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Introduction
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August 1993 - March 2010
April 2010 - present
Publications
Publications (95)
Background
Orofacial cleft is the most common craniofacial deformity, resulting in facial anatomical disorders.
Aim
To evaluate maxillary dental arch symmetry of children with unilateral complete cleft lip, alveolus, and palate before and after primary surgeries.
Design
A total of 27 dental casts were analyzed: (T1) Presurgical; (T2) Postsurgical...
This cross-sectional observational study aimed to evaluate and compare facial metrics in women aged 20–65 years using a three-dimensional (3D) stereophotogrammetry system and to establish standardized values for facial metric variations in different age subgroups. This study included 84 Caucasian women divided into two groups based on their age: gr...
The aim of this study was to evaluate changes in lip metrics before and after facial rejuvenation treatment with hyaluronic acid-based fillers and to compare them with those of a control group using stereophotogrammetry (3D).
This study included 63 Caucasian women divided into Group C (<30 years, n=30) and Group H (>30 years, n=33), which was furth...
Introduction
Symmetry is balance, some correspondence in the size, form, and arrangements of parts on opposite sides of a plane, line, or point. The opposite of this concept is asymmetry, or imbalance.
Objective
This retrospective study compared two methods for assessing arch symmetry with linear measurements based on triangles, to determine their...
This study aimed to assess and quantify the morphologic characteristics of the lips and the lower third of the face in cleft and noncleft patients, utilizing three-dimensional (3D) stereophotogrammetry. Sixty patients were included in the study, comprising 30 unilateral cleft lip and palate patients (G1, 24 female, 6 male; aged 20 to 60 y, mean age...
Objectives: This investigation aimed to assess the optimal timing for lip repair in children with cleft lip and palate via 3D anthropometric analysis to evaluate their maxillofacial structures. Methods: The sample comprised 252 digitized dental models, divided into groups according to the following timing of lip repair: G1 (n = 50): 3 months; G2 (n...
Objectives
This systematic review and meta‐analysis aimed to evaluate the clinical and mycological effectiveness of mucoadhesives as vehicles for drugs or natural products in the treatment of oral candidiasis.
Materials and methods
The search for articles was carried out in the Medline/PubMed, SCOPUS, EMBASE, Web of Science, Cochrane Library, and...
Background:
Denture biofilm acts as a potential reservoir for respiratory pathogens, considerably increasing the risk of lung infections, specifically aspiration pneumonia, mainly 48h after hospital admission. The establishment of a straightforward, affordable, and applicable hygiene protocol in a hospital environment for the effective control of...
Objectives
To evaluate the quantitative values of linear and angular facial anthropometrics in patients with unilateral cleft lip and palate (UCLP) and compare them with those of patients with bilateral cleft lip and palate (BCLP) using three-dimensional (3D) facial imaging.
Design
Retrospective, observational, and cross-sectional study.
Setting...
Purpose:
Evaluating the facial esthetics of complete denture (CD) treatment using a 3D analysis of the lower third of the face before (T1) and after (T2) treatment by comparing and correlating measurements.
Material and methods:
Thirty-one edentulous patients were enrolled, and three-dimensional (3D) images were captured before (T1) and after (T...
This chapter reviews the most commonly used methods for the in vitro, in vivo and in silico characterization of dental implants, along with their main advantages and limitations. Since standardized norms are readily available and are mostly intended for industry, market regulatory purposes, and society welfare, they will not be the focus of the pre...
Quantifying in edentulous patients the facial collapse and whether complete conventional denture (CCD) and implant-supported fixed complete denture (ISFCD) can restore the facial proportions to match those of a dentate patient (CG) is relevant for clinical dentists. One hundred and four participants were enrolled and divided into edentulous (n=56)...
Orofacial clefts are the most prevalent craniofacial congenital anomalies, affecting the lip, with or without involvement of the palate, or solely the palate [...]
Os vírus são microrganismos comumente associados as doenças e infectam todos os seres vivos. Atuam de forma direta e indireta levando a pressão seletiva, com papel significativo e ainda em exploração no planeta. As fissuras orofaciais são anomalias congênitas de etiologia complexa e multifatorial, sendo as infecções virais durante a gestação um dos...
This study aimed to evaluate the influence of cleft width on dental arch symmetry of children with unilateral cleft lip and palate. Forty-one children were subjected to impression preoperatively (T1; mean age = 0.31 ± 0.07 years) and postoperatively (T2; mean age = 6 .73 ± 1.02 years). Eighty-two digitized dental casts were analyzed by stereophotog...
Aim: To report on a surgical procedure with osteotomy in the posterior region of the maxilla and lifting of the maxillary sinus floor for the installation of implants and rehabilitation with implant-supported crowns. Case report: A 54-year-old female patient was admitted to the dental clinic, complaining that she was dissatisfied with her smile and...
The objective of this systematic review was to identify the available scientific evidence on bone substitutes (BS) compared to autogenous bone grafts (ABG) for regeneration of horizontal bone resorption in the anterior maxillary alveolar process, aiming at rehabilitation with endosseous implants. This review was performed according to the PRISMA gu...
Numerous pathogens, including SARS-CoV-2, can remain viable on surfaces over days, which favors cross-contamination. Preventive measures are essential to prevent infections and control the spread of COVID-19. Fox ruler is an essential device in the clinical planning of complete dentures and the contact with the patient’s oral fluids during handling...
Background:
It is necessary to analyze and monitor the facial growth of orofacial cleft patients. The documentation should therefore begin before and after primary surgeries. Technological evolution has transformed plaster models into 3D images through scanners that allow rational storage, manipulation, and rotation without the possibility of brea...
Objectives
This randomized clinical trial evaluated the effectiveness of an interim denture resilient liner (Trusoft) modified with minimum inhibitory concentrations (MICs) of antimicrobial agents for Candida albicans biofilm in the denture stomatitis (DS) treatment.
Methods
Forty participants with DS and maxillary complete denture (MCD) wearers w...
To evaluate and compare the dental arch symmetry of individuals with and without cleft lip and palate after orthodontic/rehabilitation treatment.
Cross-sectional study.
Tertiary cleft center in Brazil.
Fifty-five participants aged between 18 and 30 years were divided into 3 groups according to treatment. Patients that received either a fixed par...
Objective: Compare the palatal volume in children with unilateral cleft lip and palate before and after two surgicalprotocols. Material and Methods: Retrospective data collection was performed in a specialized hospital. Thesample comprised 120 digitized dental models divided into, Group 1 (G1) – participants submitted to cheiloplastyat 3 months (Mi...
Statement of problem
Reports on the impact of fixed partial denture treatments on the quality of life of patients with cleft lip and palate are lacking.
Purpose
The purpose of this cross-sectional clinical study was to assess the impact of fixed partial dentures on the quality of life of adults with cleft lip and palate.
Material and methods
A to...
Statement of problem
Facial collapse is associated with edentulism, and while the provision of complete dentures promotes masticatory function and esthetics, whether complete dentures restore facial proportions to the natural appearance found in dental individuals is unclear.
Purpose
The purpose of this clinical study was to assess the facial prof...
This in silico study aims to investigate flaviviruses as an environmental factor in the etiology of nonsyndromic cleft lip and/or palate (CL/P).
A scoring method with 7 topics—disease, transplacental passage, tropism, cellular damage, reported case, analysis of genome similarity, and transcriptome between virus and host, was created based on liter...
Objectives
This study aimed to compare dimensional alterations of dental arches in children with unilateral complete cleft lip and palate before and after different techniques of primary plastic surgeries.Materials and methodsThe sample was divided into two groups: group 1—cheiloplasty by Millard’s technique and one-stage palatoplasty by von Langen...
This systematic review aimed to evaluate the antifungal effectiveness of polymethylmetacrylate (PMMA) modified by nanoparticles (NPs) and to compare it with conventional acrylic resins for denture bases. The present study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Searches were per- f...
Objective:
To assess facial changes after oral rehabilitation with complete dentures (CDs) by 3D technology allows understanding the results of a treatment that changes facial proportions. Precise outcome parameters can improve decision making. This descriptive observational research aimed to assess facial changes in completely edentulous patients...
This study aimed to evaluate longitudinally the volume of the dental arches in children with unilateral cleft lip and palate before and after the rehabilitative plastic surgeries. This is a longitudinal retrospective study was composed by 102 digitized dental casts of children with unilateral complete cleft lip (G1) and cleft lip and palate (G2). T...
This study aimed to evaluate the palatal surface area in children with different oral clefts after primary surgeries and at 5 years of age. This is a longitudinal study was composed by 216 digital models: unilateral complete cleft lip (UCL), unilateral complete cleft lip and palate (UCLP), and complete cleft palate (CP). The models were analyzed at...
Statement of problem
Patients with cleft lip and palate generally present with lateral incisor agenesis, which may be treated with an implant-supported prosthesis. However, whether implants can stabilize the dental arches in patients with cleft lip and palate is unclear.
Purpose
The purpose of this retrospective clinical study was to analyze the s...
Arch asymmetry in cleft patients is a current problem that interdisciplinary treatment aims to solve. This research proposed to analyze the final rehabilitation, according to the arch symmetry of these patients. Thirty-five patients aged between 18 and 30 years, rehabilitated with a fixed partial denture or implants in the cleft area. The analysis...
Background:
Cohort studies have evaluated dental arches of children.
Aim:
To evaluate the volumetric, linear, palatal surface area, and the dental arch superimposition of participants with bilateral complete cleft lip (BCL) and bilateral cleft lip and palate (BCLP) surgically treated in a specialized hospital.
Design:
136 digitized dental mode...
Purpose:
To evaluate the influence of resin cement type, surface pretreatment and autoclave sterilization on the retention of Y-TZP crowns to Ti-base abutments.
Methods:
Y-TZP crowns were designed and milled to fit Ti-base abutments. Crowns were cemented using either a conventional resin cement (conventional) with a universal adhesive or a self-...
The aim was to discuss the indications, contraindications, advantages, and disadvantages of Nonmetal clasp dentures (NMCDs), as well as the most relevant properties of its constituent materials. A search was conducted using the keywords: “nonmetal clasp dentures,” “thermoplastic resin,” “flexible resin removable partial denture,” “polyamide,” and “...
Background:
Although arch stability has been studied in patients without a cleft, evidence for patients with a cleft is sparse. Therefore, we compared the dimensions and stability of dental arches in cleft lip and palate patients and those without a cleft.
Methods:
Forty participants, 20 with a complete unilateral cleft lip and palate and 20 non...
Background
This review aimed to systematically evaluate the association between painful temporomandibular disorders (TMD), and sleep quality in adults.
Methods
Observational case/control studies using either RDC/TMD or DC/TMD for TMD diagnostic and validated questionnaires for sleep quality were selected by two reviewers in a two‐phase process. A...
Background:
Microwave polymerization reduces the time of acrylic resin processing, but it is important to select a proper cycle to avoid overheating, porosity, and impairment to the materials' properties.
Aims:
To evaluate the microhardness of conventional (Vipi Cril-VC) and microwaved (Vipi Wave-VW) acrylic resins after microwave polymerization...
This study aimed to evaluate longitudinally the alteration of the dental arch dimensions of children with different oral cleft types, before and after the primary surgeries. Three-dimensional images of the maxillary dental casts of children with unilateral complete cleft lip (G1), unilateral complete cleft lip and palate (G2), and cleft palate (G3)...
This study aimed to compare the linear dimensions of the dental arches of adult patients with complete unilateral cleft lip and palate (UCLP) after orthodontic and prosthetic treatment with fixed partial dentures (FPD) to patients without clefts, using 3D technology. This retrospective longitudinal study sample consisted of 35 subjects divided into...
Cleft lip, alveolus and palate is a congenital malformation caused by the lack of fusion of the lip and palate embryonic processes, which may disrupt the main functions of the stomatognathic system. Aim: This study aimed to assess the orofacial dysfunction in individuals with cleft lip, alveolus, and palate compared to non-cleft patients. One hundr...
The adolescent with oral cleft must deal with the process of body changing and the psychological implications caused by morphological, functional, and esthetic impairments of the cleft itself. This study aimed to evaluate whether the cleft lip and palate types affects health-related quality of life of adolescents through Short-form Health Survey (S...
The temporomandibular disorders (TMDs) and sleep bruxism (SB) affect the quality of life (QoL) of the individuals in general. However, the literature lacks studies on individuals with cleft lip and palate (CLP). Thus, this study aimed to evaluate the impact of TMD and SB on the oral health-related quality of life (OHRQoL) of individuals with CLP. T...
Purpose:
To evaluate Ti-Base abutment height and cement type on the retentiveness of zirconia-based restorations.
Material and methods:
Four millimeter (tall) and 2.5-mm-height (short) abutments along with temporary (provisional), glass ionomer (Meron), self-adhesive (U200), and conventional resin cement (Ultimate) were evaluated using pull-out...
The multidisciplinary teams involved in the treatment of individuals with cleft lip and palate are challenged when implants are indicated in the cleft area. Difficulties include obtaining a healthy peri-implant area and, especially, obtaining the natural-looking papilla essential for esthetic success. The area affected by the cleft has a bone defic...
This study aimed to analyze the dimensional alterations of the dental arches of 5-year-old children with cleft lip and palate and to compare these dimensions with children without oral clefts. One hundred twenty children were divided into the following groups: unilateral cleft lip (UCL), unilateral cleft lip and palate (UCLP), cleft palate (CP), an...
Objective:
To compare the efficacy of dental plaque removal between manual and powered toothbrushes in individuals with syndactyly.
Material and methods:
Seventeen patients with Apert syndrome aged 11 to 30 years. The efficacy of toothbrushing was evaluated by the O'Leary plaque index at 2 periods: initial (before toothbrushing) and final (immed...
The coadjutant method for denture cleansing most used by denture wearers is immersion in chemical agents, which are toxic when in direct contact with cells. However, clinically, the contact between these chemical agents and prosthetic tissues does not occur directly, but rather with what remained impregnated into acrylic bases, even after rinsing t...
The repair of bone defects raises the interest of investigators in several health specialties. Grafting techniques with bone substitutes and laser therapies have been investigated to replace autogenous bone and accelerate the bone healing process.
Objective
To evaluate the effect of photobiomodulation therapy (PBMT) associated with guided bone reg...
Objective:
This study assessed the prevalence of orofacial dysfunctions (ODs) and quality of life (QoL) in adults with and without a cleft lip and palate.
Design:
Cross sectional.
Setting:
Craniofacial Center, Hospital for Rehabilitation of Craniofacial Anomalies, Bauru, São Paulo, Brazil.
Methods:
The study was composed of a sample of 120 p...
This retrospective observational study aimed to evaluate and identify the relapse rate after orthognathic surgery for maxillary advancement (Le Fort I maxillary osteotomy) in oral cleft patients through digitized cephalograms and 3D dental models, following 2 years. Lateral cephalograms and dental casts of 17 individuals, enrolled in Orthodontics D...
Oral health problems can influence people's Quality of Life (QoL) because of pain, discomfort, limitations, and other esthetics problems, affecting their social life, feeding, daily activities, and the individual's well-being.
Objective
To compare oral health-related quality of life (OHRQoL) of children with and without oral clefts and their famil...
Background
The concern to restore and evaluate bilateral cleft lip and palate (BCLP) patients’ quality of life, after rehabilitation, is an issue that has been discussed in the literature because it is the ultimate goal of any proposed treatment.
Objective
To evaluate the overall and oral quality of life of BCLP patients who had completed their tr...
The aim of this study was to evaluate and compare, clinically, the efficiency of the subepithelial connective tissue graft (SCTG) and platelet-rich fibrin (L-PRF) using the tunnel technique to cover the multiple gingival recessions on anterior teeth, in the same patient. Within the limits of this study, we conclude that both SCTG and L-PRF proved t...
p> Objective: This cross-sectional study aimed to evaluate the impact of malocclusion on the oral health-related quality of life (OHRQoL) in Brazilian children with non-syndromic oral clefts at tertiary craniofacial center. Material and methods: Sixty-nine children with non-syndromic oral clefts, aged between 8 and 10 years, were selected and divid...
Background
Individuals with cleft lip and palate have many anatomic and functional alterations compromising esthetics, hearing, speech, occlusion, and development/craniofacial growth. The rehabilitative treatment of these patients is very challenging and starts at birth aiming at the best treatment for all functional demands. This study aimed to ev...
Background
The prosthetic treatment in cleft patients is challenging. Based on this, the aim of this study was to evaluate the longevity of prosthetic rehabilitation treatment with implant-supported overdenture (IOD) and implant-supported fixed denture (IFD) in cleft lip and palate patients in a period of 22 years.
Materials and Methods
The medica...
Objective:
To assess hygiene conditions in removable partial dentures (RPDs) and to compare the periodontal status between abutment and nonabutment teeth in clefts patients.
Design:
Cross-sectional.
Settings:
Tertiary referral hospital.
Participants:
Forty-five patients of both genders, aged 20 to 75 years, who were upper RPD wearers for at...
Objective
To evaluate the effect of staining beverages (coffee, orange juice, and red wine) on the Vickers hardness and surface roughness of the base (BL) and enamel (EL) layers of improved artificial teeth (Vivodent and Trilux).
Material and Methods
Specimens (n=8) were stored in distilled water at 37°C for 24 h and then submitted to the tests. A...
Background
Dental caries is a chronic disease caused by a set of biological and social factors. The aim of this study was to conduct a study of dental caries and oral health related quality of life (QoL) in Brazilian patients with cleft lip and palate.
Materials and methods
A cross-sectional study was conducted with cleft lip and palate patients w...
Rehabilitation of cleft patients is a process that occurs from birth to adult life and involves a team of many professionals. Reconstructive plastic surgery, despite its functional and aesthetic benefits to the patient, can restrict the normal anterior displacement that occurs in the growth of the maxilla, which, in turn, can lead to a concave prof...
A 43-year-old woman with a unilateral cleft lip and palate, presenting a totally edentulous maxilla and mandible with marked maxillomandibular discrepancy, attended the Prosthodontics section of the Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo for treatment. She could not close her mouth and was dissatisfied with h...
Objective: To compare the following caries diagnosis methods in cleft lip and palate (CLP) children: unaided visual (UVE), operating microscope (OME), and optical fluorescence (OFE) examinations.
Method: The teeth closest to the cleft area of 47 children aged 6-11 years-old (mean of 10 years-old) with complete unilateral cleft lip and palate, com...
Objective: This study aimed to compare the operating microscope with unaided visual examination for caries diagnosis in children with cleft lip and palate.
Method: The labial, palatal, mesial and distal surfaces of the teeth closest to the cleft area of 47 children aged 6-11 years old (mean of 9 years and 6 months) with complete unilateral cleft...
Quality of life involves physical, mental, psychological and emotional welfare. It also involves social relationships such as family, friends and health, education, purchasing power and other life circumstances. Orofacial function is the result of complex and integrated activities of the neuromuscular and central nervous systems, that includes a nu...
Objective: This study aimed to compare the periodontal status of individuals with and without cleft lip, alveolus and palate.
Method: Fifty individuals were examined in each group, aged 16 to 50 years, of both genders. The clinical parameters evaluated comprised probing depth, attachment level, plaque index, gingival index and presence of gingiva...
Objectives: This study evaluated in rat model, by histopathological descriptive and quantitative analysis, the in vivo biocompatibility of a temporary soft denture liner (Trusoft) modified by the minimum inhibitory concentration (MIC) of antimicrobial agent (chlorhexidine diacetate) for Candida albicans biofilm. Methods: The intraoral acrylic devic...
Introduction
People with cleft lip and palate (CLP) often have problems with oral hygiene due to the difficulty of obtaining appropriate mechanical biofilm control.
Objectives
To review the literature and to seek an epidemio logical profile of dental caries in individuals with CLP.
Materials and methods
In the PubMed database and Web of Knowledge...
This study investigated the effect of contingent electrical stimulation (CES) on present pain intensity (PI), pressure pain threshold (PPT), and electromyographic events per hour of sleep (EMG/h) on probable bruxers with masticatory myofascial pain.
The study enrolled 15 probable bruxers with masticatory myofascial pain in 3 phases: (1) baseline EM...
Objective: The aim of this study was to evaluate the impact of orofacial dysfunctions on the quality of life of patients with cleft lip and palate enrolled at HRAC/USP.
Method: The study group was composed of 15 patients with complete unilateral cleft lip and palate (10 females, 5 males; mean age of 38.7 years; ranging from 31 to 48). The Brazili...
Objective: The aim of this study was to evaluate the water sorption and solubility of a temporary denture reline modified by minimum inhibitory concentrations (MICs) of antimicrobial agents for Candida albicans (SC5314) biofilm.
Method: Test groups (n=10) were formed by disc-shaped specimens (50 mm x 0.5 mm) of a resilient material (Trusoft) with...