Daniele Cavalcante

@uff.br

Odontoclínica
Universidade Federal Fluminense

Daniele Cavalcante
Holds a degree in Dentistry from the Fluminense Federal University (1992) and a master's degree in Dental Clinic from the same university (2006). She holds a master's degree in Contemporary Artistic Processes from the Institute of Contemporary Art and Culture of the State University of Rio de Janeiro (2017) and is a doctoral student in the field of Art, City and Culture at the same institution. She has a PhD in Dental Clinic from Universidade Federal Fluminense (2018). She is an adjunct professor 2 at Universidade Federal Fluminense (UFF) and editor of Revista Concinnitas at the institute of arts at the University of the State of Rio de Janeiro (UERJ).

RESEARCH INTERESTS

Endodontics
Occlusion
Implants

FUTURE PROJECTS

Bite force assessment before and after Endodontically Treated Teeth

Decreased sensitivity to occlusal load could lead to a greater risk of damage to endodontically treated teeth. In dental research, bite force has been recorded as a variable to assess the efficacy of various dental procedures.Objective: To evaluate the impact of endodontic treatment on the proprioception and consequently on masticatory system.


Applications Invited
31

Scopus Publications

Scopus Publications

  • Vertical root fractures and cracked teeth: post-endodontic root dentinal status through micro-CT assessment after ex vivo fiber post removal
    Daniele Moreira Cavalcante, Sandro J.O. Tavares, Luiz Otávio Purger, Pantaleo Scelza, Marco Antonio Gallito, et al.
    Clinical Oral Investigations, 2025
  • Relationship between smile type and periodontal phenotype: A clinical and tomographic cross-sectional study
    Diogo Moreira Rodrigues, Luisa Schubach da Costa Barreto, Rodrigo Lima Petersen, Vinicius Ferreira, Daniele Moreira Cavalcante, et al.
    Journal of Dentistry, 2022
  • Micro-CT assessment of gap-containing areas along the gutta-percha-sealer interface in oval-shaped canals
    Gustavo De‐Deus, Gustavo O. Santos, Iara Zamboni Monteiro, Daniele M. Cavalcante, Marco Simões‐Carvalho, et al.
    International Endodontic Journal, 2022
    AIM To assess the interfacial adaptation (gap-containing areas) of two root canal sealers (EndoSequence BC Sealer and AH Plus) to a conventional gutta-percha (GP) cone (GP-sealer interface) in oval-shaped canals filled using the single cone technique. METHODOLOGY Sixteen teeth with oval-shaped canals were selected, scanned in a micro-computed tomographic device, and pair-matched according to the volume, aspect ratio and configuration of root canals. Root canals were then sequentially prepared with WaveOne Gold Primary and Large instruments, followed by filling with WaveOne Large GP points associated with either the premixed calcium-silicate EndoSequence BC Sealer or the epoxy resin-based AH Plus sealer (n = 8 per group) using the single cone technique. After 7 days stored in phosphate-buffered saline solution at 37 ºC, the specimens were rescanned and the reconstructed images segmented in order to differentiate the filling materials (sealer and GP cone) to the dentine. A total of 453 cross-sectional slices were assessed and categorized according to the presence or absence of gaps at the GP-sealer interface. Mann-Whitney U test verified differences between groups and were considered significant at alpha = 5%. RESULTS Gaps were non-homogenously distributed in two-dimensional axial cross-section images and none of the specimens showed completely gap-free areas along the entire GP-sealer interface. Root canals filled with EndoSequence BC Sealer and AH Plus displayed 171 (37.75%) and 136 (30.02%) slices with gaps in the GP-sealer interface and these frequencies were statistically significant (P = 0.000). CONCLUSIONS Although none of the specimens had a gap-free along the entire GP-sealer interface, oval canals filled with AH Plus showed less gaps than the ones filled with EndoSequence BC Sealer.
  • Present status and future directions – Minimal endodontic access cavities
    Emmanuel João Nogueira Leal Silva, Gustavo De‐Deus, Erick Miranda Souza, Felipe Gonçalves Belladonna, Daniele Moreira Cavalcante, et al.
    International Endodontic Journal, 2022
    In the last decades, the move of Medicine towards minimally invasive treatments is notorious and scientifically grounded. As Dentistry naturally follows its footsteps, minimal access preparation also became a trend topic in the endodontic field. This procedure aims to maximize preservation of dentine tissue, backed up by the idea that this is an effective way to reduce the incidence of post-treatment tooth fracture. However, with the assessment of the body of evidence on this topic, it is possible to observe some key-points (a) the demand for nomenclature standardization, (b) the requirement of specific tools such as ultra-flexible instruments, visual magnification, superior illumination, and three-dimensional imaging technology, (c) minimally invasive treatment does not seem to affect orifice location and mechanical preparation when using adequate armamentarium, but it (d) may impair adequate canal cleaning, disinfection, and filling procedures, and also (e) it displays contradictory results regarding the ability to increase the tooth strengthen compared to the traditional access cavity. In spite of that, it is undeniable that methodological flaws of some benchtop studies using extracted teeth may be responsible for the conflicting data, thus triggering the need for more sophisticated devices/facilities and specifically designed research in an attempt to make it clear the role of the access size/design on long-term teeth survival. Moreover, it is inevitable that a clinical approach like minimal endodontic access cavities that demands complex tools and skilled and experienced operators bring to the fore doubts on its educational impact mainly when confronted with the conflicting scientific output, ultimately provoking a cost-benefit analysis of its implementation as a routine technique. In addition, this review discusses the ongoing scientific and clinical status of minimally invasive access cavities aiming to input an in-depth and unbiased view over the rationale behind them, uncovering not only the related conceptual and scientific flaws, but also outlining future directions for research and clinical practices. The conclusions attempt to skip from passionate disputes highlighting the current body of evidence as weak and incomplete to guide decision making, demanding the development of a close-to-in-situ laboratory model or a large and well-controlled clinical trial to solve this matter.
  • A critical analysis of research methods and experimental models to study root canal fillings
    Gustavo De‐Deus, Erick Miranda Souza, Emmanuel João Nogueira Leal Silva, Felipe Gonçalves Belladonna, Marco Simões‐Carvalho, et al.
    International Endodontic Journal, 2022
    Canal filling materials and techniques have been one of the most studied topics in Endodontics. A simple search using the mesh term "root canal filling" in PubMed revealed more than 11,000 articles, an impressive number that is much higher than "root canal disinfection" (5,544 articles) or even the popular "root canal preparation" (8,527 articles). The overriding importance attributed to root filling procedures is not merely intuitive. It derived from the appealing relevance given by the appearance of the white lines in common radiographs grounded on retrospective clinical data that had identified the quality of a root filling as one of the major causes of treatment failure (lack of healing). Since the publication of the Washington study, impressive efforts have been made for the release of new materials and techniques, as well as, for the development of a plethora of laboratory methods to assess the quality of root filling procedures. This narrative review aims to address and discuss the most relevant laboratory methods to assess the root canal filling. Since filling quality improvements have not translated into higher success rates, as reported in longitudinal clinical studies, more than to deliver a simple methodology-based review, this paper aims to present an in-depth critical view on the assessment of laboratory methods used to study the filling materials and techniques. Recent data indicate that the long-term dimensional stability/degradation over time of endodontic sealers plays a central role in the treatment outcome. In this context, laboratory methods should be developed focusing on predicting, at least to some degree, the long-term clinical behaviour of root canal fillings, rather than simply ranking different materials or techniques.
  • A critical analysis of research methods and experimental models to study dentinal microcracks
    Marco Aurélio Versiani, Daniele Moreira Cavalcante, Felipe Gonçalves Belladonna, Emmanuel João Nogueira Leal Silva, Erick Miranda Souza, et al.
    International Endodontic Journal, 2022
    The purpose of this narrative review is to discuss the scientific milestones that led to the current understanding of the root dentinal microcrack phenomenon based on the interplay between the usage of micro-computed tomography (micro-CT) as an analytical tool alongside a close-to-mouth experimental model. In 2009, reports on the development of dentinal microcracks in extracted teeth after root canal preparation triggered an awareness of the potential for vertical root fractures (VRFs) of endodontically treated teeth could be developed from defects created by the mechanical stress of nickel-titanium preparation systems on dentine. This assumption was taken for granted, even though no cause-effect relationship had been scientifically demonstrated. Since then, several studies using the sectioning method with extracted teeth have been published and the large discrepancy among their outcomes soon become evident. Moreover, the high frequency of reported dentinal microcracks largely contrasted with the clinical incidence of VRFs, raising doubts on their methodological reliability. Using micro-CT technology, it was demonstrated by several studies that, in extracted teeth, dentinal defects already existed before the endodontic procedures, indicating that the initial reports framed a non-existing cause-effect relationship between canal preparation and dentinal microcracks. Although these new findings contributed to a better comprehension of this phenomenon, the misconception that microcracks were the starting point for VRFs was only surpassed with a new in situ approach using fresh cadavers. Surprisingly, microcracks were not identified in sound teeth. As a conclusion, dentinal microcracks in extracted teeth are considered a non-natural occurrence observed only in a laboratory setup as a consequence of dehydration and storage conditions. Thus, dentinal microcracks shall not be considered as the starting point for VRFs as they do not manifest in non-extracted teeth. Identifying dentinal microcracks as a laboratory phenomenon highlights the impact of recent scientific developments to disclaim the clinical relevance of laboratory-obtained outcomes.
  • Methodological proposal for evaluation of adhesion of root canal sealers to gutta-percha
    Gustavo De‐Deus, Diogo S. Oliveira, Daniele M. Cavalcante, Marco Simões‐Carvalho, Felipe G. Belladonna, et al.
    International Endodontic Journal, 2021
    AIM To compare the bond strength of an epoxy resin-based sealer and two calcium silicate-based sealers (CSS) to gutta-percha disks using a new method. METHODOLOGY Round disks of gutta-percha (n = 60), measuring 10 mm in diameter and 2 mm in thickness, were placed on a glass plate and a drop of each sealer (AH Plus, EndoSequence BC Sealer and EndoSeal MTA) was placed on their surface. Another identical disk was placed onto the first one and a standardized weight (0.0981 N) applied over them using a special developed apparatus. Ten samples prepared for each sealer were submitted to a microshear bond strength test accomplished by a specially designed setup coupled to a universal testing machine. The Kruskal-Wallis test followed by a post hoc procedure was used to compare groups considering the preliminary analysis of the raw data that indicated the non-adherence to a Gaussian distribution (Shapiro-Wilk, p < 0.05). Alpha-error was set at 5%. RESULTS Overall, no premature failure occurred. All sealers had some degree of adhesiveness to gutta-percha disks but with a significant difference among them (Kruskal-Wallis, p = 0.019). The epoxy resin-based sealer (AH Plus) had significantly higher median shear bond strength values (1.43 MPa; 1.40-1.83) compared to Endoseal MTA (0.53 MPa; 0.46-0.73) (p = 0.021) and Endosequence BC Sealer (0.45 MPa; 0.34-0.46) (p = 0.023) while the lowest median value was observed with Endosequence BC Sealer (0.45 MPa; 0.34-0.46) (p < 0.05). CONCLUSIONS CSS sealers had weaker bonding to gutta-percha when compared to the epoxy resin-based AH Plus sealer. The proposed methodology is an innovative and reproducible method for testing the bond strength of root canal sealers to gutta-percha.
  • Is canal overinstrumentation able to produce apical root dentinal microcracks in extracted teeth?
    Felipe Gonçalves Belladonna, Lorrany Larisse Costa Rodrigues, Alex Sandro Mendonça Leal, Henrique Eduardo Oliveira, Ana Carolina de Carvalho Maciel, et al.
    International Endodontic Journal, 2021
    AIM To assess the impact of mechanical overinstrumentation of root canals in extracted teeth on the development of dentinal microcracks in the apical portion of the root by means of micro-computed tomographic (micro-CT) analysis. Root canal preparation short of the canal terminus and at the apical foramen (AF) were used as controls. METHODOLOGY Twenty 2-rooted maxillary premolars with two canals were selected, scanned in a micro-CT device and the root canals prepared sequentially using Reciproc M-Wire R25 instruments to working lengths: 1 mm short of the AF (AF - 1 mm), at the AF (AF), and overinstrumentation (AF + 1 mm). A micro-CT scan of each specimen was performed after each time-point. After reconstruction and co-registration procedures, the images were screened from the cementoenamel junction to the apex (n = 55,352) to identify the presence of dentinal microcracks in the apical third of the root. RESULTS After the analyses of 55,352 slices, dentinal microcracks were visualized in 12.45% of the images (6,892 slices), with 5.73% (3,174 slices) in the cervical, 3.57% (1,976 slices) in the middle and 3.15% (1,740 slices) in the apical third. All dentinal microcracks observed at all time-points (AF - 1 mm, AF and AF + 1 mm) were already present in the corresponding images before canal instrumentation. Therefore, no new microcracks were detected, regardless of the working length used for canal instrumentation. CONCLUSION Reciprocating root canal preparation either short, at or beyond the AF (overinstrumentation) did not create dentinal microcracksin the roots of extracted 2-rooted maxillary premolars in the roots of extracted 2-rooted maxillary premolars.
  • Root groove depth and inter-orifice canal distance as anatomical predictive factors for danger zone in the mesial root of mandibular first molars
    Gustavo De-Deus, Evaldo Almeida Rodrigues, Jong-Ki Lee, J. Kim, Emmanuel João Nogueira Leal da Silva, et al.
    Clinical Oral Investigations, 2021
  • Determining the setting of root canal sealers using an in vivo animal experimental model
    Emmanuel João Nogueira Leal Silva, Iracema C. Ehrhardt, Gerhilde Callou Sampaio, Milla Lessa Cardoso, Diogo da Silva Oliveira, et al.
    Clinical Oral Investigations, 2021
  • Contrast-enhanced micro-CT to assess dental pulp tissue debridement in root canals of extracted teeth: a series of cascading experiments towards method validation
    G. De‐Deus, F. G. Belladonna, D. M. Cavalcante, M. Simões‐Carvalho, E. J. N. L. Silva, et al.
    International Endodontic Journal, 2021
  • Effects of clinical use of NiTi reciprocating instruments on cyclic and torsional resistance, and on roughness
    Edson Jorge Lima MOREIRA, Henrique dos Santos ANTUNES, Victor Talarico Leal VIEIRA, Daniele Moreira CAVALCANTE, Henrique Eduardo OLIVEIRA, et al.
    Brazilian Oral Research, 2021
  • Glide Path with Reciprocating Driven Pathfinding Instrument: Performance and Fracture Rate
    Gustavo De-Deus, Milla Lessa Cardoso, Marco Simões-Carvalho, Emmanuel J.N.L. Silva, Felipe Gonçalves Belladonna, et al.
    Journal of Endodontics, 2021
  • Do pre-existing microcracks play a role in the fracture resistance of roots in a laboratory setting?
    D. M. Cavalcante, F. G. Belladonna, M. Simões‐Carvalho, J. C. A. Carvalhal, E. M. Souza, et al.
    International Endodontic Journal, 2020
  • Creation of well-balanced experimental groups for comparative endodontic laboratory studies: a new proposal based on micro-CT and in silico methods
    G. De‐Deus, M. Simões‐Carvalho, F. G. Belladonna, M. A. Versiani, E. J. N. L. Silva, et al.
    International Endodontic Journal, 2020
  • Dentinal microcracks on freshly extracted teeth: the impact of the extraction technique
    F. N. Arashiro, G. De‐Deus, F. G. Belladonna, D. M. Cavalcante, M. S. Coelho, et al.
    International Endodontic Journal, 2020
  • Arrowhead design ultrasonic tip as a supplementary tool for canal debridement
    G. De‐Deus, M. Simões‐Carvalho, F. G. Belladonna, D. M. Cavalcante, L. S. Portugal, et al.
    International Endodontic Journal, 2020
  • Minimally Invasive Root Canal Instrumentation
    Gustavo De-Deus, Emmanuel J. N. L. Silva, Jorge N. R. Martins, Daniele Cavalcante, Felipe G. Belladonna, et al.
    Minimally Invasive Approaches in Endodontic Practice, 2020
  • Root dentinal microcracks: a post-extraction experimental phenomenon?
    G. De‐Deus, D. M. Cavalcante, F. G. Belladonna, J. Carvalhal, E. M. Souza, et al.
    International Endodontic Journal, 2020
  • Anatomical danger zone reconsidered: a micro-CT study on dentine thickness in mandibular molars
    G. De‐Deus, E. A. Rodrigues, F. G. Belladonna, M. Simões‐Carvalho, D. M. Cavalcante, et al.
    International Endodontic Journal, 2019
  • Dislodgment Resistance of Bioceramic and Epoxy Sealers: A Systematic Review and Meta-analysis
    Emmanuel João Nogueira Leal Silva, Antonio Canabarro, Márcia Rejane Thomas Canabarro Andrade, Daniele Moreira Cavalcante, Oscar Von Stetten, et al.
    Journal of Evidence Based Dental Practice, 2019
  • 3-dimensional Ability Assessment in Removing Root Filling Material from Pair-matched Oval-shaped Canals Using Thermal-treated Instruments
    Gustavo De-Deus, Felipe Gonçalves Belladonna, Arthur de Siqueira Zuolo, Daniele Moreira Cavalcante, Marco Simões Carvalho, et al.
    Journal of Endodontics, 2019
  • Torsional fatigue resistance of R-Pilot and WaveOne Gold Glider NiTi glide path reciprocating systems
    C. B. Santos, M. Simões‐Carvalho, R. Perez, V. T. L. Vieira, H. S. Antunes, et al.
    International Endodontic Journal, 2019
  • Root dentinal microcracks: a post-extraction experimental phenomenon?
    G. De‐Deus, D. M. Cavalcante, F. G. Belladonna, J. Carvalhal, E. M. Souza, et al.
    International Endodontic Journal, 2019
  • XP-endo Finisher R instrument optimizes the removal of root filling remnants in oval-shaped canals
    G. De‐Deus, F. G. Belladonna, A. S. Zuolo, D. M. Cavalcante, J. C. A. Carvalhal, et al.
    International Endodontic Journal, 2019

Publications

Root dentinal microcracks: a post‐extraction experimental phenomenon?