Systematic Reviews and MetaAnalyses (PRISMA). The search was conducted in MEDLINE, EMBASE, LILACS, Web of Science and Scopus until February 2021. Additional literature was identified in Google Scholar, Proquest and manual searches of bibliographies of the included studies. After removing the duplicates, the studies were selected for full reading to confirm their eligibility, and as required information from the selected articles was collected. ROBINS-I (the risk of bias in nonrandomized intervention studies) was used to assess the included studies. A qualitative synthesis of the included studies was performed, however, quantitative synthesis was not feasible. Results: After searching the database, 530 results were identified. Only nine articles were selected for full-text review, launching into 4 included studies. Necessary heterogeneity in the assessment of the dimension of the upper airways was obtained. Regarding the assessment of risk of bias, three studies were classified as having moderate risk of bias and one with serious risk of bias. The four studies differences before and after maxillary protraction. Conclusions: The software used cannot be conducted if it considers the assessment of the nasal complex in patients with CL / P. Although there was some variability between the software in relation to nasal cavity volume and nasal septum deviation, as differences may not be considered clinically relevant. Furthermore, based on low levels of evidence, how upper airway dimensions with FLP may change with maxillary protraction, but the magnitude of the changes is unlikely to be clinically relevant. Furthermore, there was no consistency in the changes.Artigo 1: Objetivo: Comparar Dolphin Imaging e 3D Slicer avaliando reconstruções feitas por meio de imagens de tomografia computadorizada (TC) de desvio de septo nasal (DSN), hipertrofia de conchas e volume da cavidade nasal de pacientes com fissura labial e/ou palatina (FL/P) antes (T1) e após (T2) enxerto ósseo alveolar. Métodos: Registros em prontuários e imagens de TC craniofacial de 12 pacientes com FL/P entre 9 e 24 anos de idade atendidos em um centro de apoio foram coletados. Após orientação das imagens, foram realizadas mensurações do DSN e hipertrofia de conchas nasais, além da avaliação do volume da cavidade nasal. Considerando um nível de significância de 5% (p <0,05), a análise estatística foi realizada por meio do teste de Wilcoxon. Resultados: As medianas de todos os grupos representaram DSN leve. A maioria das comparações não mostrou diferenças estatisticamente significativas, exceto para T1 e T2 no software Dolphin (p = 0,026). Não houve diferenças significativas em nenhuma comparação em relação à hipertrofia das conchas direitas e esquerdas. A avaliação do volume da cavidade nasal não mostrou diferença dentro do software; entretanto, apresentou diferenças estatísticas comparando T1 (p = 0,034) e T2 (p = 0,015) para ambos os softwares. Artigo 2: Objetivo: Sintetizar os efeitos da protração maxilar nas dimensões das vias aéreas superiores de pacientes em crescimento com FLP. Métodos: A revisão sistemática foi conduzida de acordo com a declaração de 2020 Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A pesquisa foi realizada no MEDLINE, EMBASE, LILACS, Web of Science e Scopus até fevereiro de 2021. Literatura adicional foi identificada no Google Scholar, Proquest e pesquisas manuais de bibliografias dos estudos incluídos. Após a remoção das duplicatas, os estudos foram selecionados para leitura completa para confirmar sua elegibilidade, e as informações necessárias dos artigos selecionados foram coletadas. ROBINS-I (o risco de viés em estudos de intervenção não randomizados) foi usado para avaliar os estudos incluídos. Foi realizada uma síntese qualitativa dos estudos incluídos, no entanto, a síntese quantitativa não era viável. Resultados: Após a busca no banco de dados, 530 resultados foram identificados. Apenas nove artigos foram selecionados para revisão de texto completo, resultando em 4 estudos incluídos. Heterogeneidade significativa na avaliação da dimensão das vias aéreas superiores foi observada. Em relação à avaliação do risco de viés, três estudos foram classificados com de risco moderado de viés e um com de risco sério de viés. Os quatro estudos encontraram diferenças antes e depois da protração maxilar. Conclusões: O software utilizado pode não influenciar quando se considera a avaliação do complexo nasal em pacientes com FL/P. Embora tenha havido alguma variabilidade entre os softwares em relação ao volume da cavidade nasal e ao desvio do septo nasal, as diferenças podem não ser consideradas clinicamente relevantes. Além disso, com base em baixos níveis de evidência, as dimensões das vias aéreas superiores de pacientes com FLP podem mudar com a protração maxilar, mas é improvável que a magnitude das alterações seja clinicamente relevante. Além disso, não houve consistência nas mudanças.Submitted by Conluintes Doutorado (concluinte.doutorado@setor.uepb.edu.br) on 2021-11-03T22:58:43Z No. of bitstreams: 3 PDF - MARINA TAVARES COSTA NÓBREGA.pdf: 1860321 bytes, checksum: 1da66695c58fef679c11e4654a79f75c (MD5) Termos BDTD - Marina Tavares Costa Nóbrega.pdf: 396494 bytes, checksum: bb32d3e1cd1c22677a8ba78691d835b4 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Approved for entry into archive by Jean Medeiros (jeanletras@uepb.edu.br) on 2021-11-04T13:35:17Z (GMT) No. of bitstreams: 3 PDF - MARINA TAVARES COSTA NÓBREGA.pdf: 1860321 bytes, checksum: 1da66695c58fef679c11e4654a79f75c (MD5) Termos BDTD - Marina Tavares Costa Nóbrega.pdf: 396494 bytes, checksum: bb32d3e1cd1c22677a8ba78691d835b4 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2021-12-20T14:04:46Z (GMT). No. of bitstreams: 3 PDF - MARINA TAVARES COSTA NÓBREGA.pdf: 1860321 bytes, checksum: 1da66695c58fef679c11e4654a79f75c (MD5) Termos BDTD - Marina Tavares Costa Nóbrega.pdf: 396494 bytes, checksum: bb32d3e1cd1c22677a8ba78691d835b4 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2021-08-16Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESapplication/pdfhttp://tede.bc.uepb.edu.br/jspui/retrieve/12998/PDF%20-%20Marina%20Tavares%20Costa%20N%c3%b3brega.jpghttp://tede.bc.uepb.edu.br/jspui/retrieve/13000/PDF%20-%20Termos%20de%20Dep%c3%b3sito%20da%20BDTD.jpgporUniversidade Estadual da ParaíbaPrograma de Pós-Graduação em Odontologia - PPGOUEPBBrasilCentro de Ciências Biológicas e da Saúde - CCBShttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/embargoedAccessCavidade nasalEnxerto de osso alveolarFissura palatinaFissura labialOrofacial cleftExtraoral traction appliancesAlveolar bone graftingNasal cavityODONTOLOGIA::CLINICA ODONTOLOGICAImpacto da protração maxilar nas vias aéreas e do software na avaliação do complexo nasal em tomografia computadorizada de pacientes com fissura de lábio e/ou palatoinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesis1887468507941111626006006007247760525258068300-1816740449898491657reponame:Biblioteca Digital de Teses e Dissertações da UEPBinstname:Universidade Estadual da Paraíba (UEPB)instacron:UEPBTHUMBNAILPDF - Marina Tavares Costa Nóbrega.jpgPDF - Marina Tavares Costa Nóbrega.jpgimage/jpeg4051http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3944/8/PDF+-+Marina+Tavares+Costa+N%C3%B3brega.jpgc83d6221156303df5a6946a072fdda59MD58PDF - Termos de Depósito da BDTD.jpgPDF - Termos de Depósito da BDTD.jpgimage/jpeg8723http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3944/10/PDF+-+Termos+de+Dep%C3%B3sito+da+BDTD.jpg5c51592b114821cdc696470360ec06b2MD510TEXTPDF - Marina Tavares Costa Nóbrega.txtPDF - Marina Tavares Costa Nóbrega.txttext/plain197026http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3944/7/PDF+-+Marina+Tavares+Costa+N%C3%B3brega.txt0cb2a6dc57c0f20bdb08fdc665be1bc0MD57PDF - Termos de Depósito da BDTD.txtPDF - Termos de Depósito da BDTD.txttext/plain5061http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3944/9/PDF+-+Termos+de+Dep%C3%B3sito+da+BDTD.txt9a4eb3d46d92069f366552c7c9503af7MD59ORIGINALPDF - Marina Tavares Costa NóbregaPDF - Marina Tavares Costa Nóbregaapplication/pdf1860321http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3944/5/PDF+-+Marina+Tavares+Costa+N%C3%B3brega1da66695c58fef679c11e4654a79f75cMD55PDF - Termos de Depósito da BDTDPDF - Termos de Depósito da BDTDapplication/pdf396494http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3944/6/PDF+-+Termos+de+Dep%C3%B3sito+da+BDTDbb32d3e1cd1c22677a8ba78691d835b4MD56CC-LICENSElicense_urllicense_urltext/plain; charset=utf-843http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3944/2/license_url321f3992dd3875151d8801b773ab32edMD52license_textlicense_texttext/html; charset=utf-80http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3944/3/license_textd41d8cd98f00b204e9800998ecf8427eMD53license_rdflicense_rdfapplication/rdf+xml; charset=utf-80http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3944/4/license_rdfd41d8cd98f00b204e9800998ecf8427eMD54LICENSElicense.txtlicense.txttext/plain; charset=utf-81960http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3944/1/license.txt6052ae61e77222b2086e666b7ae213ceMD51tede/39442021-12-21 01:03:17.622oai:tede.bc.uepb.edu.br: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Biblioteca Digital de Teses e Dissertaçõeshttp://tede.bc.uepb.edu.br/jspui/PUBhttp://tede.bc.uepb.edu.br/oai/requestbc@uepb.edu.br||opendoar:2021-12-21T04:03:17Biblioteca Digital de Teses e Dissertações da UEPB - Universidade Estadual da Paraíba (UEPB)false |
dc.title.por.fl_str_mv |
Impacto da protração maxilar nas vias aéreas e do software na avaliação do complexo nasal em tomografia computadorizada de pacientes com fissura de lábio e/ou palato |
title |
Impacto da protração maxilar nas vias aéreas e do software na avaliação do complexo nasal em tomografia computadorizada de pacientes com fissura de lábio e/ou palato |
spellingShingle |
Impacto da protração maxilar nas vias aéreas e do software na avaliação do complexo nasal em tomografia computadorizada de pacientes com fissura de lábio e/ou palato Nóbrega, Marina Tavares Costa Cavidade nasal Enxerto de osso alveolar Fissura palatina Fissura labial Orofacial cleft Extraoral traction appliances Alveolar bone grafting Nasal cavity ODONTOLOGIA::CLINICA ODONTOLOGICA |
title_short |
Impacto da protração maxilar nas vias aéreas e do software na avaliação do complexo nasal em tomografia computadorizada de pacientes com fissura de lábio e/ou palato |
title_full |
Impacto da protração maxilar nas vias aéreas e do software na avaliação do complexo nasal em tomografia computadorizada de pacientes com fissura de lábio e/ou palato |
title_fullStr |
Impacto da protração maxilar nas vias aéreas e do software na avaliação do complexo nasal em tomografia computadorizada de pacientes com fissura de lábio e/ou palato |
title_full_unstemmed |
Impacto da protração maxilar nas vias aéreas e do software na avaliação do complexo nasal em tomografia computadorizada de pacientes com fissura de lábio e/ou palato |
title_sort |
Impacto da protração maxilar nas vias aéreas e do software na avaliação do complexo nasal em tomografia computadorizada de pacientes com fissura de lábio e/ou palato |
author |
Nóbrega, Marina Tavares Costa |
author_facet |
Nóbrega, Marina Tavares Costa |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Gordón-Núñez, Manuel Antonio |
dc.contributor.advisor1ID.fl_str_mv |
97866326487 |
dc.contributor.advisor-co1.fl_str_mv |
Flores-Mir, Carlos |
dc.contributor.referee1.fl_str_mv |
Melo, Saulo Leonardo Sousa |
dc.contributor.referee1ID.fl_str_mv |
004.007.075-19 |
dc.contributor.referee2.fl_str_mv |
Melo, Daniela Pita de |
dc.contributor.referee2ID.fl_str_mv |
70052719553 |
dc.contributor.referee3.fl_str_mv |
Marques, Fabiana Tolentino de Almeida |
dc.contributor.referee3ID.fl_str_mv |
84492104100 |
dc.contributor.referee4.fl_str_mv |
Pontual, Andrea dos Anjos |
dc.contributor.referee4ID.fl_str_mv |
03584646413 |
dc.contributor.authorID.fl_str_mv |
07518950405 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/9139316359471274 |
dc.contributor.author.fl_str_mv |
Nóbrega, Marina Tavares Costa |
contributor_str_mv |
Gordón-Núñez, Manuel Antonio Flores-Mir, Carlos Melo, Saulo Leonardo Sousa Melo, Daniela Pita de Marques, Fabiana Tolentino de Almeida Pontual, Andrea dos Anjos |
dc.subject.por.fl_str_mv |
Cavidade nasal Enxerto de osso alveolar Fissura palatina Fissura labial |
topic |
Cavidade nasal Enxerto de osso alveolar Fissura palatina Fissura labial Orofacial cleft Extraoral traction appliances Alveolar bone grafting Nasal cavity ODONTOLOGIA::CLINICA ODONTOLOGICA |
dc.subject.eng.fl_str_mv |
Orofacial cleft Extraoral traction appliances Alveolar bone grafting Nasal cavity |
dc.subject.cnpq.fl_str_mv |
ODONTOLOGIA::CLINICA ODONTOLOGICA |
description |
Article 1: Objective: To compare Dolphin Imaging and 3D Slicer evaluating reconstructions made using computed tomography (CT) images of nasal septum deviation (NSD), concha hypertrophy and nasal cavity volume in patients with cleft lip and/or palate (FL/P) before (T1) and after (T2) alveolar bone graft. Methods: Medical records and craniofacial CT images of 12 patients with CL/P between 9 and 24 years of age attending a support center were collected. After orientation of the images, measurements of the NSD and nasal concha hypertrophy were performed, in addition to the evaluation of the volume of the nasal cavity. (P < 0.05), a statistical analysis was performed using the Wilcoxon test. Results: The medians of all groups represent the NSD level. Most comparisons do not show statistically related differences, except for T1 and T2 in the Dolphin software (p = 0.026). There were no significant differences compared to right and left concha hypertrophy. Nasal cavity volume assessment showed no difference within the software; however, statistical differences comparing T1 (p = 0.034) and T2 (p = 0.015) for both software. Article 2: Objective: To synthesize the effects of maxillary protraction on the dimensions of the upper airways of growing patients with CLP. Methods: The systematic review was conducted in accordance with the 2020 Statement of Preferred Reporting Items for Systematic Reviews and MetaAnalyses (PRISMA). The search was conducted in MEDLINE, EMBASE, LILACS, Web of Science and Scopus until February 2021. Additional literature was identified in Google Scholar, Proquest and manual searches of bibliographies of the included studies. After removing the duplicates, the studies were selected for full reading to confirm their eligibility, and as required information from the selected articles was collected. ROBINS-I (the risk of bias in nonrandomized intervention studies) was used to assess the included studies. A qualitative synthesis of the included studies was performed, however, quantitative synthesis was not feasible. Results: After searching the database, 530 results were identified. Only nine articles were selected for full-text review, launching into 4 included studies. Necessary heterogeneity in the assessment of the dimension of the upper airways was obtained. Regarding the assessment of risk of bias, three studies were classified as having moderate risk of bias and one with serious risk of bias. The four studies differences before and after maxillary protraction. Conclusions: The software used cannot be conducted if it considers the assessment of the nasal complex in patients with CL / P. Although there was some variability between the software in relation to nasal cavity volume and nasal septum deviation, as differences may not be considered clinically relevant. Furthermore, based on low levels of evidence, how upper airway dimensions with FLP may change with maxillary protraction, but the magnitude of the changes is unlikely to be clinically relevant. Furthermore, there was no consistency in the changes. |
publishDate |
2021 |
dc.date.accessioned.fl_str_mv |
2021-12-20T14:04:46Z |
dc.date.issued.fl_str_mv |
2021-08-16 |
dc.date.available.fl_str_mv |
2999-12-31 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
format |
doctoralThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
NÓBREGA, M. T. C. Impacto da protração maxilar nas vias aéreas e do software na avaliação do complexo nasal em tomografia computadorizada de pacientes com fissura de lábio e/ou palato. 2021. 107f. Tese (Programa de Pós-Graduação em Odontologia - PPGO) - Universidade Estadual da Paraíba, Campina Grande, 2021. |
dc.identifier.uri.fl_str_mv |
http://tede.bc.uepb.edu.br/jspui/handle/tede/3944 |
identifier_str_mv |
NÓBREGA, M. T. C. Impacto da protração maxilar nas vias aéreas e do software na avaliação do complexo nasal em tomografia computadorizada de pacientes com fissura de lábio e/ou palato. 2021. 107f. Tese (Programa de Pós-Graduação em Odontologia - PPGO) - Universidade Estadual da Paraíba, Campina Grande, 2021. |
url |
http://tede.bc.uepb.edu.br/jspui/handle/tede/3944 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.program.fl_str_mv |
188746850794111162 |
dc.relation.confidence.fl_str_mv |
600 600 600 |
dc.relation.department.fl_str_mv |
7247760525258068300 |
dc.relation.cnpq.fl_str_mv |
-1816740449898491657 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/embargoedAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by/4.0/ |
eu_rights_str_mv |
embargoedAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Estadual da Paraíba |
dc.publisher.program.fl_str_mv |
Programa de Pós-Graduação em Odontologia - PPGO |
dc.publisher.initials.fl_str_mv |
UEPB |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Centro de Ciências Biológicas e da Saúde - CCBS |
publisher.none.fl_str_mv |
Universidade Estadual da Paraíba |
dc.source.none.fl_str_mv |
reponame:Biblioteca Digital de Teses e Dissertações da UEPB instname:Universidade Estadual da Paraíba (UEPB) instacron:UEPB |
instname_str |
Universidade Estadual da Paraíba (UEPB) |
instacron_str |
UEPB |
institution |
UEPB |
reponame_str |
Biblioteca Digital de Teses e Dissertações da UEPB |
collection |
Biblioteca Digital de Teses e Dissertações da UEPB |
bitstream.url.fl_str_mv |
http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3944/8/PDF+-+Marina+Tavares+Costa+N%C3%B3brega.jpg http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3944/10/PDF+-+Termos+de+Dep%C3%B3sito+da+BDTD.jpg http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3944/7/PDF+-+Marina+Tavares+Costa+N%C3%B3brega.txt http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3944/9/PDF+-+Termos+de+Dep%C3%B3sito+da+BDTD.txt http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3944/5/PDF+-+Marina+Tavares+Costa+N%C3%B3brega http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3944/6/PDF+-+Termos+de+Dep%C3%B3sito+da+BDTD http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3944/2/license_url http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3944/3/license_text http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3944/4/license_rdf http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3944/1/license.txt |
bitstream.checksum.fl_str_mv |
c83d6221156303df5a6946a072fdda59 5c51592b114821cdc696470360ec06b2 0cb2a6dc57c0f20bdb08fdc665be1bc0 9a4eb3d46d92069f366552c7c9503af7 1da66695c58fef679c11e4654a79f75c bb32d3e1cd1c22677a8ba78691d835b4 321f3992dd3875151d8801b773ab32ed d41d8cd98f00b204e9800998ecf8427e d41d8cd98f00b204e9800998ecf8427e 6052ae61e77222b2086e666b7ae213ce |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 MD5 MD5 MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Biblioteca Digital de Teses e Dissertações da UEPB - Universidade Estadual da Paraíba (UEPB) |
repository.mail.fl_str_mv |
bc@uepb.edu.br|| |
_version_ |
1797038564966400000 |