BMC Oral HealthPub Date : 2025-07-19DOI: 10.1186/s12903-025-06623-w
Yunlin Guan, Jiarong Xu, Junhong Qiu, Hao Cai, Wenxuan Xia, Zhou Ye, Ting Sang
{"title":"Multiparametric performance comparison of dental composites for clear aligner attachments.","authors":"Yunlin Guan, Jiarong Xu, Junhong Qiu, Hao Cai, Wenxuan Xia, Zhou Ye, Ting Sang","doi":"10.1186/s12903-025-06623-w","DOIUrl":"10.1186/s12903-025-06623-w","url":null,"abstract":"<p><strong>Background: </strong>As clear aligner technology (CAT) gains prominence, the performance of composite attachments - critical devices for optimizing aligner retention and tooth movement control - require systematic evaluation. This study assesses three light-cured composites (Filtek™ Z250 XT, Z350 XT, and P60; 3 M ESPE) regarding color stability, shear bond strength (SBS), and durability to establish evidence-based selection criteria.</p><p><strong>Methods: </strong>Attachments were bonded to mandibular premolars, simulating the clinical process, and materials were tested for color changes (after immersion in coffee, cola, or iced tea), SBS, and durability (wear volume, surface roughness, morphology, post-aging SBS). The data obtained from the study were statistically evaluated via the Shapiro-Wilk test, the Levene test, t-tests, one-way analysis of variance and chi-square test. A p-value < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>Z250 showed significantly higher coffee - induced discoloration than Z350 (p < 0.05) and P60 (p < 0.01), exceeding clinical acceptability (ΔE<sub>00</sub> ≥ 3.3). Z250 also emerged similar trends with cola and iced tea. Z350 exhibited the highest immediate SBS (p < 0.05 vs. Z250) that may cause enamel damage. P60 demonstrated superior wear resistance, with significantly lower surface roughness (Sq / Sa) than Z250 (p < 0.001) and Z350 (p < 0.01), and the smallest post-wear defect volume (p < 0.01 vs. Z250). The SBS differences in immediate groups were eliminated through aging treatment.</p><p><strong>Conclusions: </strong>Z250 underperformed in color stability, SBS, and durability versus Z350/P60, though demonstrated cost-effectiveness. Z350 offers outstanding color durability and higher SBS but risks enamel damage from interfacial delamination. P60 excels with color stability, acceptable adhesive remnants, and exceptional wear resistance, serving diverse clinical needs. Clinical decisions could prioritize P60 for function-aesthetic balance, with targeted Z350/Z250 use in special scenarios.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"1206"},"PeriodicalIF":2.6,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BMC Oral HealthPub Date : 2025-07-19DOI: 10.1186/s12903-025-06555-5
Ammar Shawkat Abdul Kareem, Wegdan Mohamed Abdel-Fattah, Marihan Ibrahim Lotfy El Gayar
{"title":"Evaluation of color stability and surface roughness of smart monochromatic resin composite in comparison to universal resin composites after immersion in staining solutions.","authors":"Ammar Shawkat Abdul Kareem, Wegdan Mohamed Abdel-Fattah, Marihan Ibrahim Lotfy El Gayar","doi":"10.1186/s12903-025-06555-5","DOIUrl":"10.1186/s12903-025-06555-5","url":null,"abstract":"<p><strong>Background: </strong>The color stability and surface roughness of resin composites are the primary factors influencing the qualities of restorative materials. This study aimed to assess the color stability and surface roughness of a smart monochromatic resin composite submerged in various staining solutions.</p><p><strong>Materials and methods: </strong>Ninety-nine disc samples of composite resins (8 mm in diameter and 2 mm in thickness) were prepared and divided into three groups (n = 33): Group A, Omnichroma (Tokuyama Dental, Tokyo, Japan); Group B, Neo Spectra ST HV (Dentsply, Konstanz, Germany); and Group C, Filtek Z350XT (3MESPE) composite resins. The samples were assessed for color stability (M) via a Vita Easyshade spectrophotometer and surface roughness (Ra) with a profilometer before and after thermocycling for a total of 1000 cycles at 5°/55°C with a 15-second dwell time. Each group was subdivided into three subgroups according to immersion solution (n = 11): Subgroup I was submerged in distilled water as a control, Subgroup II was submerged in tea, and Subgroup III was submerged in coffee. Color assessment was performed after immersion periods of T1: 7 days, T2: 15 days, and T3: 30 days with a Vita Easyshade spectrophotometer. A color change (∆E00) was obtained via the CIEDE2000 color difference formula. Surface roughness was assessed with a profilometer after 30 days of submersion in the staining solutions.</p><p><strong>Results: </strong>Among all the samples in the study groups, Omnichroma had the lowest color change value for all the immersion solutions at different time intervals (p < 0.001). The surface roughness of Omnichroma significantly differed after thermocycling (P = 0.075). However, Omnichroma had the least surface roughness compared with Neo Spectra ST HV (P = 0.026) and Filtek Z350XT (P = 0.024).</p><p><strong>Conclusion: </strong>The color change and surface roughness of the supra-nanofilled (Omnichroma) resin-based composite were inferior to those of the nanohybrid (Neo Spectra) and nanofilled (Filtek Z350XT) composites.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"1211"},"PeriodicalIF":2.6,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BMC Oral HealthPub Date : 2025-07-19DOI: 10.1186/s12903-025-06488-z
Qiqi Liu, Yujia Zhao, Junjiang Hao, Lin Qiu, Hanqi Su, Xinyu Wang, Yucheng Su
{"title":"Preparation of high-quality pure titanium SLA surface and evaluation of its physicochemical and biological properties - in vitro experiments.","authors":"Qiqi Liu, Yujia Zhao, Junjiang Hao, Lin Qiu, Hanqi Su, Xinyu Wang, Yucheng Su","doi":"10.1186/s12903-025-06488-z","DOIUrl":"10.1186/s12903-025-06488-z","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to prepare high-quality sandblasted large-grit acid-etched surfaces of pure titanium and to evaluate their physicochemical and biological properties.</p><p><strong>Methods: </strong>We investigated the acid-etching parameters of pure titanium under two sandblasting conditions, focusing on acid concentration, temperature, and time, utilizing an orthogonal experimental design. The optimal conditions for each sandblasted titanium surface were determined through range analysis, enabling the production of high-quality sandblasted large-grit acid-etched surfaces. Surface properties, including morphology and elemental composition, were assessed, along with biocompatibility tests for cell adhesion, proliferation, and osteogenic differentiation.</p><p><strong>Results: </strong>For sandblasted group a, the optimal acid-etching parameters were a mixture of 4.6 mol/L sulfuric acid and 0.814 mol/L hydrochloric acid at 60 °C for 60 min, which yielded a moderately rough surface (Group A: Sa = 1.30 ± 0.07μm). The optimal acid etching parameters for sandblasting group b were etching at 80 °C for 30 min in the same mixed solution to form a rough surface (Group B: Sa = 2.60 ± 0.10μm). Both surface treatments resulted in hydrophilicity and superior cell proliferation and osteogenic differentiation compared with those of the controls.</p><p><strong>Conclusions: </strong>Different parameters of large-particle sandblasting and acid etching treatments can create pure titanium surfaces with varying degrees of roughness. However, both of which demonstrate favorable physicochemical and biological properties.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"1220"},"PeriodicalIF":2.6,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BMC Oral HealthPub Date : 2025-07-19DOI: 10.1186/s12903-025-06546-6
Momen M Mhmod, Ehab E Hassanien, Ashraf M Abu-Seida, Salma H El Ashry, Mohamed M Nagy, Sara H Fahmy, Elhassan E E Hassanein
{"title":"Pulp response following direct pulp capping with Tideglusib and mineral trioxide aggregate: an animal study.","authors":"Momen M Mhmod, Ehab E Hassanien, Ashraf M Abu-Seida, Salma H El Ashry, Mohamed M Nagy, Sara H Fahmy, Elhassan E E Hassanein","doi":"10.1186/s12903-025-06546-6","DOIUrl":"10.1186/s12903-025-06546-6","url":null,"abstract":"<p><strong>Background: </strong>Several biomaterials have been employed for direct pulp capping (DPC) with varying degrees of success. This study evaluated the pulp response following DPC with a new material developed from glycogen synthase kinase-3 inhibitors (Tideglusib) and mineral trioxide aggregate (MTA).</p><p><strong>Methods: </strong>Class V cavities with pulp exposure were conducted on 56 teeth in two adult male mongrel dogs. Based on the evaluation periods, these teeth were divided into two major groups at random (28 teeth/dog each). Groups A and B underwent histopathology evaluations three and eight weeks following DPC, respectively. Depending on the capping material used, each main group was further divided into two equal subgroups (14 teeth each). ProRoot white MTA was applied directly to the exposed vital pulps in subgroup 1. While subgroup 2's exposed pulps were immediately capped with resorbable collagen that had been soaked in a freshly made 50 nM Tideglusib drug solution. Glass ionomer filling was then used to seal the access cavities. Every specimen underwent histological evaluation and was scored according to the number of inflammatory cells, the disorganization of the pulp tissue, and the formation of calcific bridges. All data were statistically examined.</p><p><strong>Results: </strong>In both groups A and B, subgroup 2 showed a statistically significant increase in the number of inflammatory cells and pulp tissue disorganization compared to subgroup 1 (P < 0.05). In both groups A and B, there was no statistically significant difference in the formation of new hard tissue between subgroups 1 and 2 (P = 0.157).</p><p><strong>Conclusion: </strong>When used as direct vital pulp capping materials in a dog model, Tideglusib causes more soft tissue disorganization and an inflammatory response inside the pulp cavity than ProRoot white MTA.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"1218"},"PeriodicalIF":2.6,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BMC Oral HealthPub Date : 2025-07-19DOI: 10.1186/s12903-025-06626-7
Gizem Yılmaz, Zeynep Yeşil
{"title":"Correction: A new era in provisional restorations: evaluating marginal accuracy and fracture strength in additive, substractive and conventional techniques.","authors":"Gizem Yılmaz, Zeynep Yeşil","doi":"10.1186/s12903-025-06626-7","DOIUrl":"10.1186/s12903-025-06626-7","url":null,"abstract":"","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"1215"},"PeriodicalIF":2.6,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The key target and role of betel nut in oral squamous cell carcinoma.","authors":"Tianyi Zhang, Haofeng Xiong, Liujun Zeng, Zhimin Yang, Xin Hu, Tong Su","doi":"10.1186/s12903-025-06558-2","DOIUrl":"10.1186/s12903-025-06558-2","url":null,"abstract":"<p><strong>Background: </strong>Betel nut consumption is closely related to oral cancer. This study aimed to explore the crucial target and role of betel nut in oral cancer.</p><p><strong>Methods: </strong>We used RNA sequencing and protein-protein interaction networks to screen the key target of betel nut in oral cancer. Enrichment analysis was used to explore the role of betel nut. Immunohistochemical analysis was used to identify the expression trend of the key target, and survival analysis was used to explore the prognostic value of the key target. The animal model of oral cancer was used to verify the key target of betel nut.</p><p><strong>Results: </strong>Firstly, 1108 genes were differentially expressed in oral cancer under the influence of betel nut, which may be involved in \"metabolic pathways.\" Moreover, TP53 was the key target of betel nut and was upregulated, resulting in poor prognosis in patients with oral cancer. Finally, the differential expression and role of TP53 in oral cancer with betel nut were validated by human and animal samples.</p><p><strong>Conclusions: </strong>In conclusion, we found that TP53 upregulation may be the crucial biological phenomenon in the oral cancer with betel nut, indicating that TP53 may be the key target of betel nut in oral cancer.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"1212"},"PeriodicalIF":2.6,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BMC Oral HealthPub Date : 2025-07-19DOI: 10.1186/s12903-025-06487-0
Brice Joseph, Nessma Sultan, Soher Nagi Jayash
{"title":"Can the use of silver nanoparticles in dental implants increase its antimicrobial potency? - systematic review.","authors":"Brice Joseph, Nessma Sultan, Soher Nagi Jayash","doi":"10.1186/s12903-025-06487-0","DOIUrl":"10.1186/s12903-025-06487-0","url":null,"abstract":"<p><strong>Background: </strong>Silver nanoparticles (AgNPs) is a promising nanotechnological solution to prevent microbial colonization on dental implants, offering a promising avenue for combating implant-related infections and improving long-term treatment outcomes.</p><p><strong>Methods: </strong>Using manual search and electronic databases such as PubMed Advanced Search and Google Scholar, a methodical search was carried out from 2013 to 2023 utilizing keywords, and inclusion and exclusion criteria to find pertinent papers addressing the research question \"Can the use of silver nanoparticles in dental implants increase its antimicrobial potency?\". Critical Appraisal analysis for this review was done using risk of bias tool for in vitro studies: QUIN tool.</p><p><strong>Results: </strong>Nine of the 122 articles that were retrieved underwent the three-step screening process before being chosen for the final analysis. QUIN Tool were used to evaluate the quality of the included in vitro studies. The summarized results from nine studies reveal the efficacy of AgNPs in inhibiting microorganisms and preventing biofilm formation on dental implants. In vitro tests demonstrate AgNPs' ability to hinder bacterial growth associated with peri-implantitis. Various techniques, including surface modifications and nanostructure incorporations, exhibit promising antibacterial effects.</p><p><strong>Conclusions: </strong>AgNPs show promise in inhibiting multidrug-resistant bacteria, enhancing dental implant biocompatibility, and reducing peri-implant diseases, benefiting clinical outcomes and limiting bacterial colonization.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"1221"},"PeriodicalIF":2.6,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BMC Oral HealthPub Date : 2025-07-19DOI: 10.1186/s12903-025-06615-w
Linn Baumann, Verena Klusmann, Charlène Bamberg, Stefan Rüttermann, Susanne Gerhardt-Szép
{"title":"Effectiveness of HAPA-based oral hygiene instruction in patients over 65 years of age: a randomized controlled trial.","authors":"Linn Baumann, Verena Klusmann, Charlène Bamberg, Stefan Rüttermann, Susanne Gerhardt-Szép","doi":"10.1186/s12903-025-06615-w","DOIUrl":"10.1186/s12903-025-06615-w","url":null,"abstract":"","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"1209"},"PeriodicalIF":2.6,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BMC Oral HealthPub Date : 2025-07-19DOI: 10.1186/s12903-025-06550-w
Zixiang Dai, Jiali An, Xiaofeng Huang
{"title":"Arginine-loaded mesoporous silica nanoparticles modified 3D-printed nanocomposite denture base resin with improved mechanical and antimicrobial properties.","authors":"Zixiang Dai, Jiali An, Xiaofeng Huang","doi":"10.1186/s12903-025-06550-w","DOIUrl":"10.1186/s12903-025-06550-w","url":null,"abstract":"<p><strong>Background: </strong>Three-dimensional (3D) printed denture base resin exhibits limitations including low wear resistance, poor strength, and the lack of antimicrobial property. This study investigated the mechanical and antimicrobial properties of arginine-loaded mesoporous silica nanoparticles (Arg@MSNs) modified 3D-printed denture resin.</p><p><strong>Methods: </strong>Arg@MSNs were synthesized, characterized, and incorporated into resin matrix at 0.5, 1.0, and 2.5 wt%, unmodified resin was served as control. Specimens were fabricated according to test specifications. Surface roughness (Ra), color alteration (ΔE), flexural strength/modulus, hardness and antimicrobial efficacy against Streptococcus mutans and Candida albicans were assessed. Data were evaluated by one-way analysis of variance, followed by the Tukey honestly significant difference post hoc test, with a significance level set at 0.05.</p><p><strong>Results: </strong>Results showed that Arg@MSNs exhibited sustained arginine release and nanoscale morphology. The 2.5 wt% group demonstrated the highest Ra and ΔE value, significantly higher than other groups (p < 0.05). Flexural strength and modulus significantly improved at 0.5 wt% and 1.0 wt% compared to the control (p < 0.05), but decreased at 2.5 wt%. Incorporation of Arg@MSNs at all levels increased hardness, significantly exceeding that of the control (p < 0.05). Antimicrobial performance significantly improved with higher concentrations of Arg@MSNs.</p><p><strong>Conclusions: </strong>The addition of 1.0 wt% Arg@MSNs imparted synergistic enhancements in antimicrobial efficacy and mechanical properties to the 3D-printed nanocomposite, while maintaining clinically acceptable surface roughness and aesthetic performance. These findings demonstrated that Arg@MSNs modified 3D-printed nanocomposite denture base resin, by combining 3D-printed resin with nanotechnology, has promising potential for functionalized dental prostheses.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"1205"},"PeriodicalIF":2.6,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BMC Oral HealthPub Date : 2025-07-19DOI: 10.1186/s12903-025-06377-5
Marwa M Alnsour, Razan Alenezi, Motaz Barakat, Mahmoud K Al-Omiri
{"title":"Assessing ChatGPT's suitability in responding to the public's inquires on the effects of smoking on oral health.","authors":"Marwa M Alnsour, Razan Alenezi, Motaz Barakat, Mahmoud K Al-Omiri","doi":"10.1186/s12903-025-06377-5","DOIUrl":"10.1186/s12903-025-06377-5","url":null,"abstract":"<p><strong>Background: </strong>With the growing use of Artificial Intelligence (AI) in healthcare, language models like ChatGPT are increasingly being used to provide health information. Given smoking's significant impact on oral health, including periodontal disease, tooth loss, oral cancer, and impaired healing-this study assesses ChatGPT's effectiveness in answering inquiries about the effects of smoking on oral health.</p><p><strong>Methods: </strong>A total of 119 smoking-related dental health questions were generated using online tools and categorized into five domains: periodontal conditions, teeth and health, oral hygiene and breath, oral soft tissues, and oral surgery. ChatGPT 3.5 responses were evaluated for usefulness, readability (FKG index and, SMOG index), quality (Global Quality Scale), reliability (CLEAR tool), and understandability/actionability (PEMAT). Statistical analyses included ANOVA, Kruskal-Wallis, Mann-Whitney U, and Spearman correlation tests using SPSS v20.</p><p><strong>Results: </strong>ChatGPT responses were rated as \"very useful\" (36.1%) or \"useful\" (42.0%) for most questions. The oral hygiene and breath category received the highest usefulness scores (p =.002). Readability scores indicated that 35.3% of responses were very difficult to read. Surgery-related questions were significantly harder to read (p <.001). The overall quality and reliability of responses was moderate to good. Although understandability was generally high, actionability was limited, with only 23.5% of responses achieving high actionability (> 70%).</p><p><strong>Conclusion: </strong>ChatGPT provides reliable, high-quality information on smoking's impact on oral health, suitable for general health education. However, it lacks actionable, personalized guidance, limiting its effectiveness in supporting behavioral change and health management.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"1207"},"PeriodicalIF":2.6,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}