Considerações sobre o planejamento multiprofissional entre dentista, fonoaudiólogo e psicólogo nas reabilitações com próteses bucomaxilofaciais: uma revisão sistematizada

Abstract

Introduction: The percentage of individuals affected by neoplastic lesions has increased in recent years. Thus, the search for rehabilitation with maxillofacial prostheses has been more expressive. In this process, the dentist, in agreement with speech therapists and psychologists, must develop a coherent and functional treatment plan for alloplastic restoration of the maxillofacial defect. Objectives: To review the psychological and speech therapy aspects involved in the rehabilitation process, with maxillofacial prostheses, of patients undergoing tumor resection surgery, emphasizing the importance of multidisciplinary work during the care of these patients. Material and methods: The literature review was carried out through searches in four databases: Embase, Scopus, Pubmed, and Google Scholar. The following descriptors were used: maxillofacial prosthesis, maxillofacial prosthodontics, maxillofacial prosthetics, facial prosthesis, psychology, speech therapy, speech-language-hearing, and maxillary speech. Studies that addressed the psychological or speech therapy aspects of rehabilitation with maxillofacial prostheses in patients undergoing tumor resection surgery in the head and/or neck region were included. Results: The primary search resulted in 1,702 articles. However, only 37 studies met the inclusion criteria for full reading and treatment of results. Conclusion: Multiprofessional care is extremely important for the alloplastic rehabilitation of patients with maxillofacial defects, as it favors the restoration of oral functions, such as chewing, speaking and swallowing. In addition, psychological treatment is essential for the patient's reintegration into society. It improves the quality of life, offering the individual mechanisms for acceptance of treatment and adequate coping with maxillofacial mutilation.