{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T10:03:25Z","timestamp":1790330605418,"version":"4.1.0"},"reference-count":43,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Oral Health"],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The consumption of unshelled sunflower seeds (USS) is a common, culturally embedded dietary habit in many parts of the world. However, the dental findings associated with this practice have not been comprehensively synthesised. This scoping review aimed to map the available evidence on the reported dental findings associated with USS consumption and to identify gaps in existing literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>Following the PRISMA Extension for Scoping Reviews (PRISMA-ScR) guidelines, a comprehensive search of PubMed, MEDLINE, Scopus, Embase, Web of Science, and Google Scholar was conducted for studies published from inception to August 2026. Eligibility was based on the Population, Concept, and Context(PCC) framework. English-language peer-reviewed cross-sectional studies, case series, case reports, and narrative reviews reporting dental findings associated with USS consumption were included and descriptively synthesized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eight articles (two cross-sectional studies, three case reports, two case series, and one narrative review with a previously unpublished case) met the inclusion criteria. Tooth surface loss (TSL), presenting as characteristic incisal notching of the anterior teeth was the primary finding associated among the included studies. Infrequently reported findings included incisal fractures, dentinal hypersensitivity, gingival recession, widening of the periodontal ligament space, and localized inflammatory peri-implant disease associated with food impaction. Temporomandibular joint (TMJ) symptoms and masticatory muscle tenderness were reported only in a single case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>USS consumption may be associated with TSL, commonly presenting as characteristic incisal notching of the anterior teeth. Reported periodontal and TMJ findings can be considered as exploratory observations. Although TSL has been reported in association with USS consumption, the current evidence is insufficient to establish a causal relationship. Further epidemiological and longitudinal studies are needed to clarify these associations and determine the prevalence, progression, and clinical significance of the reported oral findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/froh.2026.1889799","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T09:27:46Z","timestamp":1790328466000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Tooth surface loss associated with unshelled sunflower seed consumption: a scoping review"],"prefix":"10.3389","volume":"7","author":[{"given":"Suresh Kandagal","family":"Veerabhadrappa","sequence":"first","affiliation":[{"name":"Department of Oral Diagnostic Sciences, Faculty of Dentistry, SEGi University, Kota Damansara, Petaling Jaya","place":["Selangor, Malaysia"]},{"name":"Dental Research Cell, Dr. D. Y. Patil Dental College & Hospital, Dr. D. Y. Patil Vidyapeeth (Deemed to be University)","place":["Pune, India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srinivas Sulugodu","family":"Ramachandra","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry, College of Dental Medicine, University of Sharjah","place":["Sharjah, United Arab Emirates"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seema","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Periodontics, Faculty of Dentistry, SEGi University, Kota Damansara","place":["Petaling Jaya, Selangor, Malaysia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pooja","family":"Adtani","sequence":"additional","affiliation":[{"name":"Department of Basic Medical and Dental Sciences, College of Dentistry, Gulf Medical University","place":["Ajman, United Arab Emirates"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thantrira","family":"Porntaveetus","sequence":"additional","affiliation":[{"name":"Center of Excellence in Precision Medicine and Digital Health, Chulalongkorn University Implant and Esthetic Center, Faculty of Dentistry, Chulalongkorn University","place":["Bangkok, Thailand"]},{"name":"Clinic of General, Special Care and Geriatric Dentistry, Center for Dental Medicine, University of Zurich","place":["Zurich, Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,25]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1051\/ocl\/2022004","article-title":"Breeding, production, and supply chain of confection sunflower in China\u22c6","volume":"29","author":"Feng","year":"2022","journal-title":"OCL"},{"key":"B2","doi-asserted-by":"publisher","first-page":"4666","DOI":"10.1002\/fsn3.1783","article-title":"Oilseed crop sunflower (Helianthus annuus) as a source of food: nutritional and health benefits","volume":"8","author":"Adeleke","year":"2020","journal-title":"Food Sci Nutr"},{"key":"B3","doi-asserted-by":"publisher","first-page":"11295","DOI":"10.1038\/s41598-019-47811-3","article-title":"Influence of roasting condition on flavor profile of sunflower seeds: a flavoromics approach","volume":"9","author":"Guo","year":"2019","journal-title":"Sci Rep"},{"key":"B4","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1186\/s13065-017-0328-7","article-title":"A review of phytochemistry, metabolite changes, and medicinal uses of the common sunflower seed and sprouts (Helianthus annuus L.)","volume":"11","author":"Guo","year":"2017","journal-title":"Chem Cent J"},{"key":"B5","doi-asserted-by":"publisher","first-page":"e862","DOI":"10.1002\/hsr2.862","article-title":"Ukraine\u2019s triple emergency: food crisis amid conflicts and COVID-19 pandemic","volume":"5","author":"Nchasi","year":"2022","journal-title":"Health Sci Rep"},{"key":"B6","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1016\/j.ocsci.2023.05.002","article-title":"Profiling and geographical distribution of seed oil content of sunflower in Ukraine","volume":"8","author":"Petrenko","year":"2023","journal-title":"Oil Crop Sci"},{"key":"B7","doi-asserted-by":"publisher","first-page":"1188","DOI":"10.3390\/foods13081188","article-title":"Properties and characterization of sunflower seeds from different varieties of edible and oil sunflower seeds","volume":"13","author":"Li","year":"2024","journal-title":"Foods."},{"key":"B8","doi-asserted-by":"publisher","first-page":"113061","DOI":"10.1016\/j.foodres.2023.113061","article-title":"Composition, functional properties, health benefits and applications of oilseed proteins: a systematic review","volume":"171","author":"Zhang","year":"2023","journal-title":"Food Res Int"},{"key":"B9","doi-asserted-by":"publisher","first-page":"498","DOI":"10.1177\/0394632016651648","article-title":"Sunflower seed allergy","volume":"29","author":"Ukleja-Soko\u0142owska","year":"2016","journal-title":"Int J Immunopathol Pharmacol"},{"key":"B10","doi-asserted-by":"publisher","first-page":"3081","DOI":"10.1016\/j.jaip.2024.07.029","article-title":"Characterization and incidence of sunflower seed allergy in a pediatric allergy clinic","volume":"12","author":"Treffeisen","year":"2024","journal-title":"J Allergy Clin Immunol Pract"},{"key":"B11","doi-asserted-by":"publisher","first-page":"134","DOI":"10.4103\/0972-0707.212237","article-title":"Effect of dried sunflower seeds on incisal edge abrasion: a rare case report","volume":"20","author":"Rath","year":"2017","journal-title":"J Conserv Dent"},{"key":"B12","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1016\/j.sdentj.2019.09.004","article-title":"Tooth surface loss: a review of literature","volume":"32","author":"Warreth","year":"2020","journal-title":"Saudi Dent J"},{"key":"B13","doi-asserted-by":"publisher","first-page":"499","DOI":"10.7727\/wimj.2013.140","article-title":"Dental erosion and medical conditions: an overview of aetiology, diagnosis and management","volume":"63","author":"Paryag","year":"2014","journal-title":"West Indian Med J"},{"key":"B14","doi-asserted-by":"publisher","first-page":"139","DOI":"10.11648\/j.ijnfs.20160502.18","article-title":"Watermelon seeds as food: nutrient composition, phytochemicals and antioxidant activity","volume":"5","author":"Tabiri","year":"2016","journal-title":"Int J Food Sci Nutr"},{"key":"B15","doi-asserted-by":"publisher","first-page":"575","DOI":"10.1016\/j.sciaf.2020.e00575","article-title":"The potential of pumpkin seeds as a functional food ingredient: a review","volume":"10","author":"Matondo","year":"2020","journal-title":"Sci Afr"},{"key":"B16","first-page":"439","article-title":"Effect of dried roasted seeds on tooth surface loss","volume-title":"Pak Oral Dent J","author":"Al-Habahbeh","year":"2011"},{"key":"B17","doi-asserted-by":"publisher","first-page":"107","DOI":"10.3290\/j.ohpd.a27996","article-title":"Tooth wear among tobacco chewers in the rural population of Davangere, India","volume":"10","author":"Nagarajappa","year":"2012","journal-title":"Oral Health Prev Dent"},{"key":"B18","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1016\/j.prosdent.2013.06.017","article-title":"Nonsurgical management of inflammatory periimplant disease caused by food impaction: a clinical report","volume":"111","author":"Bidra","year":"2014","journal-title":"J Prosthet Dent"},{"key":"B19","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1080\/1364557032000119616","article-title":"Scoping studies: towards a methodological framework","volume":"8","author":"Arksey","year":"2005","journal-title":"Int J Soc Res Methodol"},{"key":"B20","doi-asserted-by":"publisher","first-page":"467","DOI":"10.7326\/M18-0850","article-title":"PRISMA Extension for scoping reviews (PRISMA-ScR): checklist and explanation","volume":"169","author":"Tricco","year":"2018","journal-title":"Ann Intern Med"},{"key":"B21","volume-title":"Publish or Perish","author":"Harzing","year":"2007"},{"key":"B22","doi-asserted-by":"publisher","first-page":"520","DOI":"10.11124\/JBIES-22-00123","article-title":"Recommendations for the extraction, analysis, and presentation of results in scoping reviews","volume":"21","author":"Pollock","year":"2023","journal-title":"JBI Evid Synth"},{"key":"B23","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1097\/XEB.0000000000000277","article-title":"Updated methodological guidance for the conduct of scoping reviews","volume":"19","author":"Peters","year":"2021","journal-title":"JBI Evid Implement"},{"key":"B24","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1016\/j.jclinepi.2020.10.009","article-title":"Conducting high quality scoping reviews-challenges and solutions","volume":"130","author":"Khalil","year":"2021","journal-title":"J Clin Epidemiol"},{"key":"B25","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1111\/odi.70033","article-title":"Oral health implications of shelled sunflower seed chewing: a clinical case series","volume":"32","author":"Veerabhadrappa","year":"2026","journal-title":"Oral Dis"},{"key":"B26","doi-asserted-by":"publisher","first-page":"215","DOI":"10.29228\/erd.118","article-title":"Incisal tooth wear associated with prolonged sunflower seed chewing: a case report","volume":"9","author":"Y\u00fcce","year":"2025","journal-title":"Eur J Res Dent"},{"key":"B27","doi-asserted-by":"publisher","first-page":"3137","DOI":"10.5937\/asn41-55799","article-title":"Unusual incisor tooth wear: a diagnostic sign of dietary habits","volume":"41","author":"Vanishree","year":"2025","journal-title":"Acta Stomatol Naissi"},{"key":"B28","doi-asserted-by":"publisher","first-page":"227","DOI":"10.12865\/CHSJ.45.02.15","article-title":"Identifying the etiological factors involved in the occurrence of non-carious lesions","volume":"45","author":"Rusu Olaru","year":"2019","journal-title":"Curr Health Sci J"},{"key":"B29","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2025.1473584","article-title":"Case report: unusual oral cavity changes associated with methamphetamine abuse","volume":"13","author":"Skrypnyk","year":"2025","journal-title":"Front Public Health"},{"key":"B30","doi-asserted-by":"publisher","first-page":"5301","DOI":"10.3390\/jcm14155301","article-title":"The impact of parafunctional habits on temporomandibular disorders in medical students","volume":"14","author":"Zemowski","year":"2025","journal-title":"J Clin Med"},{"key":"B31","doi-asserted-by":"publisher","first-page":"6396","DOI":"10.3390\/jcm11216396","article-title":"Relationship between oral parafunctional and postural habits and the symptoms of temporomandibular disorders: a survey-based cross-sectional cohort study using propensity score matching analysis","volume":"11","author":"Abe","year":"2022","journal-title":"J Clin Med"},{"key":"B32","doi-asserted-by":"publisher","first-page":"115","DOI":"10.4103\/jomfp.jomfp_381_22","article-title":"Relationship between bad oral habits, signs, and symptoms of temporomandibular joint disorders among Saudi population: a cross-sectional study","volume":"27","author":"Manjunatha","year":"2023","journal-title":"J Oral Maxillofac Pathol"},{"key":"B33","doi-asserted-by":"publisher","first-page":"483","DOI":"10.12968\/denu.2018.45.6.483","article-title":"Tooth wear guidelines for the bsrd part 1: aetiology, diagnosis and prevention","volume":"45","author":"Hemmings","year":"2018","journal-title":"Dent Update"},{"key":"B34","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1007\/978-3-319-79093-0_13","article-title":"Managing tooth surface loss","volume-title":"Extra-Coronal Restorations: Concepts and Clinical Application","author":"Field","year":"2019"},{"key":"B35","doi-asserted-by":"publisher","first-page":"6161","DOI":"10.3390\/jcm12196161","article-title":"Eating disorders and dental erosion: a systematic review","volume":"12","author":"Nijakowski","year":"2023","journal-title":"J Clin Med"},{"key":"B36","doi-asserted-by":"publisher","first-page":"315","DOI":"10.17126\/joralres.2025.026","article-title":"Knowledge of eating disorders among dental professionals and students: a Malaysian cross-sectional study","volume":"14","author":"Veerabhadrappa","year":"2025","journal-title":"J Oral Res"},{"key":"B37","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1186\/s40337-024-01050-8","article-title":"Oro-dental manifestations of eating disorders: a systematic review","volume":"12","author":"Valeriani","year":"2024","journal-title":"J Eat Disord"},{"key":"B38","doi-asserted-by":"publisher","first-page":"435","DOI":"10.1038\/sj.bdj.4805394","article-title":"An index for measuring the wear of teeth","volume":"156","author":"Smith","year":"1984","journal-title":"Br Dent J"},{"key":"B39","doi-asserted-by":"publisher","first-page":"S65","DOI":"10.1007\/s00784-007-0181-5","article-title":"Basic erosive wear examination (BEWE): a new scoring system for scientific and clinical needs","volume":"12","author":"Bartlett","year":"2008","journal-title":"Clin Oral Investig"},{"key":"B40","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1186\/1472-6831-8-26","article-title":"Oral health-related cultural beliefs for four racial\/ethnic groups: assessment of the literature","volume":"8","author":"Butani","year":"2008","journal-title":"BMC Oral Health"},{"key":"B41","doi-asserted-by":"publisher","DOI":"10.3390\/biomimetics11020107","article-title":"Dental erosion management: from remineralization to emerging regenerative approaches-a narrative review","volume":"11","author":"Rajapaksa","year":"2026","journal-title":"Biomimetics (Basel)"},{"key":"B42","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1007\/978-3-030-79225-1_10","article-title":"\"Occlusion and non-carious tooth surface loss\"","volume-title":"A Guide to Good Occlusal Practice","author":"Davies","year":"2022"},{"key":"B43","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1038\/sj.bdj.2011.1099","article-title":"Current concepts on the management of tooth wear: part 1. Assessment, treatment planning and strategies for the prevention and the passive management of tooth wear","volume":"212","author":"Mehta","year":"2012","journal-title":"BDJ"}],"container-title":["Frontiers in Oral Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/froh.2026.1889799\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T09:27:48Z","timestamp":1790328468000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/froh.2026.1889799\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,25]]},"references-count":43,"alternative-id":["10.3389\/froh.2026.1889799"],"URL":"https:\/\/doi.org\/10.3389\/froh.2026.1889799","relation":{},"ISSN":["2673-4842"],"issn-type":[{"value":"2673-4842","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,25]]},"article-number":"1889799"}}