The need for integrated research autopsies in the era of precision oral medicine

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art_MATUCK_The_need_for_integrated_research_autopsies_in_the_2023.PDF (2.81 MB)
Citações na Scopus
1
Tipo de produção
article
Data de publicação
2023
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
AMER DENTAL ASSOC
Autores
MATUCK, Bruno Fernandes
WARNER, Blake M.
BYRD, Kevin Matthew
Citação
JOURNAL OF THE AMERICAN DENTAL ASSOCIATION, v.154, n.3, p.194-205, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background. Autopsy has benefited the practice of medicine for centuries; however, its use to advance the practice of oral health care is relatively limited. In the era of precision oral medicine, the research autopsy is poised to play an important role in understanding oral-systemic health, including infectious disease, autoimmunity, craniofacial genetics, and cancer.Types of Studies Reviewed. The authors reviewed relevant articles that used medical and dental research autopsies to summarize the advantages of minimally invasive autopsies of dental, oral, and craniofacial tissues and to outline practices for supporting research autopsies of the oral and craniofacial complex.Results. The authors provide a historical summary of research autopsy in dentistry and provide a perspective on the value of autopsies for high-resolution multiomic studies to benefit precision oral medicine. As the promise of high-resolution multiomics is being realized, there is a need to integrate the oral and craniofacial complex into the practice of autopsy in medicine. Furthermore, the collaboration of autopsy centers with researchers will accelerate the understanding of dental, oral, and craniofacial tissues as part of the whole body.Conclusions. Autopsies must integrate oral and craniofacial tissues as part of biobanking pro-cedures. As new technologies allow for high-resolution, multimodal phenotyping of human samples, using optimized sampling procedures will allow for unprecedented understanding of common and rare dental, oral, and craniofacial diseases in the future.Practical Implications. The COVID-19 pandemic highlighted the oral cavity as a site for viral infection and transmission potential; this was only discovered via clinical autopsies. The realization of the integrated autopsy's value in full body health initiatives will benefit patients across the globe.
Palavras-chave
Autopsy, virtopsy, dental, oral, craniofacial, biorepository, multiomics, precision medicine
URI
https://observatorio.fm.usp.br/handle/OPI/53096
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Artigos e Materiais de Revistas Científicas - COVID-19
Artigos e Materiais de Revistas Científicas - LIM/05
Artigos e Materiais de Revistas Científicas - ODS/03