Brazilian oral research最新文献

{"title":"Erratum: Evidence-based approaches for advancing clinical research and practice: dentistry beyond the myth.","authors":"","doi":"10.1590/1807-3107bor-2026.vol40suppl1057err","DOIUrl":"https://doi.org/10.1590/1807-3107bor-2026.vol40suppl1057err","url":null,"abstract":"<p><p>[This corrects the article doi: 10.1590/1807-3107bor-2026.vol40suppl1057].</p>","PeriodicalId":9240,"journal":{"name":"Brazilian oral research","volume":"40 suppl 1","pages":"e057err"},"PeriodicalIF":1.4,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13619000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149104512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interplay of depressive symptoms and clinical oral health conditions: a systematic review and meta-analysis.","authors":"Miguel Konradt Mascarenhas, Marina da Costa Rocha, Mariana Gonzalez Cademartori, Marcos Britto Correa, Francine Dos Santos Costa, Luiz Alexandre Chisini, Flávio Fernando Demarco","doi":"10.1590/1807-3107bor-2026.vol40.073","DOIUrl":"10.1590/1807-3107bor-2026.vol40.073","url":null,"abstract":"<p><p>This systematic review and meta-analysis investigated the potential links between clinically assessed oral health conditions and depressive symptoms in adults. Six databases were searched for observational studies examining dental caries, periodontal disease, or tooth loss through clinical examination, and depressive symptoms through validated instruments. Data extraction and quality assessment (JBI) were independently performed by two reviewers, and random-effects meta-analyses were conducted for compatible effect measures (OR), assessing heterogeneity. Out of 6.917 unique records, 20 studies were selected. The meta-analyses revealed increased odds of depression for patients who experienced tooth loss (pooled OR = 1.19, 95%CI: 1.09-1.30, I2 = 54.7%), supported by a dose-response gradient in subgroup analyses. Periodontal disease also increased the odds of depression (pooled OR = 1.59, 95%CI: 1.14-2.21, I2 = 0.0%). Conversely, depression as an exposure was associated with higher odds of dental caries (pooled OR = 1.20, 95%CI: 1.04-1.39, I2 = 0.0%), but not with periodontal disease. The relationship between oral and mental health seems to be condition-specific, with robust quantitative evidence indicating the importance of tooth loss in the development of depressive symptoms, which in turn increase the odds for dental caries, suggesting a possible feedback loop. Evidence for depression affecting periodontal status remains inconclusive.</p>","PeriodicalId":9240,"journal":{"name":"Brazilian oral research","volume":"40 ","pages":"e073"},"PeriodicalIF":1.4,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13592766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with the municipal provision of dental prostheses in the Brazilian Unified Health System.","authors":"Tiago Schaffer Ramos, Diógenes Dias Oliveira, Caren Serra Bavaresco, Flávio Renato Reis de Moura","doi":"10.1590/1807-3107bor-2026.vol40.074","DOIUrl":"10.1590/1807-3107bor-2026.vol40.074","url":null,"abstract":"<p><p>The aim of the present study was to investigate factors associated with the municipal provision of dental prostheses via the Brazilian Unified Health System (UHS). This cross-sectional study covered 5,565 Brazilian municipalities, utilizing data from a secondary database. The dependent variable was the municipal provision of dental prostheses. The independent variables were demographic and socioeconomic characteristics (regions of Brazil, number of residents in the municipality, health budget, gross domestic product [GDP] per capita, municipal human development index [MHDI], and Gini coefficient) and municipal structure of primary oral care (family health team [FHT] coverage, oral health team [OHT] coverage, OHT/FHT proportion) and secondary oral care (presence of dental specialties center [DSC], types of DSC, municipality employing at least one dentist specialized in dental prosthetics [DSDP], presence of regional dental prosthesis laboratory [RDPL]). Poisson regression with robust variance (p ≤ 0.05) was used for multivariate analysis. A total of 57% of Brazilian municipalities provided dental prostheses via the UHS. Municipalities in the Northeast region were 16% (PR = 1.16; 95%CI: 1.12-1.20) more likely to provide dental prosthetics via the UHS. Municipalities with a low GDP per capita (PR = 1.10; 95%CI: 1.08-1.11), the presence of a DSC (PR = 1.17; 95% CI: 1.15-1.19), the presence of a type III DSC [containing 7 or more dental offices] (PR = 1.06; 95%CI: 1.03-1.10), an employed DSDP (PR = 1.15; 95%CI: 1.12-1.18) and an RDPL (PR = 1.25; 95%CI: 1.23-1.27) were more likely to provide dental prostheses via the UHS. Demographic and socioeconomic factors and the available primary and secondary oral care structure influenced the municipal provision of dental prostheses via the UHS.</p>","PeriodicalId":9240,"journal":{"name":"Brazilian oral research","volume":"40 ","pages":"e074"},"PeriodicalIF":1.4,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13592767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How do different bimaxillary orthognathic surgeries affect facial soft tissues?","authors":"Cinthia Oliveira Lisboa, Sergio Luiz Mota-Júnior, José Thiers Carneiro Junior, Eduardo Luis de Sousa Cruz, Lucia Helena Soares Cevidanes, Eduardo Franzotti Sant'anna, Antonio Carlos de Oliveira Ruellas, Claudia Trindade Mattos","doi":"10.1590/1807-3107bor-2026.vol40.072","DOIUrl":"10.1590/1807-3107bor-2026.vol40.072","url":null,"abstract":"<p><p>This study evaluated three-dimensional (3D) soft tissue changes and their correlations with hard tissue movements after combined bimaxillary orthognathic surgery. A retrospective analysis was performed using cone-beam computed tomography scans obtained from 22 adults before surgery (T1) and at least 6 months after surgery (T2). Participants were divided into two groups according to the surgical procedure performed: mandibular setback combined with maxillary advancement (MdSet + MxAdv; n = 10) or mandibular advancement combined with maxillary impaction (MdAdv + MxImp; n = 12). Three-dimensional displacements of hard and soft tissue landmarks were assessed using ITK-SNAP and 3D Slicer software. Pearson's and Spearman's correlation coefficients were used to identify associations between hard and soft tissue changes. Significant correlations between anteroposterior hard and soft tissue movements were observed in the subnasal region in the MdSet + MxAdv group (% = 75/70; r = 0.768/0.875) and in the upper lip (% = 83/87/71; r = 0.689/0.760/0.812) and lower lip (% = 54; r = 0.755) regions in the MdAdv + MxImp group. Soft tissue responses in the lower lip and chin regions were significantly correlated with underlying hard tissue movements in both groups; however, the MdAdv + MxImp group demonstrated greater soft tissue response magnitudes (% = 123/136; r = 0.975/0.982) than the MdSet + MxAdv group (% = 75/70; r = 0.810/0.727). Significant vertical correlations in the MdAdv + MxImp group were identified at point A' (% = 86; r = 0.851) and mandibular landmarks (% = 67/109/108; = 0.855/0.981/0.996), whereas the MdSet + MxAdv group showed significant correlations at the lower lip and Pog' point (% = 137/73; r = 0.785/0.921). Both groups demonstrated stronger correlations for mandible-related soft tissues in the anteroposterior and vertical directions. These quantified soft-to-hard tissue ratios may improve the prediction of facial soft tissue changes and contribute to more accurate planning of combined bimaxillary orthognathic procedures.</p>","PeriodicalId":9240,"journal":{"name":"Brazilian oral research","volume":"40 ","pages":"e072"},"PeriodicalIF":1.4,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13577666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148988118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial intelligence for the detection and diagnosis of oral and maxillofacial lesions: evidence, limitations, and future directions.","authors":"Maria Augusta Visconti, Michael Marc Bornstein, Alan Roger Santos-Silva, Manoela Domingues Martins, Matheus Lima Oliveira","doi":"10.1590/1807-3107bor-2026.vol40suppl1058","DOIUrl":"10.1590/1807-3107bor-2026.vol40suppl1058","url":null,"abstract":"<p><p>Artificial intelligence (AI) has emerged as a promising tool to support or perform specific oral diagnostic tasks, particularly through advances in machine learning and deep learning. This comprehensive review aimed to synthesize current evidence and explore future directions for AI-driven or AI-supported oral diagnostic workflows across four target pathologies: odontogenic cysts, odontogenic tumors, oral potentially malignant disorders (OPMDs), and oral squamous cell carcinoma (OSCC). A structured search strategy combining MeSH terms and free-text keywords was applied, encompassing target conditions, AI methodologies, diagnostic performance metrics, and clinician comparator groups. Across all pathologies, AI models demonstrated encouraging performance, frequently approaching that of experienced clinicians, particularly in image-based detection and classification tasks. In some contexts, improved sensitivity was observed, suggesting potential value in early disease detection. However, findings were highly variable and often limited by methodological constraints, including retrospective study designs, small or curated datasets, lack of external validation, and heterogeneity in reporting metrics such as sensitivity, specificity, accuracy, and area under the curve. Importantly, no consistent evidence supports the superiority of AI over clinicians across all performance measures. Instead, current data suggest that AI may serve as a valuable adjunct to clinical decision-making, with potential to reduce diagnostic variability and support non-specialist practitioners. Future research should prioritize prospective, multicenter studies with standardized methodologies, robust external validation, and evaluation of real-world and patient-centered outcomes. While AI holds significant promise, its routine clinical implementation for oral diagnostic tasks remains premature, requiring further validation, transparency, and integration into clinical workflows.</p>","PeriodicalId":9240,"journal":{"name":"Brazilian oral research","volume":"40 suppl 1","pages":"e058"},"PeriodicalIF":1.4,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13508679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evidence-based approaches for advancing clinical research and practice: dentistry beyond the myth.","authors":"Lucianne Cople Maia","doi":"10.1590/1807-3107bor-2026.vol40suppl1057","DOIUrl":"10.1590/1807-3107bor-2026.vol40suppl1057","url":null,"abstract":"","PeriodicalId":9240,"journal":{"name":"Brazilian oral research","volume":"40 suppl 1","pages":"e057"},"PeriodicalIF":1.4,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13508678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"More than a trend: the rationale for using bioactive materials in clinical practice.","authors":"Igor Paulino Mendes Soares, Maria Luiza Barucci Araújo Pires, Juliana Rios de Oliveira, Lídia de Oliveira Fernandes, Carlos Alberto de Souza Costa, Marco Cícero Bottino, Josimeri Hebling","doi":"10.1590/1807-3107bor-2026.vol40suppl1060","DOIUrl":"10.1590/1807-3107bor-2026.vol40suppl1060","url":null,"abstract":"<p><p>The concept of bioactivity in restorative dentistry has evolved beyond the traditional expectation of inert materials designed solely to replace lost tooth structure. Contemporary restorative systems are increasingly engineered to interact with the dentin-pulp complex by modulating mineral dynamics, matrix stability, and cellular responses. However, misconceptions remain regarding what restorative \"bioactivity\" can realistically achieve in clinical practice. This review critically discusses the biological basis and clinical relevance of bioactive materials in restorative dentistry, emphasizing dentin-pulp preservation and the distinction between validated bioactivity and laboratory observations. Bioactivity may arise through physicochemical mechanisms, such as ion release, pH modulation, and mineral precipitation, which may contribute to mineral recovery and dentin-pulp preservation, although many proposed effects remain insufficiently validated clinically. In parallel, biological mechanisms involve modulation of odontogenic signaling, pulp cell differentiation, and extracellular matrix dynamics. Strategies targeting collagen stability, including cross-linking, protease inhibition, and intrafibrillar mineralization, may also improve hybrid-layer durability and interfacial longevity. Beyond dentin-focused interventions, pulp-directed bioactivity includes clinically established vital pulp therapy materials and emerging scaffold-based regenerative systems that remain largely investigational. However, important translational questions remain regarding the clinical functionality of current materials. Clinically relevant restorative bioactivity should not be defined by ion release or surface mineral deposition alone, but by the ability of materials to preserve dentin-pulp homeostasis and long-term restorative stability. Moving beyond the \"bioactive\" label requires evidence-based strategies that sustain dentin-pulp homeostasis rather than merely replacing lost structure.</p>","PeriodicalId":9240,"journal":{"name":"Brazilian oral research","volume":"40 suppl 1","pages":"e060"},"PeriodicalIF":1.4,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13508681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Photobiomodulation in the management of oral lesions: a targeted, evidence-based approach.","authors":"Valesca Sander Koth, Amanda de Farias Gabriel, Iohanna Deckmann, Rogerio Moraes Castilho, Felipe Nor, Marcelo Lazzaron Lamers, José Antonio Poli de Figueiredo, Manoela Domingues Martins","doi":"10.1590/1807-3107bor-2026.vol40suppl1059","DOIUrl":"10.1590/1807-3107bor-2026.vol40suppl1059","url":null,"abstract":"<p><p>This review synthesizes current literature on laser applications in dentistry, with particular emphasis on the biological mechanisms of photobiomodulation (PBM), dosimetric considerations, tissue interactions, and the clinical management of the most prevalent oral lesions. The oral disorders most frequently investigated for the therapeutic use of PBM were: a) oral pain conditions: trigeminal neuralgia, temporomandibular disorders, and burning mouth syndrome; b) oncology-related conditions: oral mucositis and hyposalivation; c) immune-mediated disorders: recurrent aphthous stomatitis and oral lichen planus; and d) viral infections: herpes labialis. A wide range of laser parameters has shown clinical benefits in the treatment of these disorders. These outcomes are attributed to the anti-inflammatory, analgesic, and tissue repair effects of PBM, which may occur immediately and cumulatively over repeated sessions. PBM therapy is a valuable therapeutic resource in contemporary dentistry and may be successfully applied in a wide range of clinical conditions. Clinical effectiveness of PBM depends on appropriate dosimetry and irradiation parameters according to the biological characteristics of each condition and therapeutic target. Therefore further well-designed randomized clinical trials and protocol standardization are still required to strengthen clinical recommendations and optimize reproducibility.</p>","PeriodicalId":9240,"journal":{"name":"Brazilian oral research","volume":"40 suppl 1","pages":"e059"},"PeriodicalIF":1.4,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13508680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy of panoramic radiography, periapical radiography, and CBCT in diagnosing apical root resorption.","authors":"Francieli Regina Bortoli, Filipe Colombo Vitali, Marcio Correa, Roberto Rocha, Fabrício Augusto Menegon, Leticia Fernanda Haas, Lucas da Fonseca Roberti Garcia, Cleonice da Silveira Teixeira","doi":"10.1590/1807-3107bor-2026.vol40.069","DOIUrl":"10.1590/1807-3107bor-2026.vol40.069","url":null,"abstract":"<p><p>This study evaluated the accuracy of digital panoramic radiography, digital periapical radiography, and cone-beam computed tomography (CBCT) in diagnosing apical root resorption (ARR) using 85 extracted teeth from dry human skulls and mandibles. Four ARR levels were simulated: mild, moderate, severe, and extreme. CBCT scans, panoramic radiographs, and periapical radiographs were obtained before and after ARR simulation. Three examiners independently evaluated all images to determine ARR and, when present, to classify its severity level. Inter- and intra-observer agreement was calculated using Cohen's kappa, and sensitivity, specificity, and accuracy were determined for each method. Receiver operating characteristic (ROC) curve analysis was performed to obtain the area under the curve (AUC). AUCs were compared using the DeLong test. All imaging methods showed substantial inter- and intra-examiner agreement (κ > 0.60). CBCT demonstrated the highest sensitivity, specificity, and accuracy, followed by periapical and panoramic radiography. CBCT was significantly superior (p < 0.01) in detecting mild (AUC = 0.939) and moderate (AUC = 0.947) ARR compared with the other methods (AUC < 0.877). For severe ARR, CBCT (AUC = 0.953) and periapical radiography (AUC = 0.921) performed similarly (p > 0.05) and were superior (p=0.03) to panoramic radiography (AUC = 0.874). For extreme ARR, no significant difference was observed among the methods. In conclusion, CBCT showed high accuracy in detecting ARR, particularly at milder levels (< 2 mm). Periapical radiography was comparable to CBCT for severe resorption (one-third of the root), while all methods performed similarly for extreme resorption (half of the root). Thus, CBCT appears most suitable for early ARR detection, whereas periapical and panoramic radiography are adequate for diagnosing advanced stages.</p>","PeriodicalId":9240,"journal":{"name":"Brazilian oral research","volume":"40 ","pages":"e069"},"PeriodicalIF":1.4,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13502890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Key concepts for clinical management of Molar Incisor Hypomineralization.","authors":"Aline de Almeida Neves, Lourdes Santos-Pinto, Daniela Rios, Vera Mendes Soviero","doi":"10.1590/1807-3107bor-2026.vol40suppl1061","DOIUrl":"10.1590/1807-3107bor-2026.vol40suppl1061","url":null,"abstract":"<p><p>Clinical management of patients with molar incisor hypomineralization (MIH) requires a comprehensive and multidimensional assessment that integrates clinical, behavioral, radiographic, functional, and psychosocial parameters. This article discusses key aspects of MIH management, including diagnosis and severity grading; non-invasive strategies aimed at preventing enamel breakdown; restorative management of severely affected molars, including the role of timed extractions; esthetic treatment to mask opacities in anterior teeth; and desensitizing approaches for the management of hypersensitivity. The literature for this narrative review was identified through targeted searches in PubMed for classic and recent publications on the clinical management of MIH. Reference lists of relevant articles were also hand-searched to identify additional relevant studies. Finally, future perspectives and emerging directions in MIH management are discussed.</p>","PeriodicalId":9240,"journal":{"name":"Brazilian oral research","volume":"40 suppl 1","pages":"e061"},"PeriodicalIF":1.4,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13508682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}