Caries has a negative influence on health and is still a public health problem among children and adolescents in Poland. The aim of this study was to analyze the association of dietary habits, oral hygiene behaviors and the frequency of usage of dental services with the dental caries index in teenagers in North-West Poland. The study enrolled 264 children (147M/117F) aged 15. Participants filled out a questionnaire regarding age, sex, frequency of visits to the dentist, dietary habits and oral hygiene behaviors, and the Decayed Missing Filled Teeth Index (DMFT) was calculated. Caries was found in 88.6% of subjects. The lower or no caries experience group (DMFT ≤ 5) comprised of 180 subjects, while higher caries experience (DMFT > 5) was found in 84 teenagers and was significantly inversely associated with tooth brushing after the last meal (OR = 0.45; 95% CI:0.21–0.97; p = 0.04) and the daily use of dental floss (OR = 0.12; 95% CI:0.01–0.92; p = 0.04). There is an emerging need for the implementation of effective caries prevention and recovery programs in Poland. Health promotion focusing on oral hygiene behaviors should be disseminated more widely because lower caries experience was demonstrated in teenagers declaring healthy oral habits. Another important need is the development of multi-sectorial actions aiming at the improvement of dietary habits.

(1) Background: The incidence of ankyloglossia is 0.02–10.7%. Its effect on selected dysfunctions has been described; however, no studies report its impact on several disorders in a group of subjects. The aim of this study was to assess the effect of ankyloglossia on swallowing, speech, occlusion and periodontium. (2) Methods: The study group consisted of 86 patients with ankyloglossia, and the control group (n = 86) had a normal tongue frenulum. Type of swallowing, tongue mobility, speech, occlusion and periodontium were assessed. (3) Results: Ankyloglossia pertained to 75.6% patients with infantile swallowing and 41.3% patients with mature swallowing. Limited tongue mobility was found in 29.4% subjects with moderate ankyloglossia and 70.6% subjects with severe ankyloglossia. All subjects with mild ankyloglossia and all the controls had normal tongue mobility. The relationship between dysglossia and ankyloglossia severity was statistically significant. Malocclusion or crowding was diagnosed in 62% subjects with ankyloglossia and 21.6% subjects in the control group. No periodontal abnormalities were found in any subject. (4) Conclusions: (1) A short tongue frenulum negatively influences swallowing and is associated with an “infantile swallowing pattern”. (2) Moderate or severe ankyloglossia significantly limits tongue mobility. (3) A short tongue frenulum negatively influences speech. (4) Ankyloglossia is associated with higher prevalence of malocclusion.

(1) The incidence of ankyloglossia ranges from 0.02 to 10.7%. The literature describes the effect of ankyloglossia on selected dysfunctions of the stomatognathic system, however no studies could be found reporting the influence of ankyloglossia on the occurrence of several disorders in a group of subjects. The aim of the present study was to assess the effect of lingual frenulum on swallowing, speech, occlusion, and periodontal status; (2) Methods: The subjects were 172 patients, 86 with ankyloglossia (study group) and 86 with normal tongue frenulum (control group). In all subjects, the length of tongue frenulum, the type of swallowing, tongue mobility, occlusion, periodontal status and speech abnormalities were assessed; (3) Results: All subjects from the control group and all those with mild ankyloglossia showed normal tongue mobility. A limited tongue mobility was found in 29.4% subject with moderate and in 70.6% subjects with severe ankyloglossia. Rhotacism was observed in 21.3% subjects with normal frenulum, in 2.1% with mild, 38.3% with moderate, and 38.3% with severe ankyloglossia. Malocclusion or crowding was diagnosed in subjects with mild, moderate and severe ankyloglossia in 7.4%, 33.9% and 20.7% subjects (total 62%), respectively, whereas in the control group - in 21.6% subjects. No abnormalities in the periodontium in the area of the lingual surfaces of the crowns of the lower central incisors were found in any of the examined persons. Among patients with infantile type of swallowing 24.4% had a normal length of the tongue frenulum, 11.1% - mild, 28.9% - moderate, and 35.6 - severe ankyloglossia. Among patients presenting a mature type of swallowing 58.7% had a normal length of the frenulum; (4) Conclusions: 1.A shortened tongue frenulum correlates with “infantile swallowing pattern”. 2. Moderate or severe ankyloglossia significantly limits tongue mobility. 3. Short tongue frenulum is related to speech disorders.

Background: Molar incisor hypomineralization (MIH) is a qualitative, demarcated enamel defect of hypomineralization affecting one to four first permanent molars, often with incisor involvement. Its etiology is complex. However, evidence suggests the influence of genetic factors, potentially including the single nucleotide polymorphisms (SNPs) rs2889956, rs4811117 and rs13058467, which were previously linked to MIH in a genome-wide association study of German children. The aim was to replicate analyses of possible associations between the SNPs and molar incisor hypomineralization in Polish children. Methods: The final study group consisted of 778 children aged 126–168 months old. Saliva samples were taken, and genomic DNA was extracted and genotyped using beadchip microarrays. Results: Among the 778 subjects, there were 68 (8.7%) subjects with MIH and 710 (91.3%) subjects without MIH. There were no significant differences in distributions in age, sex, or the frequency of caries in permanent dentition between the MIH and non-MIH groups. The rs2889956, rs4811117, and rs13058467 genotype distributions in the studied group conformed to the expected Hardy–Weinberg equilibria, and there were no significant differences in the distributions of their alleles or genotypes between the MIH and non-MIH groups. Conclusion: Our replication study did not confirm highly significant associations between the single nucleotide polymorphisms rs2889956, rs4811117, and rs13058467 with molar incisor hypomineralization in Polish children.

The aim of the present study was to analyze the association of the TLR2 (Toll-like receptor 2 gene) 2258G>A (rs5743708), TLR4 (Toll-like receptor 4 gene) 896A>G (rs4986790), and TLR4 1196C>T (rs4986791) polymorphisms with dental caries in Polish children. The participants, 261 15-year-old children, were divided into two groups: 82 cases (i.e., children with DMFT (Decayed, Missing, and Filled Teeth) index >5, having either moderate or high caries experience, assigned as the “higher” caries experience group) and 179 controls (i.e., children with DMFT ≤ 5, having either low or very low caries experience, assigned as the “lower” caries experience group). Genomic DNA was isolated from buccal swabs, and genotyping was determined by means of real-time PCR (polymerase chain reaction). There were no significant differences in the genotype or allele distributions in all tested SNPs (single nucleotide polymorphisms) between children with “higher” caries experience and those with “lower” caries experience. TLR4 haplotype frequencies did not differ significantly between cases and controls. In an additional analysis with another case definition applied (subjects with DMFT ≥ 1 were assigned as “cases”, whereas children with DMFT = 0 were assigned as “controls”), no significant differences in the TLR2 and TLR4 genotype, allele frequencies, and TLR4 haplotype frequencies were found between the case and the control groups. The results of the present study broaden our knowledge on the potential genetic factors that might affect caries risk and suggest that TLR2 rs5743708 and TLR4 rs4986790 and rs4986791 SNPs are not associated with dental caries susceptibility in Polish children.

Streszczenie: Zjawisko pojawiania się gatunków uznawanych do tej pory za egzotyczne na terenie Europy zaczyna się nasilać i jest związane z narastającym globalnym ociepleniem. Gatunki te, nie mając naturalnych wrogów mogą stanowić realne zagrożenie dla bioróżnorodności i relacji pomiędzy rodzimymi gatunkami i jako wektory przenoszące choroby wirusowe i pasożytnicze będą zagrożeniem dla ludzi. W Niemczech, Austrii, Holandii i Polsce zaobserwowano egzotyczne kleszcze z rodzaju Hyalomma, które trafiły tu wraz z ptakami wędrownymi. Są nosicielami groźnych chorób, w tym gorączki krwotocznej krymsko-kongijskiej oraz duru plamistego. Obserwujemy przemieszczanie się na teren Europy i zasiedlanie inwazyjnych gatunków komarów, w szczególności komara tygrysiego (Aedes albopictus) i komara egipskiego (Aedes aegypti), które mogą przenosić m.in. dengę, żółtą febrę, chikungunya i gorączkę zachodniego Nilu. Innym problemem stały się doniesienia o pojawieniu się przypadków zakażenia ssaków wirusem ptasiej grypy H5N1, w tym zwierząt domowych i hodowlanych. Proces zmian pogodowych na terenie Europy, w wyniku którego pojawiają się coraz bardziej dogodne warunki do bytowania i rozwoju gatunków migrujących z Afryki i Azji prowadzi do osiedlania się na terenie naszego kontynentu tarantuli ukraińskiej (Lycosa singoriensis) i skorpiona włoskiego (Euscorpius italicus). Ugryzienia lub ukąszenia nie są groźne, jednak wyjątkową ostrożność powinny zachować osoby, które są uczulone na różne jady. W Europie pojawiły się również żmija lewatyńska (Macrovipera lebetinus) i żmija nosoroga, której jad wywołuje zwykle postępującą martwicę tkanek.