An Evaluation of Dental Caries Status in Children with Oral Clefts: A Cross-Sectional Study Lucimara Teixeira das Neves, Beatriz Costa, José Roberto Pereira Lauris, Ana Lídia Ciamponi, Marcia Ribeiro Gomide International Journal of Environmental Research and Public Health, 2025 Oral health is a prerequisite for the rehabilitation of children with oral cleft (OC). Thus, caries negatively affects individuals with OC. This study aimed to investigate dental caries in children with OC, determining the first period of the most significant susceptibility to caries. This cross-sectional study evaluated caries’ prevalence and mean dmft in the primary dentition of 300 children with OC, distributed among ten groups at six-month intervals. The exams were carried out using the WHO diagnostic criteria. Fisher’s exact test and Student’s t-test were used for statistical comparisons with a significant level of 5%. The caries prevalence in the total group was 59.4%, and the dmft was 3.4. The first period of susceptibility occurred between 13 and 18 months and 19 and 24 months, with a prevalence ranging from 6.6% to 40% (p < 0.05) and a dmft ranging from 0.1 to 1.0 (p < 0.05). The prevalence and dmft increase with age. Our findings suggest that in children with OC, the first period of susceptibility to caries occurs from 13 to 18 months. These findings demonstrate the need for pediatric dentistry to establish an early preventive protocol for children with clefts during the first year.
Overweight/obese children are associated with lower caries experience than normal-weight children/adolescents Renata Oliveira Guaré, Mayra Manoella Perez, Tatiane Fernandes Novaes, Ana Lídia Ciamponi, Renata Gorjão, Michele Baffi Diniz International Journal of Paediatric Dentistry, 2019 AimTo compare (a) enamel carious (EC) and dentin carious (DC) lesions and (b) caries risk, between normal‐weight (NW) and overweight/obese (OW) children/adolescents.DesignIn this cross‐sectional study, 91 participants aged 6‐12 years were classified according to the body mass index (BMI): NW (n = 50) and OW (n = 41). Caries experience was evaluated using the International Caries Detection and Assessment System (ICDAS) with two thresholds: “EC/DC” (ICDAS 1‐3/4‐6) and “DC” (ICDAS 4‐6). Caries risk was determined by the Caries Management by Risk Assessment (CAMBRA) system. A logistic regression analysis was performed to determine the association among OW, caries thresholds, and caries risk.ResultsCaries experience was similar for both groups at the “EC/DC” threshold (P = .477) and higher for the NW group at the “DC” threshold (P = .009). For CAMBRA, caries risk classification was similar for both groups (P = .082). The logistic regression showed the OW group was less likely to exhibit radiographically visible proximal carious lesions (odds ratio [OR] of 0.330, P = .019), thick biofilm visible on the tooth surface (OR = 0.360, P = .019), high caries risk (OR = 0.367, P = .039), and moderate‐to‐high caries levels (OR = 0.190, P = .022).ConclusionOW children/adolescents had lower caries experience, at both ICDAS thresholds, and lower caries risk, compared to NW children/adolescents.
Patterns of Internet and smartphone use by parents of children with chronic kidney disease Deise Garrido, Andreia Watanabe, Ana Lídia Ciamponi, Taciana Mara Couto, Levy Anderson César Alves, Ana Estela Haddad Plos One, 2019 BACKGROUND: Smartphones have become a part of universal technology by combining mobile and handheld functions, enabling expanded access to health information sources available on the Internet. The purpose of this study was to describe the pattern of smartphones and Internet use to search for health information by parents of children with chronic kidney disease (CKD). METHODS: In a cross-sectional study, a questionnaire was applied to 111 parents of patients in a Brazilian pediatric nephrology center. Descriptive assessments were performed on Internet use patterns, and associative analyses were made of the influence of the smartphone use pattern on the search for health information. RESULTS: Of the 111 participants, 91% (101/111) accessed the Internet, 88% (89/101) searched for health information, and 90% (80/89) searched for CKD information. Smartphones were the most commonly used devices to access the Internet. There was no significant difference between age groups, schooling levels, places of residence and smartphone use to search information about CKD. Physicians continue to be primary sources of information (87%, 88/101), but now they share space with the Internet, which surpassed traditional sources such as books and other health professionals. There seems to be some discomfort on the part of the parents in admitting their research habit to the physician, considering that 65% (52/80) said they did not discuss the fact that they had looked for information on the Internet with their doctor. Obtaining more information about the disease and gaining knowledge regarding its complications were the main reasons that led to performing a search on the Internet, whose results were considered useful by 93% (74/80). CONCLUSION: Parents of children with CKD have been using the Internet largely through smartphones to research about CKD, irrespective of age, schooling and place of residence. Given its wide use, the Internet can be an important vehicle for health education and contribute to providing the support needed by parents and patients to cope with the disease.
Correlation of salivary immunoglobulin A with body mass index and fat percentage in overweight/obese children Mayra Manoella Perez, Juliana Souza Pessoa, Ana Lídia Ciamponi, Michele Baffi Diniz, Maria Teresa Botti Rodrigues Santos, Heloísa Helena de Oliveira Alves, Renata Gorjão, Renata Oliveira Guaré Journal of Applied Oral Science, 2019 Obesity is considered a risk factor for periodontal health due to the low- grade inflammation promoted by the increased adipose tissue. OBJECTIVE: This study aimed to determine correlations and associations between gingival inflammation (Simplified Oral Hygiene Index, and Gingival Index), salivary immunoglobulin A (s-IgA), and salivary parameters (salivary flow and osmolality) in normal-weight and overweight/obese children. MATERIAL AND METHODS: Ninety-one children, aged 6 to 12 years old (8.6±1.9 years), were divided into two groups according to their body mass index (BMI), circumferences, skinfold measurements and body fat percentage: normal- weight group (NWG; n =50) and overweight/obese group (OG; n =41). A calibrated examiner performed the clinical examination using the Simplified Oral Hygiene Index, Gingival Index, and salivary collection. Data analysis included descriptive statistics and association tests ( p <0.05). RESULTS: OG presented statistically higher s-IgA values compared with NWG, especially among the obese children ( p <0.05). Significant positive correlations between s-IgA and salivary osmolality in OG ( p <0.05), and between s-IgA and BMI values ( p <0.05) and body fat percentage ( p <0.05) were observed among all the children. Effect size varied from moderate for s-IgA values ( d =0.57) to large for BMI ( d =2.60). CONCLUSION: Gingival inflammation and salivary parameters were similar for NWG and OG; however, s-IgA presented higher values in OG, with correlations between BMI and body fat percentage.
Responsiveness of the Early Childhood Oral Health Impact Scale (ECOHIS) is related to dental treatment complexity , Tatiane F. Novaes, Laura Regina A. Pontes, Julia G. Freitas, Carolina P. Acosta, Katia Cristina E. Andrade, Renata S. Guedes, Thiago M. Ardenghi, José Carlos P. Imparato, Mariana M. Braga, Daniela P. Raggio, Fausto M. Mendes Health and Quality of Life Outcomes, 2017 BACKGROUND: The responsiveness of the Early Childhood Oral Health Impact Scale (ECOHIS) has varied greatly across studies; hence, we hypothesized that this discrepancy could be related to the complexity of dental treatment received. Thus, we aimed to evaluate the responsiveness of the ECOHIS to changes in oral health-related quality of life (OHRQoL) following dental treatments of varying complexity in preschool children. METHODS: Preschool children aged 3 to 6 years were selected; their parents responded to the ECOHIS at baseline. The parents responded to the ECOHIS again and a global transition question 30 days after the children were treated. The type of treatment received by the children was categorized according to complexity, as follows: 1) non-operative treatment only, 2) restorative treatment, and 3) endodontic treatment and/or tooth extraction. Change scores and effect sizes (ES) were calculated for total scores, as well as considering the different treatment types and global transition question responses. RESULTS: Of the 152 children who completed the study, the ECOHIS yielded large ES for total scores (0.89). The children showed increasing ES values associated with better perception of improvement, assessed by the global transition question. The magnitude of ES after treatment was related to treatment complexity (0.53, 0.92 and 1.43, for children who received non-operative treatment only, restorative treatment, and endodontic treatment and/or tooth extraction, respectively). CONCLUSIONS: Parents whose children required more complex dental treatment are more likely to perceive treatment-related changes to OHRQoL assessed with the ECOHIS.
The nutritional state of children and adolescents with cerebral palsy is associated with oral motor dysfunction and social conditions: A cross sectional study Vanessa Vieira Pinto, Levy Anderson César Alves, Fausto M. Mendes, Ana Lídia Ciamponi BMC Neurology, 2016 BACKGROUND: Cerebral palsy (CP) is the main cause of severe physical impairment during childhood and has commonly shown oral motor association. It has been considered as the main cause of the high prevalence of problems in children's nutrition. Respiration, chewing, swallowing, speaking and facial expressionare part of the orofacial motor functions and when affected they can interfere in children's well-being. The aim of this study was to correlate two methods of orofacial motor evaluation, analyze the influence of orofacial motor functional impairment on the nutritional status of children and adolescents with CP, and the association between socioeconomic factors. METHODS: Seventy children and adolescents with CP were selected, age range 6-16 years and following the exclusion criteria previously determined; 129 normoreactive children (control group), sex and age-matched to patients with CP. For the orofacial motor analysis two evaluation instruments were applied, the "Oral Motor Assessment Scale" (OMAS) and "Nordic Orofacial Test-Screening" (NOT-S). The anthropometric evaluation was based on the World Health Organization (WHO) and followed the criteria recommended by the Brazilian Ministry of Health. RESULTS: There was statistically significant correlation between the oral motor methods of evaluation (r = -0.439, p < 0.0001). Concerning the nutritional status evaluation, being overweight was associated with dystonic and mixed CP forms variables (p = 0.034), mother with no partnership (p = 0.045) and mild oral motor impairment (p = 0.028). CONCLUSION: It could be concluded that, the weight's gain by children and adolescents might be favored by a better functional oral motor performance and social factors.
Impact of the radiographic examination on diagnosis and treatment decision of caries lesions in primary teeth - the Caries Detection in Children (CARDEC-01) trial: Study protocol for a randomized controlled trial , Fausto Medeiros Mendes, Laura Regina Antunes Pontes, Thais Gimenez, Juan Sebastian Lara, Lucila Basto de Camargo, Edgard Michel-Crosato, Claudio Mendes Pannuti, Daniela Prócida Raggio, Mariana Minatel Braga, Tatiane Fernandes Novaes Trials, 2016 BACKGROUND: Although most clinical guidelines throughout the world indicate that clinicians take two bitewings for detecting caries lesions in primary molars of all children, evidence for this recommendation is essentially based on cross-sectional studies performed in laboratory settings or using convenience samples. The benefits and impact of performing radiographs on diagnosis and treatment decision of caries lesions in primary teeth, mainly considering relevant outcomes for patients, have not been evaluated yet. Thus, the aim of this randomized clinical trial will be to evaluate the impact of performing radiographic examination adjunct to the visual inspection for detecting and making treatment decision regarding caries lesions in primary teeth compared with visual inspection performed alone. We will consider different outcomes related to children's health and welfare. METHODS/DESIGN: To reach this objective, 250 children ages 3 to 6 years who sought dental treatment in our dental school will be randomly allocated in two groups according to the diagnostic strategy used for caries detection: visual inspection performed alone or visual inspection associated to radiographic examination. Two trained and calibrated examiners will carry out the examinations and elaborate the treatment decision plan. Then, children will be treated and followed up for 2 years, with evaluations after 12 and 24 months after the inclusion of children in the study. Children will also return after 6 and 18 months to reinforce the preventive orientations. Primary outcome will be the number of dental surfaces in need of dental treatment at the follow-up. Secondary outcomes will be the components of the primary outcome separately, as well as, proportion of false-positive results, the oral health-related quality of life, cost-efficacy, cost-adjusted life years, and number of new lesions in the first permanent molars. DISCUSSION: Our working hypothesis is that radiographic examination would actually exert little influence on patient-centered outcomes, and visual inspection would be enough as diagnostic strategy for caries detection in primary teeth. TRIAL REGISTRATION: NCT02078453. Registered 4 March 2015.
The value of providing cerebral palsy children and caregivers an oral health program Handbook on Cerebral Palsy Risk Factors Therapeutic Management and Long Term Prognosis, 2014
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Dental caries prevalence in the primary dentition of cerebral-palsied children. Journal of Clinical Pediatric Dentistry, 2003
Effect of the storage method on microleakage of primary teeth restored with different bonding systems: in vitro study Pesquisa Odontologica Brasileira Brazilian Oral Research, 2001
Effectiveness of reflective wedges on the polymerization of composite resins Quintessence International, 1994
RECENT SCHOLAR PUBLICATIONS
An evaluation of dental caries status in children with oral clefts: A cross-sectional study LT Neves, B Costa, JRP Lauris, AL Ciamponi, MR Gomide International Journal of Environmental Research and Public Health 22 (2), 227 , 2025 2025 Citations: 1
An Evaluation of Dental Caries Status in Children with Oral Clefts: A Cross-Sectional Study LT das Neves, B Costa, JRP Lauris, AL Ciamponi, MR Gomide IJERPH 22 (2), 1-11 , 2025 2025
In vitro and in vivo evaluation of deciduos teeth withening technique IT GONTIJO, AL CIAMPONI, DM ZEZELL, R NAVARRO, W RODRIGUES Brazilian Dental Journal , 2022 2022
Atendimento Odontológico em pacientes com necessidades especiais MC Borsatto, AL Ciamponi, MCD Ferreira, MGA Torrealba, GT Ramos, ... Revista de Odontopediatría Latinoamericana 4 (2), 23-31 , 2020 2020 Citations: 7
Overweight/obese children are associated with lower caries experience than normal‐weight children/adolescents RO Guaré, MM Perez, TF Novaes, AL Ciamponi, R Gorjão, MB Diniz International journal of paediatric dentistry 29 (6), 756-764 , 2019 2019 Citations: 24
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Enfermedades no transmisibles OM de la Salud Recuperada el 28 , 2018 2018 Citations: 3
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Responsiveness of the Early Childhood Oral Health Impact Scale (ECOHIS) is related to dental treatment complexity TF Novaes, LRA Pontes, JG Freitas, CP Acosta, KCE Andrade, ... Health and quality of life outcomes 15 (1), 182 , 2017 2017 Citations: 41
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Identification of microorganisms in biofluids of individuals with periodontitis and chronic kidney disease using matrix‐assisted laser desorption/ionization time‐of‐flight mass … LAC Alves, RC Souza, TMC da Silva, A Watanabe, M Dias, MA Mendes, ... Rapid Communications in Mass Spectrometry 30 (10), 1228-1232 , 2016 2016 Citations: 21
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Impact of oral diseases and disorders on oral‐health‐related quality of life of children with cerebral palsy J Abanto, AO Ortega, DP Raggio, M Bönecker, FM Mendes, AL Ciamponi Special Care in Dentistry 34 (2), 56-63 , 2014 2014 Citations: 111
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