Open research questions in Oral and gingival health research
60 unresolved questions extracted from the limitations and future-work sections of 708 Oral and gingival health research papers in our library. Each links back to the study that raised it.
What the literature leaves open
The exact mechanisms of action of proinflammatory cytokines in BBB dysfunction are not well understood. There is a need for a better understanding of the structure and function of the BBB and its interaction with proinflammatory cytokines. The paper highlights the gap in knowledge on the role of individual cytokines in BBB disruption.
There is a need to analyze the trend of disease burden for complete edentulism in Chinese adults between 1990 and 2030. There is a lack of studies that use an ARIMA model to predict the trend of disease burden for complete edentulism.
Projecting trends in the disease burden of adult edentulism in China between 2020 and 2030: a systematic study based on the global burden of disease · 2024 · DOIInvestigating the epidemiological distribution of complete edentulism. Analyzing the trends of disease burden associated with complete edentulism.
Projecting trends in the disease burden of adult edentulism in China between 2020 and 2030: a systematic study based on the global burden of disease · 2024 · DOIHowever, the pathomechanism of structural and functional changes in the BBB under the influence of individual cytokines is still poorly understood.
The paper notes that the use of GMSCs and their exosomes is still in the early stages of research. The paper discusses the challenges associated with the use of GMSCs and their exosomes, including the need for further research on their safety and efficacy.
Gingival mesenchymal stem cells and their exosomes: Therapeutic potential and challenges in autoimmune disorders · 2026 · DOIThere is a need for further research on the safety and efficacy of GMSCs and their exosomes. There is a need for further research on the potential applications of GMSCs and their exosomes in the treatment of various autoimmune disorders.
Gingival mesenchymal stem cells and their exosomes: Therapeutic potential and challenges in autoimmune disorders · 2026 · DOIThe diagnosis of nodules can be challenging due to the lack of specific symptoms. The treatment of nodules requires a personalized approach. The prevention of nodules is crucial to avoid complications.
The lack of an ultrasound study to support the diagnosis and verify the location of the injections of hialuronidasa is a limitation. The study only presents a single case, which may not be representative of all cases.
The limited significance ascribed to nutritional and structural deviations in the gums, - The lack of semiotic or pathogenic insight regarding gingival pathology in standard medical textbooks
“On the Causal Relationship of Gingivitis with Other Diseases”. Original title in Polish: „O związku przyczynowym zapalenia dziąseł z innemi chorobami” by dr Teofil W. Kaczorowski (1830-1889) · 2026 · DOIInvestigating the long-term effects of using gingival crevicular blood for glucose measurement. Developing a new diagnostic tool for diabetes based on the study's findings. Exploring the use of gingival crevicular blood for glucose measurement in other patient populations.
The need for a non-invasive method for measuring glucose levels in patients with periodontal disease. The lack of a reliable and feasible tool for hyperglycemic screening in patients with periodontal disease.
The lack of consistency in the use of case definitions hinders interpretation and comparison of prevalence and incidence estimates. The absence of established 'normal' baseline probing depths for various age groups complicates interpretation.
Gingival and periodontal diseases and conditions in children and adolescents: consensus report · 2026 · DOIThe review is limited by the small number of studies included. The included studies demonstrated an overall moderate-to-high risk of bias. The review highlights the need for further research on Jones syndrome.
The literature still provides limited clinical and genetic information on Jones syndrome. There is a need for further research on the pathogenetic mechanisms of Jones syndrome. The review highlights the need for more studies on the diagnostic accuracy of genetic testing for Jones syndrome.
under-reporting of adverse drug reactions - difficulty in determining the precise cause of gingival overgrowth - need for additional training and information programs to reduce the number of unknown and undetectable cases
lack of awareness of possible triggers and appropriate therapy for drug-induced gingival overgrowth - under-reporting of adverse drug reactions - need for further research on the molecular mechanisms underlying drug-induced gingival overgrowth
The multifactorial etiology of excessive gingival display requires a comprehensive interdisciplinary management approach. There is a need for a sequential interdisciplinary approach to address the skeletal, dentoalveolar, and soft-tissue factors contributing to excessive gingival display.
La necesidad de una revisión sistemática de la literatura sobre el tratamiento del mucocele oral. La falta de comparación entre las diferentes modalidades de tratamiento.
Abordajes terapéuticos para el mucocele oral: Una revisión sistemática de la literatura · 2026 · DOIThe precise mechanism by which azithromycin treats gingival hyperplasia is unclear. Recurrence of gingival hyperplasia is likely if cyclosporine is not discontinued or maintained with treatment. Tooth and gum discoloration may occur with chlorhexidine use.
Conservative Approach to Treatment of Cyclosporine-Induced Gingival Hyperplasia With Azithromycin and Chlorhexidine · 2024 · DOIThe pathophysiology of cyclosporine-induced gingival hyperplasia is incompletely understood. There is a need for a conservative approach to managing cyclosporine-induced gingival hyperplasia. Current treatment options for cyclosporine-induced gingival hyperplasia are limited.
Conservative Approach to Treatment of Cyclosporine-Induced Gingival Hyperplasia With Azithromycin and Chlorhexidine · 2024 · DOIThere is a need to study the histopathological and immunohistochemical changes of the marginal periodontium in patients with Turner syndrome. Prior studies have not investigated the potential connections between Turner syndrome and periodontal disease.
Histopathological and immunohistochemical changes of the marginal periodontium in patients with Turner syndrome · 2021 · DOIThe text is incomplete and cuts off mid-sentence regarding treatment with recombinant growth hormone (rGH), suggesting missing discussion of how such treatments may affect periodontal outcomes in TS patients.
Histopathological and immunohistochemical changes of the marginal periodontium in patients with Turner syndrome · 2021 · DOIThis paper reports the first two cases of VPS45-associated SCN5 in Saudi Arabia and describes the treatment approaches for periodontal disease as a manifestation of that disorder since the existing dental literature is lacking sufficient information on the management of those kinds of patients.
Periodontal Disease in Two Siblings with VPS45-associated Severe Congenital Neutropenia Type V: A Case Report · 2020 · DOIXerostomia is a common problem in the elderly. The reliability of a questionnaire to detect objective xerostomia is limited. There is a need to develop strategies for preventing and treating xerostomia.
The reliability of a questionnaire to detect objective xerostomia is limited. The study only evaluated the prevalence of xerostomia in a specific population.
Most-cited papers in Oral and gingival health research
- Virulence factors of Porphyromonas gingivalis · Periodontology 2000 · 1999 · 506 citations
- A note on the calculation and interpretation of the Gini index · Economics Letters · 1984 · 317 citations
- Formation, collection and significance of gingival crevice fluid · Periodontology 2000 · 2003 · 258 citations
- The pathogenesis of drug‐induced gingival overgrowth · Journal Of Clinical Periodontology · 1996 · 244 citations
- Risk factors for drug‐induced gingival overgrowth · Journal Of Clinical Periodontology · 2000 · 205 citations
- Origin and function of the cellular components in gingival crevice fluid · Periodontology 2000 · 2003 · 199 citations
- Proteolytic host cell enzymes in gingival crevice fluid · Periodontology 2000 · 2003 · 185 citations
- Drug-Induced Gingival Overgrowth: Old Problem, New Problem · Critical Reviews in Oral Biology & Medicine · 1991 · 181 citations
- The syndrome of palmar-plantar hyperkeratosis and premature periodontal destruction of the teeth · The Journal of Pediatrics · 1964 · 180 citations
- Gingival crevice fluid flow · Periodontology 2000 · 2003 · 157 citations
Most recent work
- Gingival and periodontal diseases and conditions in children and adolescents: consensus report · European Archives of Paediatric Dentistry · 2026
- Atypical Whitish Gingival Plaque · Oral Diseases · 2026
- A novel intelligent gingival inflammation grading model based on dual-domain analysis and adaptive attention · Journal of Dentistry · 2026
- Genetic determinants of drug-induced gingival overgrowth · Scientific Reports · 2026
- Oral hairy leukoplakia as immune marker: cytological study in transplant patients · Revista de Cirurgia e Traumatologia Buco-Maxilo-Facial · 2026
- Clinical presentation and management of hereditary gingival fibromatosis: Four case reports · World Journal of Clinical Oncology · 2026
- GLI1-fusion neoplasm of the tongue: report of a pediatric case associated with SHOX deficiency disorder · Archiv für Pathologische Anatomie und Physiologie und für Klinische Medicin · 2026
- Gingival mesenchymal stem cells and their exosomes: Therapeutic potential and challenges in autoimmune disorders · Shengming kexue · 2026
- Tratamiento de un nódulo tras relleno de labios. Caso clínico · Medicina Estética. Revista Científica de la Sociedad Española de Medicina Estética (SEME) · 2026
- “On the Causal Relationship of Gingivitis with Other Diseases”. Original title in Polish: „O związku przyczynowym zapalenia dziąseł z innemi chorobami” by dr Teofil W. Kaczorowski (1830-1889) · Archiwum Historii i Filozofii Medycyny · 2026
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