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Dental and Medical Problems

Strona główna
Polska
Wroclaw
Dental and Medical Problems

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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.

08/09/2026

🔍 How common is orofacial pain worldwide?

Orofacial pain encompasses several distinct clinical entities, yet its global prevalence has remained difficult to define because available studies differ substantially in diagnostic criteria, methodology and classification. This meta-analysis shows that dentoalveolar and related pain has the highest pooled prevalence at about 27%, followed by myofascial orofacial pain at about 21%, combined myofascial and TMJ pain at 12%, TMJ pain alone at 10%, and cranial nerve-related pain at 8%. These estimates provide a broad epidemiological framework for orofacial pain while emphasizing the importance of more uniform diagnostic and reporting standards in future research.

The findings have several practical implications:

🔸Orofacial pain should be viewed as a major public health issue, not only as an individual clinical complaint.

🔸Standardization matters: broader use of ICOP and DC/TMD could improve diagnostic consistency and cross-study comparability.

🔸Research priorities should include reducing heterogeneity, addressing regional evidence gaps, and improving population-based surveillance.

🔗 Read more: https://dmp.umw.edu.pl/en/article/2026/63/3/695/

01/09/2026

🔍 Connecting Oral Function, Feeding and Sleep in Children With Autism-Related Traits

The biological and functional mechanisms underlying feeding difficulties in children with autism spectrum disorder (ASD) remain incompletely understood, particularly with regard to mastication and other orofacial functions. The present study showed that lower masticatory performance and greater sleep disturbance were associated with higher levels of ASD-related traits, while chewing ability and occlusal force declined as SRS-2 scores increased. These observations support further investigation of oral function as part of a broader clinical phenotype linking neurodevelopment, feeding and sleep.

The study highlights several areas of clinical relevance:

🔸 Feeding problems may reflect functional as well as behavioral factors.

🔸 Chewing efficiency may be a useful parameter in pediatric dental assessment.

🔸 Sleep problems and orofacial dysfunction may warrant joint consideration in children with developmental concerns.

🔸 The findings should be interpreted cautiously because the study was cross-sectional, involved a small sample, and did not establish causality.

🔗 Read more: https://dmp.umw.edu.pl/en/article/2026/63/3/579/

25/08/2026

🦷 Periodontal diagnosis: where technical accuracy meets clinical judgment

Accurate periodontal diagnosis requires more than collecting probing depths and reviewing radiographs; it depends on how consistently clinicians interpret these findings within contemporary diagnostic frameworks. In a global survey of 543 participants from 46 countries, specialists in periodontics and dental hygienists generally demonstrated better diagnostic performance than dentists and dental students, while errors clustered around both technical procedures and guideline-based reasoning. The results indicate that improving periodontal care will require educational strategies that strengthen measurement accuracy while also reinforcing evidence-based clinical decision-making.

The findings point to several practical priorities:

🔸Periodontal training should address both procedural calibration and conceptual diagnostic reasoning rather than treating them as separate educational goals.

🔸Standardized training in probing and radiographic interpretation could reduce variability in clinical assessment.

🔸Continuing education should place greater emphasis on integrating clinical experience with contemporary periodontal classification systems.

🔗 Read more: https://dmp.umw.edu.pl/en/article/2026/63/3/551/

18/08/2026

🔍 From evidence to practice: Laser-based management of oral lichen planus

Oral lichen planus is a chronic immune-mediated disease in which recurrent symptoms, treatment resistance, and intolerance to corticosteroids can complicate long-term management. This overview of 23 systematic reviews and meta-analyses indicates that laser-based approaches, particularly photobiomodulation therapy (PBMT) and photodynamic therapy (PDT), can reduce pain and lesion severity with outcomes broadly comparable to topical corticosteroids, while PBMT offers the most favorable overall safety profile. By translating the available evidence into stepwise clinical recommendations, the study provides a framework for selecting laser modalities while also identifying the methodological priorities needed to strengthen future treatment guidelines.

🔸Topical corticosteroids remain the standard first-line therapy for symptomatic OLP.

🔸PBMT emerges as the preferred laser-based option because of its combination of clinical effectiveness and favorable safety.

🔸PDT may provide an alternative or adjunctive treatment for recurrent, steroid-intolerant, or steroid-refractory disease.

🔸HILT may offer greater short-term analgesia but requires careful parameter control because of thermal risks.

🔸CO₂ laser ablation should be reserved for localized, severe, or treatment-refractory lesions in specialist settings.

🔸Standardized laser parameters, longer follow-up, consistent outcome measures, and adequately powered randomized trials are essential for defining the long-term comparative effectiveness of these approaches.

🔗 Read more: https://dmp.umw.edu.pl/en/article/2026/63/2/465/

11/08/2026

🦷 From the Oral Cavity to the Immune System: How Periodontal Health Reflects Overall Health

Oral health may reveal much more about our immune system than we realize.

A new study published in Dental and Medical Problems, based on data from more than 465,000 UK Biobank participants, found that individuals reporting symptoms of periodontal problems were more likely to develop selected autoimmune diseases, including psoriasis, lichen planus and primary biliary cholangitis.

Although the study does not establish a causal relationship between periodontal disease and autoimmune disorders, its findings add to the growing body of evidence suggesting that periodontal and systemic immune health are closely interconnected.

📖 Read the full article: https://dmp.umw.edu.pl/en/article/2026/63/3/567/

🔊 Listen to the podcast: https://on.soundcloud.com/q2vX15b7J95JhPIZYL

04/08/2026

🧪 Molecular signature of periodontitis progression in saliva

Clinical and radiographic assessments remain central to periodontitis grading, but they provide limited direct information about the molecular processes associated with different progression rates. In this case–control study, salivary SOST, DKK1 and WNT5a differentiated periodontal health from periodontitis with AUC values of 0.96–0.99. WNT5a was highest in Grade C and SOST and DKK1 were highest in Grade B disease. These distinct biomarker profiles may support the future development of saliva-based tools that complement conventional grading, improve risk assessment and guide personalized monitoring.

Specific implications and potential applications:

🔸WNT5a as a candidate marker of rapid disease progression

🔸SOST and DKK1 as potential indicators of altered WNT-mediated bone remodeling

🔸Strong associations between biomarker concentrations and clinical periodontal parameters

🔸A basis for developing combined biomarker panels for diagnosis and follow-up

🔸Need for external validation in larger, longitudinal and more diverse populations

🔗 Read more: https://dmp.umw.edu.pl/en/article/2026/63/2/335/

28/07/2026

🦷 Exploring a Propolis-Based Approach to Alveolar Ridge Preservation

Preserving alveolar bone after tooth extraction remains clinically important because post-extraction resorption may complicate subsequent prosthetic and implant rehabilitation. In this in vivo study, the combination of a natural propolis extract with a bovine xenograft was associated with greater type I collagen expression and lower NF-κB, TLR2 and TNF-α expression during socket healing. The findings indicate that propolis-containing biomaterials merit further investigation as modulators of inflammation and bone regeneration, while their clinical effectiveness still requires confirmation in human studies.

The study suggests several potential implications:

▫️Support for collagen-rich bone matrix formation within the healing socket

▫️Attenuation of inflammatory signaling associated with osteoclastic activity

▫️Possible biological enhancement of xenograft-based ridge preservation materials

▫️Potential application of propolis-derived bioactive compounds in regenerative dentistry

▫️A need for longer observation periods and direct assessment of bone volume and quality

▫️A need to determine whether the composite offers a meaningful advantage over propolis alone

🔗 Read more: https://dmp.umw.edu.pl/en/article/2026/63/2/365/

21/07/2026

🧬 Could a periodontal pathogen influence molecular pathways involved in head and neck cancer?

The contribution of periodontal pathogens to head and neck squamous cell carcinoma (HNSCC) remains insufficiently understood, particularly regarding their effects on epithelial gene expression and patient prognosis. This bioinformatics study identified DDIT4 and RCE1 as genes upregulated both in human gingival keratinocytes exposed to Aggregatibacter actinomycetemcomitans and in HNSCC tissues, with higher expression associated with reduced overall survival. These findings may help prioritize molecular targets for experimental validation and support further investigation of host–microbiome interactions in head and neck carcinogenesis.

Specific implications and potential applications include:

▫️Prioritization of DDIT4 and RCE1 as candidate prognostic biomarkers and therapeutic targets

▫️Further investigation of Wnt, Notch, TGF-β, Toll receptor and cadherin-related pathways

▫️Development of experimental models examining how periodontal pathogens alter epithelial cell biology

▫️Integration of periodontal, microbiological and oncological data in HNSCC risk research

▫️Reinforcement of the need for prospective clinical and laboratory validation before causal conclusions can be drawn

🔗 Read more: https://dmp.umw.edu.pl/en/article/2026/63/2/419/

14/07/2026

🦷 Rheumatoid arthritis and periodontitis: A clinically relevant connection

Rheumatoid arthritis and periodontitis are chronic inflammatory diseases that may share biological pathways, yet the strength and clinical relevance of their association remain insufficiently defined. This systematic review and meta-analysis found that patients with rheumatoid arthritis had substantially higher odds of periodontitis, with a pooled OR of 11.37. Clinical attachment loss emerged as the most consistently affected periodontal parameter. These findings support closer integration of dental and rheumatologic care, while also highlighting the need for longitudinal studies using standardized diagnostic criteria and more rigorous control of confounding factors.

Specific implications and practical applications include:

▫️Routine periodontal screening in patients with rheumatoid arthritis

▫️Greater attention to clinical attachment loss and moderate-to-severe periodontitis

▫️Closer collaboration between periodontists, dentists and rheumatologists

▫️Assessment of shared risk factors, including smoking, age, obesity and vitamin D deficiency

▫️Further prospective research to clarify causality and the impact of periodontal treatment on rheumatoid arthritis outcomes

🔗 Read more: https://dmp.umw.edu.pl/en/article/2026/63/2/483/

07/07/2026

One journal. Two disciplines. Shared excellence. 📘🦷🩺

Contemporary biomedical research increasingly addresses problems that cannot be fully understood within the limits of a single discipline. Dental and Medical Problems responds to this need by serving as an international journal positioned at the intersection of dental science, medicine, biomedical sciences, and public health. This interdisciplinary profile strengthens the journal’s role as a platform for research that connects clinical relevance, scientific quality and international visibility.

The motto “One journal. Two disciplines. Shared excellence.” was created specifically for Dental and Medical Problems to reflect this identity and to express the journal’s continuing development as a coherent, recognizable, and internationally oriented scientific brand.

🔸"One journal" reflects a coherent publishing brand, consistent editorial standards and a stable scientific position.

🔸"Two disciplines" highlights the journal’s profile, connecting dentistry and medicine while remaining open to research that crosses traditional disciplinary boundaries.

🔸"Shared excellence" refers to the quality of the work contributed by authors, reviewers and editors, as well as to the journal’s growing international visibility, indexing, citation impact, and bibliometric performance.

Visit the journal's website: https://dmp.umw.edu.pl/en/home

Adres

Ulica K. Marcinkowskiego 2-6
Wroclaw
50-368

Godziny otwarcia

Poniedziałek	08:00 - 16:00
Wtorek	08:00 - 16:00
Środa	08:00 - 16:00
Czwartek	08:00 - 16:00
Piątek	08:00 - 16:00

Strona internetowa

https://dmp.umw.edu.pl/en/home/

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