Nutritional Outcomes of Overdentures vs. Complete Dentures in Older Edentulous Adults: A Systematic Review and Meta-Analysis Danielle Soley Batista, Gabriela Aparecida Winkert Manfron, Diulia Pereira Bubna, Débora Marta Barbosa, José Stechman‐Neto, Karinna Veríssimo Meira Taveira, Cristiano Miranda de Araujo, Flávio Magno Gonçalves, Thalita de Paris Matos Bronholo Journal of Oral Rehabilitation, 2026 Objective To investigate whether implant‐supported overdentures provide nutritional advantages compared with conventional complete dentures in older edentulous adults, through a systematic review and meta‐analysis. Methods A comprehensive search was performed in PubMed/MEDLINE, Scopus, Web of Science, Cochrane Library, EMBASE, LILACS, LIVIVO and grey literature sources. Eligible studies included completely edentulous patients aged ≥ 60 years rehabilitated with overdentures or conventional complete dentures, with nutritional intake assessed using validated methods. Data extraction and risk of bias assessments were conducted independently by calibrated reviewers. Random‐effects meta‐analyses were performed, and the certainty of evidence was rated using GRADE. Results Nine studies met the inclusion criteria, of which five were included in the quantitative synthesis. Overdenture users showed significantly higher vitamin B12 levels at 6‐month follow‐up (SMD = 0.60; 95% CI: 0.18–1.02; I 2 = 54%), but no consistent differences were observed for albumin or folate. Overall certainty of the evidence was rated as moderate for vitamin B12 and albumin, and low for folate, due to methodological limitations, heterogeneity in outcome measures and small sample sizes. Conclusion While overdentures improve masticatory function and may transiently enhance vitamin B12 status, the current body of evidence does not support a consistent nutritional advantage over conventional dentures. High‐quality, long‐term trials are needed to clarify the systemic nutritional implications of prosthetic rehabilitation in older adults.
Emotional Reactions and Adaptation of Parents of Children Diagnosed With Cleft Lip/Palate: A Systematic Review Ana Martha Massucheto, Sidnei Rinaldo Priolo Filho, Flavio Magno Gonçalves, Diulia Pereira Bubna, Aline Xavier Ferraz, Ângela Graciela Deliga Schroder, Karinna Verissimo Meira Taveira, Cristiano Miranda de Araujo, Rita de Cassia Tonocchi Cleft Palate Craniofacial Journal, 2026 Background The diagnosis of cleft lip and/or palate (CL/P) in a child triggers various emotional processes for both the child and their parents. Objective This systematic review aimed to evaluate the emotional impact and reactions of parents when they receive a diagnosis of CL/P for their child, whether during pregnancy or at birth. Methods The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and was registered with PROSPERO. Comprehensive search strategies were used across multiple electronic databases, including EMBASE, PubMed/MEDLINE, Web of Science, Scopus, LILACS, and LIVIVO. Gray literature sources such as Google and ProQuest Dissertations & Theses were also explored. Results The initial search retrieved 2380 references. After full-text screening of 19 articles, 10 were included in the final review, along with 9 additional articles identified through reference lists and gray literature. The included studies addressed at least one of the following themes: emotional reactions, psychological impact, and the parent-child relationship following the diagnosis. Risk of bias was assessed using the Joanna Briggs Institute Critical Appraisal tool, with most studies rated as having low to moderate risk of bias. Conclusion Parents whose children have CL/P often experience significant emotional distress, particularly at the time of diagnosis. This impact can be mitigated when the diagnosis is delivered by specialized teams offering comprehensive support. In addition, the high financial burden related to treatment and ongoing multidisciplinary care increases stress levels, intensifying the emotional challenges faced by families.
Evaluation of Swallowing and Tongue Strength Index in Patients With Temporomandibular Dysfunction: A Cross-Sectional Study Julia da Silva Germiniani, Milena Sampaio Kuczera, Aline Xavier Ferraz, Rosane Sampaio Santos, Bianca Simone Zeigelboim, Cristiano Miranda de Araujo, Glória Maria Nogueira Cortz Ravazzi, Flavio Magno Gonçalves, José Stechman-Neto International Journal of Dentistry, 2026 Temporomandibular disorders (TMDs) can affect the stomatognathic system (SS) and alter tongue performance. This cross‐sectional study aimed to evaluate tongue strength and its relationship with swallowing function in individuals diagnosed with TMD. Fifty adults participated (32 with TMD and 18 asymptomatic controls). TMD diagnosis was established according to the Diagnostic Criteria for TMDs (DC/TMD). Swallowing function was screened using the Eating Assessment Tool (EAT‐10), and tongue strength was assessed using the Pro‐Fono Lip and Tongue Pressure (PLTP) Biofeedback device. The sample had a mean age of 37.7 years and included 12 males and 38 females. Within the TMD group, 11 participants were diagnosed with myalgia, 8 with arthralgia, and 13 with both conditions. According to the EAT‐10, 40 participants scored below 3, whereas 10 scored 3 or higher, indicating potential swallowing risk. Individuals with TMD exhibited significantly lower tongue strength in both the dorsum and tip compared with controls ( p < 0.05). No significant differences were observed between sexes or age groups, and no associations were found between tongue strength and EAT‐10 scores. Although self‐perceived swallowing difficulties did not differ between groups, reduced tongue strength was observed in individuals with TMD, highlighting the importance of including objective tongue strength assessment in the clinical evaluation and management of these patients.
Evidence on Vocal Interventions in Adults: A Scoping Review Vanessa Veis Ribeiro, Weslania Nascimento, Rebeca Cardoso da Silva, Flavio Magno Gonçalves, Rosane Sampaio Santos, Mara Behlau, Cristiano Miranda de Araujo, Karinna Veríssimo Meira Taveira Journal of Voice, 2025
Effect of virtual reality in hereditary spastic paraplegia: pilot randomized clinical trial Maria Izabel Rodrigues Severiano, Geslaine Janaina Bueno dos Santos, Flavio Gonçalves, Cristiano Araújo, Bianca Zeigelboim, Helio Afonso Ghizoni Teive Virtual Reality, 2025 Hereditary Spastic Paraplegia (HSP) is a neurodegenerative condition characterized by weakness and spasticity in the lower limbs, requiring stabilization to improve essential movements such as walking. This study aims to investigate the benefits of Vestibular Rehabilitation (VR) with virtual reality (VRi) in individuals with HSP. A randomized pilot clinical trial was conducted, registered on the Rebec Platform (trial RBR-3JMX67), with 16 adult patients of both sexes diagnosed with HSP, allocated into two groups: Balance (BG) and Strength (SG). Participants underwent anamnesis, otorhinolaryngological and labyrinthine evaluation, followed by assessment with Lafayete dynamometer and ABC (confidence scale) and VAS (pain assessment) questionnaires at three time points: T0 (baseline), T1 (after 10 sessions), and T2 (after 20 sessions). VAS results showed no significant changes between T0 and T2, indicating no discomfort caused by rehabilitation. In the ABC questionnaire, both groups showed improvement in balance perception. Dynamometer assessment revealed a significant increase in peak force ( p = 0.006) and mean force in hip abduction ( p = 0.001). For the force development rate (FDR), there was a trend towards significance in BG. In dorsiflexion, both groups showed significant improvements in FDR, especially in BG ( p = 0.011) and SG ( p = 0.004). VRi game scores were significant for both groups, validating the effectiveness of rehabilitation. These findings confirm the benefits of vestibular rehabilitation with virtual reality in individuals with HSP, highlighting the need for further research to consolidate these results and fully explore the potential of this therapeutic approach.
Splinting in horizontal root fractures: A Bayesian network meta-analysis Tatiana Carvalho Kowaltschuk, Flávio Magno Gonçalves, Bianca Marques de Mattos de Araujo, Natália Teixeira da Silva Cruz, Angela Graciela Deliga Schroder, Bruna Belz Antoniazzi, Everdan Carneiro, Marisa Nogueira Alencar, Ulisses Xavier da Silva-Neto, Odilon Guariza-Filho, Cristiano Miranda de Araujo, Vânia Portela Ditzel Westphalen Plos One, 2025 Objective This study aims to evaluate which splinting method offers the most favorable prognosis in cases of dental trauma involving horizontal intra-alveolar root fractures. Materials and methods Search strategies were adapted for seven electronic databases and gray literature to identify studies evaluating the prognosis of horizontal intra-alveolar root fractures based on the type of splint used. The risk of bias in the included studies was assessed using the Joanna Briggs Institute Critical Appraisal tools. A Bayesian network meta-analysis was conducted. Results A total of 3,174 references were retrieved, of which six studies met the inclusion criteria. No significant differences were found between the types of splints used and the healing outcomes of horizontally fractured intra-alveolar roots, including comparisons to cases without fixation. Across all studies, the degree of fragment displacement was a key factor influencing healing: the less displacement, the better the prognosis. Other treatment-related variables analyzed by the authors also played a role in determining tooth prognosis. Conclusions There may be no difference regarding the type of splint used when considering the healing of horizontal intra-alveolar root fractures; however, other factors may have influenced this outcome. Clinical Relevance Understanding the fracture characteristics and the type of splinting intervention employed is essential for ensuring appropriate treatment in such cases.
Prevalence of Oropharyngeal Dysphagia in Children: A Systematic Review and Meta-Analysis Ana Paula Duca, Rayane Délcia da Silva, Marcos Ribeiro, Flávio Magno Gonçalves, Karinna Veríssimo Meira Taveira, Odilon Guariza Filho, Bianca Simone Zeigelboim, Cristiano Miranda de Araujo, Rosane Sampaio Santos Pediatric Pulmonology, 2025 ObjectiveThis study aims to determine the prevalence of oropharyngeal dysphagia (OD) in children, as diagnosed through instrumental evaluation, and to identify associated risk factors.MethodsA systematic search was conducted across six databases (Embase, LILACS, LIVIVO, PubMed/MEDLINE, Scopus, and Web of Science), as well as gray literature sources (ASHA, Google Scholar, and ProQuest). Studies involving children (under 12 years of age), diagnosed using instrumental methods such as videofluoroscopic swallow study (VFSS) or fiberoptic endoscopic evaluation of swallowing (FEES), were included. A random‐effects meta‐analysis was performed to estimate the prevalence, with heterogeneity assessed through meta‐regression. The risk of bias was evaluated using the Joanna Briggs Institute Critical Appraisal Checklist.ResultsA total of 31 studies were included, yielding a pooled prevalence estimate of 69% (95% CI: 61%–77%; I² = 94%). Most studies involved children with predisposing conditions, potentially contributing to an overestimation of OD prevalence in the general pediatric population. Four studies were assessed as having a moderate risk of bias, while 27 were rated as having a low risk of bias.ConclusionThe findings suggest a high prevalence of OD, especially in children with underlying health conditions. These results underscore the importance of early diagnosis and tailored interventions to mitigate the health risks associated with deglutition disorders in pediatric populations.
Artificial intelligence in the diagnosis and management of dysphagia: a scoping review Rayane Délcia da Silva, Suzanne Bettega Almeida, Flávio Magno Gonçalves, Bianca Simone Zeigelboim, José Stechman-Neto, Angela Graciela Deliga Schroder, Weslania Viviane Nascimento, Rosane Sampaio Santos, Cristiano Miranda de Araujo Codas, 2025 Purpose This scoping review aimed to map and synthesize evidence on technological advancements using Artificial Intelligence in the diagnosis and management of dysphagia. We followed the PRISMA guidelines and those of the Joanna Briggs Institute, focusing on research about technological innovations in dysphagia. Research strategies The protocol was registered on the Open Science Framework platform. The databases consulted included EMBASE, Latin American and Caribbean Health Sciences Literature (LILACS), Livivo, PubMed/Medline, Scopus, Cochrane Library, Web of Science, and grey literature. Selection criteria The acronym 'PCC' was used to consider the eligibility of studies for this review. Data analysis After removing duplicates, 56 articles were initially selected. A subsequent update resulted in 205 articles, of which 61 were included after applying the selection criteria. Results Videofluoroscopy of swallowing was used as the reference examination in most studies. Regarding the underlying diseases present in the patients who participated in the studies, there was a predominance of various neurological conditions. The algorithms used varied across the categories of Machine Learning, Deep Learning, and Computer Vision, with a predominance in the use of Deep Learning. Conclusion Technological advancements in artificial intelligence for the diagnosis and management of dysphagia have been mapped, highlighting the predominance and applicability of Deep Learning in examinations such as videofluoroscopy. The findings suggest significant potential to improve diagnostic accuracy and clinical management effectiveness, particularly in neurological patients. Identified research gaps require further investigations to solidify the clinical applicability and impact of these technologies.
Impact of bariatric surgery on oral health: a systematic review and meta-analysis Aline Xavier Ferraz, Flavio Magno Gonçalves, Pedro Duarte Ferreira-Neto, Rosane Sampaio Santos, Odilon Guariza-Filho, Bianca Simone Zeigelboim, Camila de Castro Corrêa, Karinna Veríssimo Meira Taveira, Cristiano Miranda de Araujo Clinical Oral Investigations, 2023
Impact of dentofacial deformity on the chance of being hired for a job Bruna Marlene de Miranda, Patricia Tavian Gonçalez Miguel, Flavio Magno Gonçalves, Davani Latarullo Costa, Thalita de Paris Matos Bronholo, Odilon Guariza-Filho, José Stechman-Neto, Rosane Sampaio Santos, Bianca Simone Zeigelboim, Cristiano Miranda de Araujo Frontiers in Psychology, 2023
Association between atypical swallowing and malocclusions: a systematic review Flávio Magno GONÇALVES, Karinna Veríssimo Meira TAVEIRA, Cristiano Miranda de ARAUJO, Glória Maria Nogueira Cortz RAVAZZI, Odilon GUARIZA FILHO, Bianca Simone ZEIGELBOIM, Rosane Sampaio SANTOS, Jose STECHMAN NETO Dental Press Journal of Orthodontics, 2022
