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Dental and Medical Problems is an international, peer-reviewed, open access journal covering aspects of oral sciences and general medicine, published bimonthly by Wroclaw Medical University.

14/10/2025

🥤🦷 How Everyday Beverages Impact Restorative Dental Materials

A new study provides fresh insights into how everyday beverages can affect restorative dentistry. Researchers compared the impact of artificial saliva, beer and soda on 3 core build-up composites: NexCore™, spee-dee™ build-up and Ecosite Bulk Fill.

The findings reveal that beverage type significantly influences compressive strength. NexCore™ showed surprisingly higher strength after immersion in beer, while Ecosite performed best in artificial saliva. In contrast, spee-dee™ build-up consistently demonstrated the weakest performance across all conditions. These results underscore that while material choice is critical, environmental factors and their long-term interactions with restorative materials are equally important.

While this was an in vitro study, its clinical implications are important. It reinforces that beverage exposure, pH variation and composition of the oral environment should be considered when predicting the long-term success of restorative materials. Studies like this bridge the gap between laboratory research and real-world patient care, guiding clinicians toward more informed decision-making.

🔗 Read more: https://dmp.umw.edu.pl/en/ahead-of-print/194465/

07/10/2025

🤖 🦷 AI Predicts Antibiotic Resistance in Periodontal Disease

Antimicrobial resistance is one of the most pressing global health challenges, and its impact extends to dentistry. A new study demonstrates how advanced AI models, including LSTM-attention, ProtBERT and BERTGAT, can be used to predict resistance in Porphyromonas gingivalis, the keystone pathogen in periodontitis.

By analyzing efflux protein sequences, the models achieved impressive results, with BERTGAT delivering the highest accuracy at 90.5% and strong specificity at 0.90. These findings underline the value of combining large language models with graph attention networks to better understand bacterial resistance mechanisms.

The implications are significant. Not only could this approach guide more precise antibiotic therapies, but it may also accelerate the design of novel drugs that target resistance pathways more effectively. While larger datasets and external validation are still needed, this research highlights how AI can open new frontiers in oral health and beyond.

🔗 Read more: https://dmp.umw.edu.pl/en/article/2025/62/2/265/

30/09/2025

🔍 Big Five Personality Traits in Orthodontic Treatment 🦷

A new study sheds light on the psychological dimension of malocclusion. Beyond its well-known effects on oral health and aesthetics, malocclusion also influences personality traits and overall psychosocial well-being.

Using the Big Five personality trait model, researchers examined 260 young adults with different orthodontic treatment needs. The findings are striking: individuals with moderate to severe orthodontic needs exhibited significantly higher levels of neuroticism, while those with little or no treatment need displayed stronger traits of extraversion, agreeableness, and conscientiousness. Interestingly, openness remained stable across all groups.

These results emphasize that orthodontic treatment is not just about improving dental alignment—it can also support mental health, confidence, and social interactions. A healthy smile may therefore contribute to a healthier mind.

🔗 Read more: https://dmp.umw.edu.pl/en/article/2025/62/1/49/

24/09/2025

🎉 Editors and Editorial Board members from Dental and Medical Problems among the World’s Top 2% Scientists in 2025!

We are delighted to announce that 31 members of our DMP team (Editor-in-Chief, 8 section editors, and 22 Editorial Board members) have been recognized in the prestigious Stanford–Elsevier global ranking of the Top 2% most widely cited scientists in various disciplines (lifetime or one-year impact).

This recognition is based on bibliometric data from Scopus and highlights the most influential scientists worldwide.

👏 Congratulations to our outstanding researchers:

Akira Aoki, Praveen Ravindra Arany, Susan Armijo-Olivo, Tommaso Castroflorio, Ilona Dekkers, Alona Emodi-Perlman, Gustavo Fernandes, Antonino Lo Giudice, Kinga Grzech-Leśniak, Takafumi Kato, Abdul Samad Khan, Marcin Kozakiewicz, Małgorzata Krzystek-Korpacka, Julita Kulbacka, Gilles Lavigne, Frank Lobbezoo, Monika Łukomska-Szymańska, Daniele Manfredini, Giuseppe Minervini, Błażej Misiak, Ahmed Moustafa, Carlos Nemcovsky, Richard Ohrbach, Anna Paradowska-Stolarz, Marc Schmitter, Robert Śmigiel, Luca Testarelli, João Paulo Mendes Tribst, Kültigin Türkmen, Mieszko Więckiewicz, and Ephraim Winocur

📊 The entire dataset is available here: https://elsevier.digitalcommonsdata.com/datasets/btchxktzyw/8

23/09/2025

🦷 Adolescent Oral Health in Poland: New Nationwide Evidence

A large-scale study provides important insights into the oral health of Polish adolescents. The cross-sectional survey of over 5,000 participants found that 75% of 12-year-olds and 90% of 15–18-year-olds are affected by dental caries.

The research underscores how preventive behaviors make a difference. Regular dental check-ups and brushing teeth at least twice a day reduce both the risk and severity of caries. On the other hand, frequent consumption of sweets, chips and sugary beverages accelerates tooth decay, particularly in younger adolescents whose dentition is still maturing.

What makes these findings even more significant is that health behaviors established during adolescence tend to persist into adulthood. This means that effective education and preventive programs implemented early can have long-lasting benefits for oral and overall health.

🔗 Read more: https://dmp.umw.edu.pl/en/article/2025/62/1/13/

16/09/2025

🦷 Rethinking Peri-Implant Diseases: Prevention Over Cure

Peri-implant diseases remain one of the greatest challenges in modern implant dentistry. A recent article reminds us that while peri-implantitis is difficult to fully eliminate, prevention and strict supportive care are still our strongest tools.

The authors highlight that peri-implant mucositis can often be managed non-surgically, but once the condition progresses to peri-implantitis, treatment outcomes become unpredictable. Even surgical interventions, though more effective than non-surgical approaches, cannot guarantee complete resolution.

What stands out most is the emphasis on prevention: careful pre-operative evaluation of soft and hard tissues, correct three-dimensional implant placement, prosthetic design that allows for cleanability, and individualized follow-up schedules. With peri-implantitis affecting up to 20% of implants—and peri-implant diseases altogether reaching nearly 47%—this perspective is a crucial reminder for all clinicians that long-term implant success is not only about osseointegration, but also about maintaining peri-implant health through continuous monitoring and patient cooperation.

🔗 Read more: https://dmp.umw.edu.pl/en/article/2024/61/5/637/

09/09/2025

☀️🦷 Vitamin D3 and Gingival Thickness: Key Predictors of Implant Success

A new study sheds light on two often overlooked factors in dental implantology: serum vitamin D3 levels and gingival thickness.

Researchers from the Jagiellonian University Medical College and Luxdentica Dental Clinic (Kraków, Poland) retrospectively analyzed 72 patients with 115 implants. They found that vitamin D3 deficiency was significantly associated with higher bone loss around implants. Additionally, gingival tissue thinner than 3 mm increased the risk of crestal bone loss, regardless of vitamin D status.

The message is clear: assessing vitamin D3 levels and gingival thickness before implant placement can help clinicians predict and improve long-term outcomes. This simple diagnostic step may enhance treatment reliability, reduce complications, and ultimately support better patient care.

🔗 Read more: https://dmp.umw.edu.pl/en/article/2025/62/3/499/

02/09/2025

📑 Strengthening Standards of Care for TMD in Poland

The Polish Association for Temporomandibular Disorders (PATMD) has released the official Polish version of the INfORM/IADR key points for good clinical practice in managing temporomandibular disorders (TMD). This publication marks an important step in aligning Polish clinical practice with internationally recognized standards based on evidence-based medicine.

The document was translated and reviewed by leading experts. Their collective effort ensures that global recommendations are adapted to the cultural, social, and medical realities of Poland, making them both practical and highly relevant.

The publication emphasizes the biopsychosocial model as the foundation for understanding TMD, while highlighting the importance of interdisciplinary collaboration across dentistry, orthopedics, neurology, psychology, and physiotherapy.

By making these guidelines available in Polish, PATMD provides clinicians with tools to prevent misdiagnosis, reduce the risk of chronic pain, and avoid iatrogenic effects, ultimately improving patient outcomes.

🔗 Read more: https://dmp.umw.edu.pl/en/article/2025/62/4/565/

26/08/2025

😴 Early detection of sleep-disordered breathing in children: Why orthodontists matter 🦷

A new study reveals that 20% of children seeking orthodontic treatment are at high risk of sleep-disordered breathing (SDB), as identified using the Pediatric Sleep Questionnaire. Conducted at Aga Khan University Hospital in Karachi, this research sheds light on an often-overlooked concern in pediatric dentistry. Allergies were found to increase the risk nearly fourfold, and boys were more vulnerable than girls.

Why does this matter? SDB in children is not just about disrupted sleep. If left undiagnosed, it can contribute to attention-deficit/hyperactivity disorder (ADHD), cardiovascular problems, and a diminished quality of life.

Orthodontists are in a unique position to detect the signs early, as certain craniofacial features and oral health conditions can serve as red flags.

This study reinforces the importance of incorporating routine SDB screening into orthodontic practice. By doing so, practitioners can ensure timely referrals, better treatment outcomes and healthier future for their young patients.

🔗 Read more: https://dmp.umw.edu.pl/en/article/2025/62/3/427/

19/08/2025

🔬 Childhood Cancer Survivors Face Elevated Risk of Hypodontia

🦷 A new systematic review and meta-analysis sheds light on a critical yet often overlooked consequence of childhood cancer treatment — hypodontia. The analysis of 31 studies shows that 22% of childhood cancer survivors are affected by missing permanent teeth. That’s more than three times the prevalence observed in healthy peers, with an odds ratio of 3.12 (95% CI: 2.01–4.83).

The findings point to several key contributors to this elevated risk: younger age at diagnosis, intensive chemotherapy regimens, head and neck radiotherapy, total body irradiation, and hematopoietic stem cell transplantation. The most commonly missing teeth include second premolars, second molars and lower incisors, often accompanied by additional anomalies such as enamel hypoplasia and root deformities.

This study reinforces the need for integrating specialized dental care into pediatric oncology protocols — not just during active treatment, but throughout survivorship. Oral health must be recognized as an essential part of long-term quality of life for childhood cancer survivors.

🔗 Read more: https://dmp.umw.edu.pl/en/ahead-of-print/176033/

Uniwersytet Medyczny w Łodzi

12/08/2025

🛌 Restorative Sleep: The Silent Key to Lasting Health

Interrupted breathing, silent oxygen drops, and shortened REM phases can quietly erode your health — especially if you have high blood pressure.

A new study from Wroclaw Medical University and Wrocław University of Environmental and Life Sciences reveals that your sleep architecture may be a powerful biomarker for cardiovascular and metabolic risk.

🔍 Key insights from 133 patients with suspected obstructive sleep apnea (OSA):

- Hypertensive patients experienced more frequent apneas, deeper oxygen desaturations, and more fragmented sleep.

- Lower magnesium and calcium levelswere linked to more nighttime awakenings.

- Higher uric acid levels correlated with more severe apnea.

- Lower vitamin D — even within “normal” ranges — was tied to poorer sleep quality.

💡 Takeaway: A polysomnographic exam doesn’t just diagnose OSA — it can also uncover hidden cardiometabolic risks.

🔗 Read more: https://dmp.umw.edu.pl/en/article/2024/61/1/43/

🔊 Listen to the podcast:
https://soundcloud.com/wmu-pl/unmasking_the_silent_threat?utm_source=clipboard&utm_medium=text&utm_campaign=social_sharing&si=455989fa722e40b98272c60aa32428e8

05/08/2025

🦷 Implant Connections and Frameworks: What Really Reduces Bone Stress?

A recent study provides compelling evidence on how different implant–abutment connections and prosthetic framework fabrication methods influence stress distribution in implant-supported prostheses with cantilevers.

Using advanced photoelastic stress analysis, the researchers compared external hexagon (EH) and Morse taper (MT) implants combined with frameworks fabricated via TIG welding, laser welding, and CAD/CAM technology. The results were clear: Morse taper implants paired with either CAD/CAM or laser-welded frameworks consistently produced lower stress values in the crestal bone region—crucial for maintaining bone integrity and implant longevity.

In contrast, frameworks assembled using tungsten inert gas (TIG) welding, despite their high mechanical strength, generated the highest stress concentrations in critical peri-implant areas. These findings have significant implications for prosthodontic planning, especially in cases involving distal cantilevers, where stress transmission plays a key role in long-term success.

This study reinforces the value of precise connection geometry and advanced fabrication methods in modern implantology. Clinical decisions around framework design should prioritize not only mechanical performance but also biological outcomes.

🔗 Read more: https://dmp.umw.edu.pl/en/article/2023/60/4/551/

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