Assessment of Dental Trauma Content Generated by Three Artificial Intelligence Tools Using the Traumatic Dental Injuries Questionnaire: A Cross-Sectional Study Ana Paula Portes Zeno, Breno Pereira Caetano, Marcela Baraúna Magno, Patrícia Risso, Lucianne Cople Maia Pesquisa Brasileira Em Odontopediatria E Clinica Integrada, 2026 ABSTRACT Objective: To analyze the agreement between responses generated by AI tools regarding dental trauma, as derived from a validated questionnaire for laypeople, based on the latest International Association of Dental Traumatology (IADT) guideline recommendations. Materials and Methods: Eleven questions were entered into the AI tools ChatGPT-3.5, Microsoft Bing-Copilot, and Google Gemini on the same date and in sequence. The answers were collected and coded as "correct" (1 point) or "incorrect" (0 point). The difference between correct responses among the AI tools analyzed was evaluated using Fisher's exact test (p<0.05). The agreement between the AI tools and IADT was assessed using the Kappa test. Results: None of the AI tools answered all the questions correctly, and there were no significant differences between the three AI tools (p>0.05). Regarding the accordance with IADT recommendations, ChatGPT-3.5 demonstrated weak agreement (k = 0.46; p = 1.122), Google Gemini showed moderate agreement (k = 0.63; p = 0.036), and Microsoft Bing-Copilot exhibited strong agreement (k = 0.81; p = 0.006). The frequency of correct answers among ChatGPT-3.5, Google Gemini, and Microsoft Bing-Copilot was 73%, 82%, and 91%, respectively. Conclusion: Although there were no differences regarding the number of correct answers, the level of agreement with IADT recommendations varied among the AI tools, and their use by the public should be cautiously approached.
Knowledge, Attitudes, and Practices of Dental Students on Pulp Sensitivity Tests and Diagnostic Tools Camila Leão de Azevedo Pereira, Lucas Alves Jural, Manuella Freire Marzullo, Eveline Salomão Portella Mariano Lima, Marcela Barauna Magno, et al. Journal of Dental Education, 2026 Objective To investigate the knowledge of Brazilian dental students about pulp sensitivity tests (PSTs), their attitudes concerning their aptitude for performing different diagnostic tools (DTs), and how frequently these DTs are practiced in clinical scenarios involving asymptomatic teeth. Methods In 2024, an online questionnaire with 23 questions was developed and administered, divided into four sections: (1) sample characterization, as well as the frequency of endodontic emergency care and the participant's self‐assessment of their knowledge about PSTs; (2) knowledge of PSTs (cold, heat, and electric)—K‐PST; (3) Attitudes; (4) Practices. The mean number of correct answers for K‐PST was used to assess the knowledge level. Differences in the K‐PST mean scores between demographic and academic variables were analyzed using the Mann‐Whitney and Kruskal‐Wallis tests ( p < 0.05). Results Among the 628 students, 51.3% considered themselves to have good knowledge of PSTs. However, the mean number of correct answers in K‐PST was 3.43 ± 1.72. The DTs with which students felt most confident were radiography, mobility testing, and cold pulp test, respectively. No significant differences in PST knowledge were found with respect to the variables analyzed. In the clinical scenarios presented, radiographs and the collection of pain history were the most frequently reported practices, whereas PSTs were less commonly utilized. Conclusion Although students demonstrated self‐confidence regarding their PST knowledge, the mean number of correct answers indicates a low level of knowledge. Moreover, the use of these tests does not appear to be a common practice among students.
Is Additive Manufacturing of Dental Zirconia Comparable to Subtractive Methods When Considering Printing Orientation and Layer Thickness? A Systematic Review and Meta-Analysis Mirelle M. Ruggiero, Letícia V. S. Souza, Marcela B. Magno, Xuan Song, Lucianne C. Maia, Altair A. D. B. Cury, Yu Zhang Journal of Esthetic and Restorative Dentistry, 2026 ObjectiveThe aim of this systematic review and meta‐analysis was to determine whether the production of monolithic dental zirconia using additive manufacturing (AM), with consideration of different printing directions and layer thicknesses, enhances its mechanical and physical properties relative to subtractive manufacturing (SM).MethodologyThis systematic review followed PRISMA guidelines and was registered on the Open Science Framework. The PICO strategy was used, focusing on monolithic dental zirconia, comparing AM (stereolithography [SLA] and digital light processing [DLP]) with SM (i.e., CIPing/presintering/milling). In vitro studies were included. Electronic searches were conducted across multiple databases and gray literature, followed by data selection and extraction. Methodological quality was assessed using the QUIN tool for in vitro risk of bias. Mean and standard deviation of flexural strength, density, roughness, and specimen count per group were used to calculate the mean difference (MD) with a 95% confidence interval (CI) in the meta‐analysis.ResultsA total of 31 studies were included in the qualitative synthesis and 21 in the quantitative analysis. Most were classified as having a medium risk of bias. The meta‐analysis indicated that AM zirconia exhibited lower flexural strength than SM zirconia. However, subgroup analyses revealed no significant difference in the flexural strength of samples fabricated using SLA technology or printed at the 0° orientation relative to SM zirconia. Individually, AM zirconia fabricated with 25 or 50 μm layer thicknesses possessed lower flexural strength than SM zirconia, regardless of print direction. No differences were observed between the manufacturing methods regarding surface roughness, although SM demonstrated significantly higher density than AM zirconia.ConclusionsAM dental zirconia demonstrated lower flexural strength when pooled across printing technologies, build orientations, and layer thicknesses. However, it exhibited comparable strength to SM zirconia at 0° or fabricated using SLA technology. Both AM and SM methods yielded similar surface roughness, with SM producing higher density. Most studies had a medium risk of bias, suggesting the need for further research and methodological rigor, particularly regarding translucency.Clinical SignificanceBased on current in vitro evidence, AM zirconia may show potential for posterior crowns; however, further clinical validation is needed, especially for the anterior region due to insufficient translucency to meet esthetic demands.
Do Children and Adolescents with Attention Deficit Hyperactivity Disorder Use Screens More? A Systematic Review and Meta-Analysis Paulo Gonçalves Júnior, Italo Emmanoel Silva e Silva, Marcela Baraúna Magno, Lucianne Cople Maia, Matheus Melo Pithon, Raildo da Silva Coqueiro Comprehensive Child and Adolescent Nursing, 2026 BACKGROUND: Our aim in conducting this review was to investigate whether children and adolescents with attention deficit hyperactivity disorder (ADHD) exhibit differences in screen time when compared to children and adolescents with typical development. METHOD: The study protocol was registered in the PROSPERO database. Databases and gray literature were screened. Studies that compared screen time between children and adolescents with ADHD and those with typical development were included and critically evaluated with the Joanna Briggs Institute tools. Meta-analyses were performed considering screen time ≥2 hours/day or its mean (hours/day). The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach was applied for evaluating the certainty of the evidence. Twenty-two studies were included. RESULTS: < .05). ADHD medication did not seem to influence these results. CONCLUSIONS: Children and adolescents with ADHD spent more time during weekdays using screens and were therefore more likely to exhibit excessive screen and computer use.
Comparison Between Detection of Orthodontic-Related Carious Lesions With Fluorescence or Visual Method: A Systematic Review Luciana Pereira da Silva, Fernanda Mafei Felix da Silva, Marcela Baraúna Magno, Daniele Masterson Tavares Pereira Ferreira, Amanda Cunha Regal de Castro, Maria Augusta Visconti, Lucianne Cople Maia, Aline de Almeida Neves International Journal of Dental Hygiene, 2026 Objective To pare the detection of carious lesions involving orthodontic appliances (O) with the fluorescent method (I) and visual clinical examination (R) in patients treated with fixed orthodontics (P). Methods Five databases and grey literature were searched until January 2023. Clinical studies, comparing at least one digital fluorescent method (DFM) with visual clinical examination (VCE), in patients who completed treatment with fixed orthodontic appliances, were eligible. After extracting the data, the risk of bias and the certainty of the evidence were evaluated through the QUADAS‐2 and the GRADE approaches, respectively. Results Five cross‐sectional studies were included in the final synthesis. The number of teeth evaluated ranged from 137 to 1653. Quantification of lesion severity by determining fluorescence loss was a great benefit compared to the qualitative data obtained by VCE. The average loss of fluorescence, measured by quantitative light‐induced fluorescence (QLF) method, in the lesions visually detected was 12.6%, in some areas greater than 15%. The correlation between DIAGNODent and VCE scores ranged from 0.40 to 0.71. The studies were judged at risk of bias with very low certainty of evidence on the comparison between DFMs and VCE. Conclusion The detection of non‐cavitated carious lesions by DFMs showed a similar pattern to the VCE, although the former detected more lesions than the latter, which encourages the use of these technologies for early detection in patients submitted to fixed orthodontic treatment. Clinical Relevance The clinical advantage of using the DFMs include the more objective diagnosis, and that measurements can be displayed to the patients and may, therefore, have a pedagogical value. In contrast, they are more time consuming clinically and pose an extra cost; however, it is believed that rapid technology innovation may reduce these costs.
Do Fluoride-Releasing Restorative Materials Prevent the Development of Caries around Restorations in Deciduous and Permanent Teeth? A Systematic Review and Meta-Analysis Gabriella Fernandes Rodrigues, Karla Lorene De França Leite, Marcela Baraúna Magno, Guido Artemio Marañón-Vásquez, Andréa Vaz Braga Pintor, Lucianne Cople Maia, Fernanda Barja-Fidalgo, Andréa Fonseca-Gonçalves Caries Research, 2026 Introduction: The main cause of failure in restorations is the development of caries around restorations (CARs). Therefore, the aim of this study was to assess the evidence related to the development of CAR with fluoride-releasing restorative materials compared to non-fluoride releasing in deciduous and permanent teeth. Methods: Randomized clinical trials were included. Literature searches were conducted without language/data restrictions in 6 databases and in the grey literature in June 2024. ROB2 tool assessed the risk of bias. Through meta-analyses, expressed by the risk difference (RD) with a 95% confidence interval, the outcome was evaluated considering the follow-up period (12, 18–24, and ≥36 months), type of dentition and fluoride-releasing restorative materials, number of surfaces treated, and the type of dental isolation performed. Meta-regression models were applied with the above variables as moderators. The certainty of the evidence was assessed by GRADE. Results: Forty-six studies were selected. Among them, 29 presented some concerns and 9 showed high risk of bias. The type of dentition and dental materials, number of surfaces, and dental isolation did not influence the outcome (p > 0.05). Although after 36 months of follow-up, deciduous and permanent teeth restored with fluoride-releasing materials had a lower risk of CAR (RD −0.015 [−0.024, −0.006], p = 0.002, I2 = 0%), the moderators did not influence this effect by meta-regression models. The certainty of the evidence ranged from low to moderate. Conclusion: Fluoride-releasing restorative materials were more effective in preventing CAR after 36 months of follow-up. However, this result should be interpreted with caution, considering the low to moderate certainty of the evidence, the included studies’ risk of bias, and the small RD.
The In Vitro Effect of Isotonic Sports Drinks on Color Variation and Thickness of A Material Used for Sport Mouthguards Mariana Pires da Costa, Leticia Lopes A da Silva, Renan Rocha da Silva, Matheus César da Silva Parada, Maria Clara Frias Lobo Marinho, T. Rabello, M. Magno, Luciane Cople Maia Dental Traumatology, 2025 This in vitro study aimed to evaluate the effect of isotonic sports drinks (Gatorade) on color variation and thickness of ethylene-vinyl acetate (EVA). White thermoformed EVA blocks (n = 60) were prepared and randomly allocated into five groups (n = 12): reverse osmosis water (G1-control, transparent/colorless), isotonic passion fruit flavor (G2-yellow drink), isotonic citrus flavor (G3-orange drink), isotonic strawberry with passion fruit flavor (G4-red drink), and isotonic grape flavor (G5-purple drink). The specimens were submerged in their respective liquids/drinks for each group and incubated at 37°C for 28 consecutive days. The liquids/drinks were replaced every 24 h. Color variation (ΔEab) and thickness (mm) were evaluated using a digital spectrophotometer and a digital micrometer, respectively, at baseline and after 7, 14, 21, and 28 days. ΔEab was calculated using the CIEL*a*b* system. Statistical analysis for both independent and dependent data was performed (α = 5%). Regarding color variation, G2 and G5 showed significant changes in ΔEab values after 21 and 28 days (p < 0.05), respectively. After 21 days, G2 became less clear and more pigmented towards the blue and red coordinates, with a reduction in L* (p < 0.001) and b* (p < 0.001), and an increase in a* (p < 0.001). After 28 days, G5 became pigmented towards the red and blue coordinates, with no significant change in L* (p > 0.05), but a reduction in b* (p = 0.021) and an increase in a* (p < 0.001). The thickness did not vary in relation to time or isotonic flavor/drink (p > 0.05). Isotonic drinks may cause changes in the color of EVA depending on the exposure time and the color of the isotonic drink consumed.
Is there an association between periodontal disease and root caries? A systematic review and meta-analysis Rayssa Maitê Farias Nazário, Deborah Ribeiro Frazão, Beatriz Rodrigues Risuenho Peinado, Maria Karolina Martins Ferreira, Railson de Oliveira Ferreira, Marcela Baraúna Magno, Nathalia Carolina Fernandes Fagundes, Maria Tereza Campos Vidigal, Luiz Renato Paranhos, Lucianne Cople Maia, Rafael Rodrigues Lima Plos One, 2023
Probiotics and dairy products in dentistry: A bibliometric and critical review of randomized clinical trials Mariana Farias da Cruz, Marcela Baraúna Magno, Lucas Alves Jural, Tatiana Colombo Pimentel, Daniele Masterson Tavares Pereira Ferreira, Erick Almeida Esmerino, Gustavo Luis Paiva Anciens Ramos, José Vicente Gomila, Marcia Cristina Silva, Adriano Gomes da Cruz, Tatiana Kelly da Silva Fidalgo, Lucianne Cople Maia Food Research International, 2022
Are temporomandibular disorders associated with facial asymmetry? A systematic review and meta-analysis Fernanda Blaudt Carvalho Marques, Lílian Siqueira Lima, Pedro Lima Emmerich Oliveira, Marcela Baraúna Magno, Daniele Masterson Tavares P. Ferreira, Amanda Cunha Regal Castro, Jose Vinicius Bolognesi Maciel, Antonio Carlos de Oliveira Ruellas, Lucianne Copple Maia Orthodontics and Craniofacial Research, 2021
Is There Association Between Stress and Bruxism? A Systematic Review and Meta-Analysis Victória dos Santos Chemelo, Yago Gecy de Sousa Né, Deborah Ribeiro Frazão, Renata Duarte de Souza-Rodrigues, Nathalia Carolina Fernandes Fagundes, Marcela Baraúna Magno, Cláudia Maria Tavares da Silva, Lucianne Cople Maia, Rafael Rodrigues Lima Frontiers in Neurology, 2020
The effect of probiotics on oral health Patricia Nadelman, Marcela Baraúna Magno, Mariana Farias da Cruz, Adriano Gomes da Cruz, Matheus Melo Pithon, Andréa Fonseca‐Gonçalves, Lucianne Cople Maia Natural Oral Care in Dental Therapy, 2020
The effect of dairy probiotic beverages on oral health Marcela Baraúna Magno, Patricia Nadelman, Thayse Caroline de Abreu Brandi, Matheus Melo Pithon, Andréa Fonseca-Gonçalves, Adriano Gomes da Cruz, Lucianne Cople Maia Milk Based Beverages Volume 9 the Science of Beverages, 2019
Antioxidants as Adjuvants in Periodontitis Treatment: A Systematic Review and Meta-Analysis Micaele Maria Lopes Castro, Nathallia Neves Duarte, Priscila Cunha Nascimento, Marcela Barauna Magno, Nathalia Carolina Fernandes Fagundes, Carlos Flores-Mir, Marta Chagas Monteiro, Cassiano Kuchenbecker Rösing, Lucianne Cople Maia, Rafael Rodrigues Lima Oxidative Medicine and Cellular Longevity, 2019
Difference in effectiveness between strontium acetate and arginine-based toothpastes to relieve dentin hypersensitivity. A systematic review American Journal of Dentistry, 2015
How can i explore high-dimensional data? Glaucia Cristina Rodrigues Nascimento, Marcela Baraúna Magno, Giseon Heo, David Normando Dental Press Journal of Orthodontics, 2014
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