Jiahui Zhao, Zezhou Feng, Yujiang Liu, Silu Sun, Zhiyuan Feng
{"title":"Advances in orthodontic treatment for periodontal disease: a bibliometric analysis, emerging insights and clinical implications.","authors":"Jiahui Zhao, Zezhou Feng, Yujiang Liu, Silu Sun, Zhiyuan Feng","doi":"10.3389/fdmed.2025.1600672","DOIUrl":"10.3389/fdmed.2025.1600672","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to perform a comprehensive bibliometric analysis of research on orthodontic treatment for patients with periodontal disease. By examining publication trends, citation patterns, and research hotspots, we seek to understand the evolution of this field, identify future trends, and promote an integrated approach to enhance treatment outcomes and patient care.</p><p><strong>Methods: </strong>A comprehensive literature search was performed using the Web of Science and PubMed databases with the keywords \"periodontal disease\" \"periodontology\" \"periodontitis\" and \"orthodontics\".The retrieved records were systematically analyzed and visualized utilizing CiteSpace 6.2 and VOSviewer software. Bibliometric analysis was conducted across multiple dimensions, including authorship, geographic distribution (countries and institutions), keyword trends, and citation patterns in relevant journals.</p><p><strong>Results: </strong>After screening titles, abstracts, and keywords, a total of 580 articles met the inclusion criteria for further analysis. The leading publishing countries were China and USA with significant contributions from Grigore T. Popa University of Medicine & Pharmacy. Ionuț Luchian emerged as the most prolific author, while Ainamo J. demonstrated considerable influence based on citation metrics. Authoritative journals, such as the American Journal of Orthodontics and Dentofacial Orthopedics, were identified as the most frequently cited publications in this field.</p><p><strong>Conclusions: </strong>Future research in orthodontic treatment for patients with periodontal disease is expected to focus on developing personalized treatment plans, utilizing innovative biomaterials, designing advanced biomarkers and predictive models, integrating regenerative medicine approaches, and comprehensively assessing patients' overall quality of life. These directions aim to enhance treatment efficacy, improve patient outcomes, and ensure a more holistic and individualized approach to care.</p>","PeriodicalId":73077,"journal":{"name":"Frontiers in dental medicine","volume":"6 ","pages":"1600672"},"PeriodicalIF":1.8,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12328451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144801111","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}
Amal Alfaraj, Faris A Alshahrani, Meshal Albalawi, Naif AlQahtani, Mohammed Alhajji, Ali Sulaiman Alharbi, Sultan Ainoosah, Khalifa S Al-Khalifa
{"title":"Misinformation or education? A comparative analysis of Instagram posts related to full mouth rehabilitation.","authors":"Amal Alfaraj, Faris A Alshahrani, Meshal Albalawi, Naif AlQahtani, Mohammed Alhajji, Ali Sulaiman Alharbi, Sultan Ainoosah, Khalifa S Al-Khalifa","doi":"10.3389/fdmed.2025.1585575","DOIUrl":"10.3389/fdmed.2025.1585575","url":null,"abstract":"<p><strong>Introduction: </strong>Social media platforms have become pivotal in health communication, with Instagram serving as a key channel for sharing medical and dental information. Full Mouth Rehabilitation (FMR), a complex treatment aimed at restoring oral function and aesthetics, remains underrecognized by the general public. This study investigates the nature and accuracy of Instagram content related to FMR.</p><p><strong>Methods: </strong>A cross-sectional content analysis was conducted on 144 Instagram posts using FMR-related hashtags. Posts were classified based on content type, poster role (e.g., dental professional, clinic, influencer), engagement metrics (likes, comments), and accuracy of information. Statistical tests were applied to assess variations across content categories.</p><p><strong>Results: </strong>Marketing-oriented content constituted the majority of posts (75.7%), while educational content accounted for only 9%. Most posts (86.8%) contained non-factual or misleading information. In contrast, all educational posts were factually accurate. Engagement levels did not significantly differ between factual and non-factual posts. Dental professionals were responsible for only 5.6% of the total content, reflecting a notable lack of expert presence.</p><p><strong>Discussion: </strong>Instagram holds significant potential for disseminating accurate dental health information. However, the dominance of promotional content and the low involvement of dental professionals contribute to a high prevalence of misinformation. To enhance the platform's reliability as a health communication tool, increased participation by dental experts and improved content oversight are essential. Future research should evaluate strategies for promoting evidence-based information on social media, particularly for advanced procedures like FMR.</p>","PeriodicalId":73077,"journal":{"name":"Frontiers in dental medicine","volume":"6 ","pages":"1585575"},"PeriodicalIF":1.8,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12328297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144801112","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":"Evaluating Dickkopf-1 as a biomarker: insights into periodontitis, rheumatoid arthritis, and their comorbidity-a systematic review and meta-analysis.","authors":"Bawatharani Maharavi, Jaideep Mahendra, Deepa Ponnaiyan, Vijayalakshmi Rajaram, Pragya Gyanchand, Roshan R Rughwani, Kaustubh Suresh Thakare, Gayathri Kumar, Gauri Patil","doi":"10.3389/fdmed.2025.1593218","DOIUrl":"10.3389/fdmed.2025.1593218","url":null,"abstract":"<p><strong>Background: </strong>Dickkopf-1 is a glycoprotein that inhibits Wingless-related integration site signaling, impairing osteoblast and osteoclast functions, leading to bone loss and systemic inflammation linked to periodontitis and rheumatoid arthritis. <i>Porphyromonas gingivalis</i> exacerbates rheumatoid arthritis through citrullination and inflammation, highlighting their bidirectional relationship. To date no meta-analysis has examined the role of Dickkopf-1 in periodontitis, rheumatoid arthritis, and their comorbidity. Therefore, we conducted this meta-analysis to investigate the association and role of Dickkopf-1 in these comorbid conditions.</p><p><strong>Methods: </strong>The present study was conducted in accordance with the guidelines of Transparent Reporting of Systematic Reviews and Meta-Analyses PRISMA statement (registered at PROSPERO under the number CRD42025643227). A total of 15 studies (14 case-control and 1 cross-sectional) were selected out of 386 using databases like PubMed and Google Scholar (by BM, JM, and DP). A random-effects model evaluated Dickkopf-1 levels in serum/gingival crevicular fluid in periodontitis and rheumatoid arthritis via standardized mean difference (SMD) and 95% confidence intervals (CI). Heterogeneity and publication bias were assessed using statistical metrics, forest plots, funnel plots, Begg's test, and Egger's regression.</p><p><strong>Results: </strong>A total of 386 studies were retrieved and 15 were included in the meta-analysis, encompassing 4,438 participants (2,190 cases and 2,248 controls). The pooled SMD of 2.694 (<i>p</i> = 0.02; 95% CI: 1.170-6.203) indicated a significant association of Dickkopf-1 with periodontitis and/or rheumatoid arthritis compared to healthy controls. However, Egger's test revealed a t-value of 3.05 (<i>p</i> = 0.009), indicating significant publication bias.</p><p><strong>Conclusion: </strong>Elevated Dickkopf-1 levels in rheumatoid arthritis and periodontitis patients suggest its critical role in the pathogenesis of both conditions. Hence, Dickkopf-1 holds therapeutic potential for managing interconnected inflammatory and bone disorders and may serve as a biomarker for diagnosing these diseases.</p><p><strong>Systematic review registration: </strong>https://www.crd.york.ac.uk/PROSPERO/search, PROSPERO CRD42025643227.</p>","PeriodicalId":73077,"journal":{"name":"Frontiers in dental medicine","volume":"6 ","pages":"1593218"},"PeriodicalIF":1.8,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12318980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144786092","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}
Ana Iglesias-Poveda, Javier Flores-Fraile, Diego González-Gil, Joaquín López-Marcos
{"title":"Comparative evaluation of caries detector dyes and laser fluorescence systems for intraoperative diagnosis during selective caries removal: a scoping review.","authors":"Ana Iglesias-Poveda, Javier Flores-Fraile, Diego González-Gil, Joaquín López-Marcos","doi":"10.3389/fdmed.2025.1600500","DOIUrl":"10.3389/fdmed.2025.1600500","url":null,"abstract":"<p><strong>Background: </strong>Selective caries removal aims to preserve pulp vitality and tooth structure by eliminating only infected dentin. Caries detector dyes and laser fluorescence devices are the main diagnostic tools supporting this minimally invasive approach.</p><p><strong>Objective: </strong>To evaluate and compare the diagnostic performance, benefits, and limitations of these two modalities. Additionally, it examines potential synergies with magnification tools and proposes future directions for clinical protocol development.</p><p><strong>Methods: </strong>A scoping review was conducted following PRISMA-ScR guidelines. Of 124 articles screened, four met the inclusion criteria for direct comparison of caries detector dyes and laser fluorescence systems. Diagnostic accuracy, clinical outcomes, and bias risk (ROBINS-I/ROBINS-E) were assessed.</p><p><strong>Results: </strong>All four studies supported the effectiveness of both techniques in selective caries removal. Laser fluorescence devices showed higher sensitivity (ranging from 0.76 to 0.92) and specificity (0.74 to 0.88), along with better accuracy in detecting infected dentin compared to dyes. Dyes were noted for ease of use but showed greater variability in outcomes. Risk of bias ranged from low to moderate across studies.</p><p><strong>Conclusions: </strong>Laser fluorescence systems appear to be more reliable for intraoperative caries detection during selective caries removal. Nevertheless, a combined diagnostic approach, particularly with magnification, may optimize outcomes. These findings support the integration of fluorescence systems in caries management protocols. Further clinical trials are needed to validate these findings and develop standardized, evidence-based protocols.</p>","PeriodicalId":73077,"journal":{"name":"Frontiers in dental medicine","volume":"6 ","pages":"1600500"},"PeriodicalIF":1.8,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12307344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755261","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":"Teledentistry and one health: a sustainable framework for oral and planetary health.","authors":"Arish Naresh, Zac Morse, Silvana Bettiol","doi":"10.3389/fdmed.2025.1631548","DOIUrl":"10.3389/fdmed.2025.1631548","url":null,"abstract":"<p><p>This community case study documents the integration of One Health approaches in a teledentistry initiative designed to enhance oral health access for children in Tairāwhiti, New Zealand, a region where Māori children experience significantly higher rates of dental decay than non-Māori. Health New Zealand Tairāwhiti established a virtual dental clinic for children aged 0-2 years, providing care through mobile phones and Zoom. The initiative incorporated the Māori concept of \"whakawhanauatanga\" to build rapport while conducting assessments and delivering preventive guidance. Between March and December 2024, the service delivered 656 appointments, including 114 for patients in rural locations, resulting in a substantial reduction in travel time and associated carbon emissions. The program utilized a family-based enrollment approach that facilitated access for siblings who might otherwise have remained outside the oral health system into care. This model addresses multiple dimensions of planetary health and the One Health framework simultaneously improving clinical access for vulnerable populations, enhancing preventive education, supporting culturally responsive care for Māori families, and reducing environmental impacts through decreased travel. The findings demonstrate how teledentistry, when designed with sustainability principles, can effectively address oral health inequities while contributing to planetary health through reduced carbon footprint.</p>","PeriodicalId":73077,"journal":{"name":"Frontiers in dental medicine","volume":"6 ","pages":"1631548"},"PeriodicalIF":1.8,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12307373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755262","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}
Yusheng Meng, Min Wu, Shuang Wang, Xiuqiao Yang, Yun Liu
{"title":"The histological and radiological evaluation of autologous peripheral venous blood concentrates in socket preservation: a systematic review and meta-analysis.","authors":"Yusheng Meng, Min Wu, Shuang Wang, Xiuqiao Yang, Yun Liu","doi":"10.3389/fdmed.2025.1602738","DOIUrl":"10.3389/fdmed.2025.1602738","url":null,"abstract":"<p><strong>Objectives: </strong>A detailed meta-analysis and systematic search was conducted to assess the histologic and radiographic efficacy of autologous peripheral venous blood concentrates (APVBCs) for the socket preservation.</p><p><strong>Design: </strong>Electronic databases were searched until 31 January 2025. Randomized controlled trials (RCTs) and controlled clinical trials (CCTs) in English were identified. Alveolar bone reconstruction was assessed through histologic and radiographic evaluation after tooth extraction. Data were analyzed using Revman5.3, and the risk of bias was evaluated with the Cochrane Collaboration tool.</p><p><strong>Results: </strong>A total of 16 studies (12 RCTs and 4 CCTs) involving 619 sites was included in our meta-analysis. The results indicated that the APVBCs application significantly reduced the vertical bone resorption in the buccal ridge (standardized mean difference [SMD]: -0.30; 95% confidence interval [CI]: -0.54 to -0.06; <i>p</i> = 0.02, <i>I</i> <sup>2</sup> = 5%) and palatal/lingual ridge (SMD:-0.30, 95% CI: -0.54 to -0.06; <i>p</i> = 0.02, <i>I</i> <sup>2</sup> = 0%) by radiographic analysis. In addition, the vertical resorption of the buccal and palatal/lingual alveolar ridge was significantly reduced by using materials combined with APVBCs as the filling material for extraction sockets. The newly formed bone percentage showed a statistically significant increase in APVBC presence during socket preservation (SMD: 1.27, 95% CI: 0.65-1.89; <i>p</i> < 0.0001, <i>I</i> <sup>2</sup> = 71%) and APVBC + material groups (SMD: 0.85, 95% CI: 0.35-1.35; <i>p</i> = 0.0009, <i>I</i> <sup>2</sup> = 0%). However, APVBCs + materials did not show significant effects on the remaining graft particles.</p><p><strong>Conclusions: </strong>APVBCs in socket preservation can reduce vertical bone resorption and enhance new bone formation. Meanwhile, APVBCs may improve osteogenic efficiency with bone graft material.</p><p><strong>Systematic review registration: </strong>https://www.crd.york.ac.uk/PROSPERO/view/CRD420250653020, identifier CRD420250653020.</p>","PeriodicalId":73077,"journal":{"name":"Frontiers in dental medicine","volume":"6 ","pages":"1602738"},"PeriodicalIF":1.8,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12289649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735787","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}
Giuseppina Laganà, Arianna Malara, Roberta Lione, Patrizio Bollero, Paola Cozza
{"title":"Effects of Class II elastics on lower incisors during treatment with clear aligners vs. fixed appliance: a randomized clinical trial.","authors":"Giuseppina Laganà, Arianna Malara, Roberta Lione, Patrizio Bollero, Paola Cozza","doi":"10.3389/fdmed.2025.1613037","DOIUrl":"10.3389/fdmed.2025.1613037","url":null,"abstract":"<p><strong>Aim: </strong>To analyze the inclination of the lower incisor in patients with Class II malocclusion treated with elastics and clear aligners compared to a group wearing the same elastics and fixed appliance.</p><p><strong>Trial design: </strong>Prospective two-arms parallel group randomized clinical trial with a 1:1 allocation ratio.</p><p><strong>Materials and methods: </strong>A sample of 40 patients (19M and 21F), mean age 15.4 ± 1.8 years, was collected from the Department of Orthodontics at Policlinico Tor Vergata (Rome), and was randomly divided in two groups: Invisalign clear aligner group (AG), which consisted of 20 subjects (8M, 12F) and multibracket fixed appliance group (MBG), composed by 20 patients (9M, 11F). The subjects were selected according to inclusion criteria: full permanent dentition (excluding third molars), Class II molar relationship (2.5-4 mm), no history of orthodontic treatment. For each participant of the study, dental and aesthetic measurements, both millimeter and angular were performed on the lateral cephalogram at time T0 (before treatment) and time T1 (after 18 months of treatment).</p><p><strong>Results: </strong>In the short term (T1-T0 = 18 months), the analysis of the results showed no statistically significant changes in all evaluated parameters (IMPA, L1/A-Pg, Md1-TVL, LLA-TVL, <i>p</i> > 0.05). Therefore, there were no statistically significant change in the inclination of the lower incisors.</p><p><strong>Conclusions: </strong>The use of Class II elastics in AG group showed a better control of the lower incisors' inclination, compared to the MBG group. Therefore, aligners represent a good alternative in the correction of mild Class II malocclusion in cases where the lower incisors proclination is undesirable.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov (registration number: NCT06832475).</p>","PeriodicalId":73077,"journal":{"name":"Frontiers in dental medicine","volume":"6 ","pages":"1613037"},"PeriodicalIF":1.8,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12286962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144710113","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}
Heber Isac Arbildo-Vega, Fredy Hugo Cruzado-Oliva, Franz Tito Coronel-Zubiate, Rubén Aguirre-Ipenza, Joan Manuel Meza-Málaga, Sara Antonieta Luján-Valencia, Eduardo Luján-Urviola, Adriana Echevarria-Goche, Carlos Alberto Farje-Gallardo, Tania Belú Castillo-Cornock, Katherine Serquen-Olano, Tania Padilla-Cáceres, Luz Caballero-Apaza
{"title":"Association between periodontal disease and Alzheimer's disease: umbrella review.","authors":"Heber Isac Arbildo-Vega, Fredy Hugo Cruzado-Oliva, Franz Tito Coronel-Zubiate, Rubén Aguirre-Ipenza, Joan Manuel Meza-Málaga, Sara Antonieta Luján-Valencia, Eduardo Luján-Urviola, Adriana Echevarria-Goche, Carlos Alberto Farje-Gallardo, Tania Belú Castillo-Cornock, Katherine Serquen-Olano, Tania Padilla-Cáceres, Luz Caballero-Apaza","doi":"10.3389/fdmed.2025.1635200","DOIUrl":"10.3389/fdmed.2025.1635200","url":null,"abstract":"<p><strong>Background: </strong>Alzheimer's disease (AD) and periodontal disease (PD) are both chronic conditions with rising global prevalence. Emerging research suggests a possible link between PD-induced systemic inflammation and neurodegeneration observed in AD.</p><p><strong>Objective: </strong>Employ an umbrella review to look into the association between periodontal disease and Alzheimer's disease.</p><p><strong>Materials and methods: </strong>A comprehensive search was conducted until March 2025 across various electronic databases, including: PubMed, Cochrane Library, Scopus, SciELO, Web of Science, Google Scholar, ProQuest, and OpenGrey, and Dissertations and Theses. There were no time or language restrictions on the inclusion of systematic reviews (SR), with or without meta-analysis, as long as they looked at primary research that connected PD and AD. The following were excluded: preclinical and fundamental research, summaries, comments, case reports, protocols, personal opinions, letters, posters, literary or narrative reviews, fast reviews, intervention studies, and observational studies. The quality and general confidence of the included studies were evaluated using the AMSTAR-2 technique.</p><p><strong>Results: </strong>A total of 358 items were found following the first search. 16 articles were left for additional review after the selection criteria were applied. With odds ratios (OR) and risk ratios (RR) ranging from 1.67 to 2.17 and 1.11 to 2.26, respectively, 14 studies showed a correlation between PD and AD.</p><p><strong>Conclusions: </strong>Drawing from the findings and conclusions of the SR demonstrating a high overall confidence, it's established that PD and tooth loss exhibit an association with AD.</p><p><strong>Systematic review registration: </strong>Registered in the Open Science Framework (OSF): DOI 10.17605/OSF.IO/GS367.</p>","PeriodicalId":73077,"journal":{"name":"Frontiers in dental medicine","volume":"6 ","pages":"1635200"},"PeriodicalIF":1.5,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700524","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}
Lucas T Woods, Kimberly J Jasmer, Kevin Muñoz Forti, Alex Kearns, Gary A Weisman
{"title":"Salivary gland transcriptomic analysis and immunophenotyping in the IL-14α transgenic mouse model of Sjögren's disease.","authors":"Lucas T Woods, Kimberly J Jasmer, Kevin Muñoz Forti, Alex Kearns, Gary A Weisman","doi":"10.3389/fdmed.2025.1612522","DOIUrl":"10.3389/fdmed.2025.1612522","url":null,"abstract":"<p><p>Sjögren's disease (SjD) is a systemic autoimmune disorder primarily affecting the exocrine glands and characterized by dry mouth and dry eye, the presence of anti-SSA and/or anti-SSB autoantibodies in blood serum, and chronic lymphocytic infiltration of salivary and lacrimal glands (<i>i.e.</i>, sialadenitis and dacryoadenitis, respectively). In addition to reduced quality of life, SjD patients experience severe oral health complications and are at increased risk of developing B cell lymphoma. Because current SjD treatments primarily focus on oral and ocular symptom management, identifying initiating factors and mechanisms of disease progression may offer new therapeutic insights for SjD. The interleukin-14α transgenic (IL-14αTG) mouse model of SjD recapitulates many aspects of human SjD, including progressive sialadenitis, loss of salivary gland function, and development of B cell lymphoma. We utilized immunofluorescence, flow cytometry, bulk RNA sequencing and spatial transcriptomic analyses to identify immune cell subpopulations and differentially expressed genes (DEGs) in submandibular glands of IL-14αTG Sjögren's-like mice and age-matched C57BL/6 mouse controls. We further compared the gene ontology of DEGs in IL-14αTG mice to DEGs identified in minor salivary gland biopsies from SjD patients and healthy volunteers. Results demonstrated significantly increased sialadenitis in IL-14αTG compared to C57BL/6 mice that correlated with an increased proportion of marginal zone B cells infiltrating the submandibular gland. Whole transcriptome analyses showed substantial overlap in enriched DEG ontology between IL-14αTG mouse submandibular gland and SjD patient minor salivary gland, compared to C57BL/6 mice and healthy human volunteer controls, respectively. Lastly, we spatially resolved DEG expression and localization within IL-14αTG salivary glands, marking the first publication of a spatial transcriptomic dataset from submandibular glands in a SjD mouse model.</p>","PeriodicalId":73077,"journal":{"name":"Frontiers in dental medicine","volume":"6 ","pages":"1612522"},"PeriodicalIF":1.5,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12279800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692639","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}
Andrea Boggio, Mauro Cozzani, Fabrizio Anelli, Giorgio Gastaldi, Antonio Manni
{"title":"Full-Digital Manni Telescopic Herbst: structural innovation and digital manufacturing.","authors":"Andrea Boggio, Mauro Cozzani, Fabrizio Anelli, Giorgio Gastaldi, Antonio Manni","doi":"10.3389/fdmed.2025.1639784","DOIUrl":"10.3389/fdmed.2025.1639784","url":null,"abstract":"<p><strong>Introduction: </strong>Skeletal Class II malocclusion, commonly characterized by mandibular retrusion, affects a significant portion of the population and presents challenges in orthodontic correction. The Herbst Appliance has long been used for mandibular advancement, but traditional designs often lead to undesirable dental side effects and mechanical complications. This paper introduces the structural innovation and digital manufacturing of Full Digital Manni Telescopic Herbst (MTH) Appliance, a structurally innovative and digitally manufactured system aimed at enhancing clinical outcomes and reducing treatment failures.</p><p><strong>Materials and equipment: </strong>Utilizing a fully digital workflow, including CAD/CAM design, intraoral scanning, and additive manufacturing, the MTH appliance integrates a full-coverage mandibular splint, digitally designed and precision-engineered maxillary and mandibular components.</p><p><strong>Results: </strong>The clinical implementation of the MTH appliance demonstrates excellent fit and high mechanical reliability, reducing lower incisor proclination and offering a proper vertical control. Complications such as debonding or fractures can be significantly reduced and digital reproducibility allows for fast component replacement when needed.</p><p><strong>Discussion and conclusion: </strong>This design improves skeletal correction by enhancing anchorage, minimizing lower incisor proclination, and allowing precise vertical and sagittal control. The digital workflow not only improves fabrication accuracy and patient comfort but also facilitates easy component replacement and reduced chairside time. The MTH appliance sets a new benchmark in Class II treatment, blending digital precision with biomechanical effectiveness.</p>","PeriodicalId":73077,"journal":{"name":"Frontiers in dental medicine","volume":"6 ","pages":"1639784"},"PeriodicalIF":1.5,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12277251/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683730","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}