Yi Zhang, Yiting Li, Yi Liu, Yuan Zhou, Wei Yin, Liwei Zheng
{"title":"A \"family-school-hospital\" collaborative oral health management model for preschool children: a prospective single-arm pre-post intervention study.","authors":"Yi Zhang, Yiting Li, Yi Liu, Yuan Zhou, Wei Yin, Liwei Zheng","doi":"10.3389/fdmed.2026.1926113","DOIUrl":"10.3389/fdmed.2026.1926113","url":null,"abstract":"<p><strong>Background: </strong>Early childhood caries (ECC) remains a global public health challenge, yet preschool children lack autonomy in health management and depend heavily on family and school environments. Population-based oral health management models have proven effective in other fields but are rarely implemented in Chinese preschool settings. This study aimed to establish and evaluate a \"family-school-hospital\" collaborative oral health management model for preschool children in Chengdu, China.</p><p><strong>Methods: </strong>The oral health management model for preschool children was established through population screening, baseline surveys, personalized oral health guidance, provision of diagnostic and treatment pathways, and the use of health behavior formation tools. The preliminary effects of promoting active health behavior formation were observed through oral health follow-up examinations and oral health-related questionnaire surveys conducted at 1-, 3-, and 6-month follow-ups.</p><p><strong>Results: </strong>After establishing the oral health management model for preschool children, a total of 421 children completed the six-month follow-up, with a loss to follow-up rate of 11.4%. The increase in the number of teeth restored, the decrease in plaque index, the increase in the number of children participating in fluoride application or pit and fissure sealing, the improvement in the number of children using fluoride toothpaste, the improvement in oral health-related quality of life scores, and the improvement in parental knowledge and attitude were all statistically significant.</p><p><strong>Conclusion: </strong>This collaborative model was associated with improved parental knowledge and attitudes, enhanced children's oral hygiene and restorative care, and better oral health-related quality of life. It offers a reference framework for preschool oral health management. Future randomized controlled trials with longer follow-up are warranted to confirm its preventive efficacy.</p>","PeriodicalId":73077,"journal":{"name":"Frontiers in dental medicine","volume":"7 ","pages":"1926113"},"PeriodicalIF":2.7,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13677551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Smear layer removal by EDTA, citric acid, and maleic acid under five irrigant delivery and activation protocols: an <i>ex vivo</i> scanning electron microscopy study.","authors":"E Hernández-Hernández, J Mena-Alvarez","doi":"10.3389/fdmed.2026.1982158","DOIUrl":"10.3389/fdmed.2026.1982158","url":null,"abstract":"<p><strong>Background/purpose: </strong>This randomized <i>ex vivo</i> study evaluated the effects of chelator, irrigant delivery/activation, and root third on smear-layer removal and whether conclusions depend on the scanning electron microscopy (SEM) assessment method.</p><p><strong>Material and methods: </strong>Of 215 extracted single-rooted teeth, five served as descriptive controls and 210 were randomized to a 3 × 5 factorial design (<i>n</i> = 14/cell): 17% EDTA, 15% citric acid, or 7% maleic acid combined with syringe irrigation, manual dynamic activation, Endo Activator, passive ultrasonic irrigation (PUI), or EndoVac. Coronal, middle, and apical SEM fields were assessed using the Prabhu score, Carvalho clean-tubule percentage, and tubule diameter. Cluster-aware generalized estimating equations modeled the three repeated root-level observations using the tooth as the clustering unit; <i>post hoc</i> contrasts used Holm adjustment.</p><p><strong>Results: </strong>For Prabhu scores, chelator x delivery/activation, chelator x root-third, and delivery/activation x root-third interactions were significant (all <i>p</i> < 0.001). For clean-tubule percentage, chelator x root-third (<i>p</i> = 0.040) and delivery/activation x root-third (<i>p</i> = 0.020) were significant, whereas chelator x delivery/activation was not (<i>p</i> = 0.090). In the apical third, model-estimated marginal Prabhu scores were 2.80 for 17% EDTA, 0.93 for 15% citric acid, and 1.85 for 7% maleic acid; corresponding model-estimated clean-tubule percentages were 26.1%, 72.7%, and 54.4%. PUI had the lowest Prabhu estimates, but no apical quantitative pairwise delivery/activation contrast remained significant after Holm adjustment. The two SEM assessment approaches showed a moderate inverse association (Spearman <i>ρ</i> = -0.486); a threshold-dependent weighted <i>κ</i> analysis was retained only as a sensitivity analysis.</p><p><strong>Conclusions: </strong>Chelator selection consistently influenced smear-layer removal, whereas delivery/activation effects depended on root level and assessment method. Under the present experimental conditions, 15% citric acid showed the most favorable apical SEM performance. These findings concern laboratory surface-cleanliness endpoints and do not establish clinical superiority or an optimal chelating protocol.</p>","PeriodicalId":73077,"journal":{"name":"Frontiers in dental medicine","volume":"7 ","pages":"1982158"},"PeriodicalIF":2.7,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13677542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pradeep Kumar, Megha Sreekumar, S Vidhyadhara Shetty, Nikhil Harikrishnan, Natasha Shetty, Jayaprakash K
{"title":"Comparative evaluation of the effect of simvastatin and modified triple antibiotic paste on microhardness and fracture resistance of root dentin-an <i>in vitro</i> study.","authors":"Pradeep Kumar, Megha Sreekumar, S Vidhyadhara Shetty, Nikhil Harikrishnan, Natasha Shetty, Jayaprakash K","doi":"10.3389/fdmed.2026.1946257","DOIUrl":"10.3389/fdmed.2026.1946257","url":null,"abstract":"<p><strong>Background: </strong>An ideal intracanal medicament should provide effective antimicrobial action while preserving radicular dentin. This <i>in vitro</i> study compared the effects of simvastatin and modified triple antibiotic paste (mTAP) on root dentin microhardness and fracture resistance.</p><p><strong>Materials and methods: </strong>Fifty-four single-rooted human premolars were randomly assigned to three groups (<i>n</i> = 18): simvastatin, mTAP, and control. Following root canal preparation, medicaments were placed for 1 week. Dentin microhardness was measured using a Vickers hardness tester, and fracture resistance was assessed with a universal testing machine. Statistical significance was set at <i>p</i> < 0.05.</p><p><strong>Results: </strong>Both simvastatin and mTAP significantly reduced dentin microhardness compared with baseline (<i>p</i> < 0.001). The reduction was greatest with simvastatin (29.84 ± 3.92%), followed by mTAP (17.11 ± 7.04%) and control (8.48 ± 1.76%). Fracture resistance also differed significantly among groups (<i>p</i> = 0.0007), with the control group showing the highest values, followed by mTAP and simvastatin.</p><p><strong>Conclusion: </strong>Both medicaments were associated with changes in mechanical properties of root dentin. Simvastatin showed the greatest reduction in microhardness and the lowest fracture resistance among the tested groups. These findings should be interpreted within the limitations of the <i>in vitro</i> experimental model.</p>","PeriodicalId":73077,"journal":{"name":"Frontiers in dental medicine","volume":"7 ","pages":"1946257"},"PeriodicalIF":2.7,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13672000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Shear bond strength of new and recycled orthodontic brackets to enamel surface: an <i>in-vitro</i> study.","authors":"Nadine Ali Abdallah, Ahmed A Holiel, Aly Osman","doi":"10.3389/fdmed.2026.1978887","DOIUrl":"10.3389/fdmed.2026.1978887","url":null,"abstract":"<p><strong>Background: </strong>Recycling brackets is an efficient method to reduce the cost of treatment and decrease waste to the environment. However, various recycling procedures can alter the base of the bracket, thus affecting the bond strength and clinical outcomes.</p><p><strong>Aim of the study: </strong>This study aimed to evaluate the SBS of new and recycled stainless steel orthodontic brackets to enamel surfaces following different recycling procedures.</p><p><strong>Materials and methods: </strong>Fifty extracted human premolars were collected, bonded with stainless steel orthodontic brackets. The premolars were randomly divided into five groups, Group I (control, no recycling), Group II (air abrasion), Group III (silicon carbide stone), Group IV (direct flaming), and Group V (new brackets). Rebonding was performed using the same bonding procedure. All specimens were thermocycled between 5 °C and 55 °C for 3,000 cycles and tested for shear bond strength at a crosshead speed of 1 mm/min using a universal testing machine. The adhesive remnant index (ARI) was evaluated under a stereomicroscope.</p><p><strong>Results: </strong>Significant differences were found between groups (<i>p</i> < 0.001). The highest mean SBS was observed in the new brackets group followed by the air abrasion group Grinding and flaming groups showed the lowest values. Most specimens showed an ARI score of 3, indicating that a high amount of adhesive remained on the enamel surface after debonding.</p><p><strong>Conclusions: </strong>Air abrasion proved to be the most effective recycling technique, producing bond strength comparable to new brackets. Grinding and flaming resulted in lower SBS values and are less suitable for bracket recycling.</p>","PeriodicalId":73077,"journal":{"name":"Frontiers in dental medicine","volume":"7 ","pages":"1978887"},"PeriodicalIF":2.7,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13671926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wei-Dan Wu, Shanshan Lin, Tao-Hsin Tung, Yu-Pei Yang
{"title":"Sex difference in oral frailty Among older hospitalized cancer patients: a cross-sectional survey in taizhou, China.","authors":"Wei-Dan Wu, Shanshan Lin, Tao-Hsin Tung, Yu-Pei Yang","doi":"10.3389/fdmed.2026.1899112","DOIUrl":"10.3389/fdmed.2026.1899112","url":null,"abstract":"<p><strong>Background: </strong>Oral frailty is an associated factor for frailty and may increase the likelihood of transitioning from pre-frailty to frailty in older patients. Therefore, this study analyzed factors associated with oral frailty in older hospitalized patients with cancer in Taizhou, China.</p><p><strong>Methods: </strong>We included 190 older patients with cancer who were hospitalized from April to June 2024 were selected by convenience sampling in a tertiary hospital in Taizhou. A general information questionnaire and the Mini Nutritional Assessment - Short Form, Oral Health Assessment Tool and Oral Frailty Index-8 were used for the investigation. Multivariable logistic regression was used to identify factors associated with oral frailty.</p><p><strong>Results: </strong>190 older in-patients with cancer were included in the study, comprising 111 men and 79 women. The proportion at high risk of oral frailty was 54.7% (men: 57.7% vs. women: 50.6%, <i>p</i> = 0.338). Based on the multivariable logistic regression, patients who with oral frailty had significantly higher odds of denture (OR = 7.710, 95% CI: 2.932-20.275, <i>p</i> < 0.001) and malnutrition (OR = 2.607, 95% CI: 1.197-5.678, <i>p</i> = 0.016). The disparity was also found in the sex-stratified subgroup analyses. In women cancer patients, denture (OR = 6.417, 95% CI: 1.717-23.986, <i>p</i> = 0.006) was the significant factor related to oral frailty. In men cancer patients, denture (OR = 15.858, 95% CI: 3.227-77.929, <i>p</i> < 0.001), xerostomia (OR = 12.725, 95% CI: 1.607-100.763, <i>p</i> = 0.016), malnutrition (OR = 2.972, 95% CI: 1.010-8.743, <i>p</i> = 0.048), and poor oral health (OR = 5.279, 95% CI: 1.009-27.632, <i>p</i> = 0.049) were associated with oral frailty.</p><p><strong>Conclusions: </strong>Oral frailty was common among older cancer patients. Denture and malnutrition may help identify patients at increased likelihood of oral frailty. Therefore, early identify and appropriate treatment were required given the differences in the associated factors to oral frailty among men and women older cancer patients.</p>","PeriodicalId":73077,"journal":{"name":"Frontiers in dental medicine","volume":"7 ","pages":"1899112"},"PeriodicalIF":2.7,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13661377/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Periodontal Medicine 2.0: a framework for evidence-calibrated, integrated and patient-centred care.","authors":"Marde Shraddha Kashinath, Geeta Mandavilli, Prathyusha Chava","doi":"10.3389/fdmed.2026.1907427","DOIUrl":"https://doi.org/10.3389/fdmed.2026.1907427","url":null,"abstract":"<p><p>Periodontal medicine has generated substantial evidence that periodontal and systemic health are biologically, behaviourally, and socially interconnected. Yet a persistent translational gap remains: knowledge of oral-systemic relationships has advanced faster than the systems required to convert this knowledge into coordinated, patient-centred care. Dentistry and medicine continue to operate within fragmented professional structures, limiting opportunities for prevention, early risk identification, and longitudinal disease management. We propose Periodontal Medicine 2.0 (PM2.0), an author derived conceptual hypothesis that reimagines periodontal medicine beyond the study of oral-systemic associations toward evidence-calibrated translation and integrated care. Its proposed contribution lies in the clinically significant interactions amongst the four principal domains centred on the periodontal patient: integrated oral-systemic screening, interprofessional collaborative care, precision periodontal medicine, and population health and policy integration. Digital health and AI, patient engagement, health literacy, equity, ethics and implementation science are positioned as cross-cutting enablers. PM2.0 proposes that these domains should interact according to evidence maturity, clinical relevance and implementation readiness, rather than through uniform integration. The framework distinguishes association from causality, screening from diagnosis, diagnostic performance from clinical utility, and technological capability from demonstrated patient benefit. It proposes a risk based, longitudinal pathway linking periodontal assessment with selective risk identification, coordinated care, individualized management and evaluation. The central hypothesis is that appropriately connected and evidence-calibrated functions may generate greater translational value than fragmented approaches. This proposition is testable through clinical, patient reported, implementation, economic, safety and equity outcomes. PM2.0 is therefore presented not as an established historical stage, clinical guideline or validated model of care, but as a literature-informed hypothesis for the future organization of periodontal medicine- from association to evidence based action, and from action to demonstrable impact.</p>","PeriodicalId":73077,"journal":{"name":"Frontiers in dental medicine","volume":"7 ","pages":"1907427"},"PeriodicalIF":2.7,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13657953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shruthi Hegde, Vidya Ajila, Chethan Hegde, Marakini Subrahmanya Ravi
{"title":"Analysis of morphologic and morphometric features of the temporomandibular joint in patients with and without temporomandibular disorders.","authors":"Shruthi Hegde, Vidya Ajila, Chethan Hegde, Marakini Subrahmanya Ravi","doi":"10.3389/fdmed.2026.1950507","DOIUrl":"https://doi.org/10.3389/fdmed.2026.1950507","url":null,"abstract":"<p><strong>Background: </strong>Temporomandibular disorders (TMD) are common craniofacial conditions characterized by pain and functional limitation. The study was conducted to investigate the association of morphology and morphometric features of the temporomandibular joint (TMJ) with TMD using cone beam computed tomography (CBCT).</p><p><strong>Methods: </strong>This cross-sectional study evaluated 264 TMJs using CBCT of 132 patients within the age range of 18-60 years. The study comprised 66 patients with TMD in the study group and 66 patients without TMD in control group. Parameters analyzed included shape of condyle, glenoid fossa, bony changes, condylar height and width, joint space dimensions, roof of glenoid fossa(RGF) thickness, width and depth. Statistical analysis was performed using SPSS version 26.0. Holm-Bonferroni correction was applied for multiple comparisons. Statistical significance was defined at an adjusted alpha level of <0.05. Effect sizes were calculated for all comparisons.</p><p><strong>Results: </strong>Females predominated in both the study (66.7%) and control (69.7%) groups. Among TMD patients, 16.7% presented with muscle disorders, 42.4% with disc displacement, and 40.9% with joint disorders. Angle-shaped condyles were more frequent in TMD patients on the left side (<i>p</i> = 0.037) and on the right side (<i>p</i> = 0.12); however, after adjustment, <i>p</i>-values exceeded 0.05. Glenoid fossa morphology showed no significant bilateral differences. Degenerative changes were significantly associated with TMD (<i>p</i> < 0.001). The RGF was significantly thinner in cases on the left (<i>p</i> = 0.002) and right (<i>p</i> = 0.007) sides. On comparison of the means of right and left morphometric parameters between cases and controls, reduced RGF in cases was statistically significant (<i>p</i> = 0.008), and other parameters demonstrated no significant differences (<i>p</i> > 0.05). Intra-examiner reliability was excellent (ICC > 0.94).</p><p><strong>Conclusion: </strong>The present morphometric analysis revealed a significant association between reduced RGF thickness and TMDs, warranting further validation in longitudinal studies. Bilateral variations in TMJ morphology underscore the importance of assessing both sides independently, while degenerative changes detected in over one-third of patients highlight the value of CBCT in comprehensive evaluations. Importantly, the normative dataset generated here provides a regional anatomical reference for TMJ prosthesis design and supports CBCT-based evaluation in diagnosis, monitoring, and treatment planning.</p>","PeriodicalId":73077,"journal":{"name":"Frontiers in dental medicine","volume":"7 ","pages":"1950507"},"PeriodicalIF":2.7,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13658117/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shravan Kini, Kishan Paul Raja, S Vidhyadhara Shetty, Mohammed Aleemuddin, Jayaprakash K
{"title":"Comparative evaluation on the bond strength of AH PLUS sealer to root dentin after using different gutta-percha solvents during retreatment.","authors":"Shravan Kini, Kishan Paul Raja, S Vidhyadhara Shetty, Mohammed Aleemuddin, Jayaprakash K","doi":"10.3389/fdmed.2026.1953363","DOIUrl":"https://doi.org/10.3389/fdmed.2026.1953363","url":null,"abstract":"<p><p>Complete removal of gutta-percha during endodontic retreatment is essential for effective canal disinfection and resealing of the root canal system. Gutta-percha solvents may alter dentin characteristics and influence adhesion of sealers. This <i>in vitro</i> study evaluated the effect of castor oil, peppermint oil, wintergreen oil, and xylene on the bond strength of AH Plus sealer to root dentin. Forty extracted human single-rooted teeth were prepared, obturated, and randomly assigned to four groups (<i>n</i> = 10) based on the solvent used during retreatment. Following removal of the root canal filling material and re-obturation with AH Plus sealer, one 1-mm-thick root section was selected from each tooth for push-out bond strength testing using a universal testing machine. Data were analyzed using one-way ANOVA and Bonferroni <i>post hoc</i> tests. Significant differences were observed among the groups (<i>p</i> < 0.001). Castor oil demonstrated the highest bond strength, followed by wintergreen oil, xylene, and peppermint oil. Wintergreen oil showed bond strength values comparable to xylene, whereas peppermint oil exhibited the lowest values. Within the limitations of this study, the choice of gutta-percha solvent significantly influenced the bond strength of AH Plus sealer to root dentin. Castor oil showed superior performance, while wintergreen oil may be considered a potential alternative to xylene.</p>","PeriodicalId":73077,"journal":{"name":"Frontiers in dental medicine","volume":"7 ","pages":"1953363"},"PeriodicalIF":2.7,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13658001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Arish Naresh, Roisin McGrath, Easter Joury, Silvana Bettiol, Sheilla Funubo, Anishma Ram, Zaeni Dahlan, Penioni Ravunawa, Peter Iroga, Frank Kade, Najib Baig, Leenu Maimanuku, Diane Pevreal, Lesley Naidoo, William Carlson-Jones, Tan Minh Nguyen, Zac Morse
{"title":"Integrating oral health into planetary health governance: a framework for resilient and equitable oral healthcare.","authors":"Arish Naresh, Roisin McGrath, Easter Joury, Silvana Bettiol, Sheilla Funubo, Anishma Ram, Zaeni Dahlan, Penioni Ravunawa, Peter Iroga, Frank Kade, Najib Baig, Leenu Maimanuku, Diane Pevreal, Lesley Naidoo, William Carlson-Jones, Tan Minh Nguyen, Zac Morse","doi":"10.3389/fdmed.2026.1962649","DOIUrl":"https://doi.org/10.3389/fdmed.2026.1962649","url":null,"abstract":"<p><p>Oral health is largely absent from climate-adaptation and planetary-health governance, even though oral health and oral healthcare depend on supplies of clean water, stable electricity, secure supply chains, and a retained workforce, which climate change is destabilizing. In this Perspective, we argue that this omission is a strategic failure for health security, and draw on the contrasting experiences of seven climate-exposed settings (Australia, Fiji, Indonesia, New Zealand, the Solomon Islands, South Africa, and the United Kingdom) to show how environmental stressors disrupt progress in promoting oral health, thereby deepening oral disease inequities. Across these settings, extreme weather damages clinics, interrupts water-dependent processes such as instrument sterilization and community water fluoridation, undermines workforce retention in the places least able to absorb staff losses, and falls hardest on populations already underserved. We propose a four-part framework that recognizes the need to embed oral health within climate-critical infrastructure, develop region-specific vulnerability assessments, protect the workforce in climate-exposed regions, and establish adaptive financing. These recommendations promote environmental sustainability through prevention-oriented oral health policy and the implementation of reduced carbon-emitting oral healthcare service delivery models.</p>","PeriodicalId":73077,"journal":{"name":"Frontiers in dental medicine","volume":"7 ","pages":"1962649"},"PeriodicalIF":2.7,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13658057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Editorial: Integrating pediatric oral health and general health.","authors":"Faith Miaomiao Zheng, Palinee Detsomboonrat, Duangporn Duangthip","doi":"10.3389/fdmed.2026.1977888","DOIUrl":"https://doi.org/10.3389/fdmed.2026.1977888","url":null,"abstract":"","PeriodicalId":73077,"journal":{"name":"Frontiers in dental medicine","volume":"7 ","pages":"1977888"},"PeriodicalIF":2.7,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13657084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}