Tag: PDJ

Professor Igor Blum, Editor of the Primary Dental Journal (PDJ), introduces the latest issue, which provides an overview and update on oral medicine for the general dental team

The art and science of oral medicine begins with the pioneering work of Sir Jonathan Hutchinson (1828–1900), a surgeon at the London Hospital, who is also regarded in the UK as the Father of Oral Medicine.¹ He reported on the dental manifestations of congenital syphilis, intraoral pigmentation and perioral pigmentation associated with intestinal polyposis, later described by Peutz in 1921.² Subsequently, ten further cases were described by Jeghers, McKusick, and Katz who also reviewed the literature on this topic in 1949.³ Individuals with Peutz-Jeghers syndrome commonly present with an association of gastrointestinal polyps, mucocutaneous pigmentation, a familial incidence, and are at an increased risk of various cancers.

Much of the early description of oral mucosal diseases was found in dermatology textbooks, as documented in the works of the English surgeon and dermatologist Sir William James Erasmus Wilson (1809–1884).^4,5 Sir William Osler (1849–1919), a Canadian physician and co-founder of the Medical Library Association of Great Britain and Ireland, recognised the importance of the oral cavity and believed that the tongue and oral mucosa reflect a patient’s overall health.⁶ This idea, held in various medical and traditional practices, suggests that changes in the appearance or condition of the mouth, including the tongue and soft tissues, can indicate underlying systemic health issues.

In a thoroughly researched and well written article by Professor Crispian Scully in 2016, he described the immense contributions of various stalwarts who were instrumental in the initiation and popularisation of the discipline of oral medicine over a 50-year period, between 1920 and 1970.⁷ In the UK, the evolution of oral medicine has its origin in oral pathology and resulted in its recognition as a dental specialty by the General Dental Council in 1998, with tribute paid to the founders of the British Society for Oral Medicine (BSOM) – the predecessor organisation of The British & Irish Society for Oral Medicine (BISOM) which was established in 1981.

Although not a substitute by any means for an extensive quality textbook on oral medicine, the editorial team felt it was timely to produce an issue of the Primary Dental Journal devoted to the common and important oral medicine conditions encountered in general dental practice. This themed issue on oral medicine is geared to primary care dental practitioners and dental care professionals as a refresher and an update on oral medicine-related diseases. The articles in this issue provide an overview of current thinking in the more relevant areas of oral medicine. The clinical aspects of the relevant disorders are discussed, including a brief overview of the aetiology, detail on the clinical features, and how the diagnosis is made. Guidance on management and when to refer is also provided, along with relevant websites which offer further detail.

A major challenge in the diagnosis of oral disease is the need for memorising long lists of oral lesions from oral medicine/oral pathology literature. This is made more difficult because many of these lesions are not frequently encountered by the primary care dental team. This new issue of the journal highlights common oral conditions that may be encountered in the dental practice. Pulpal, periapical, and periodontal diseases are intentionally not discussed in this issue since primary care dental clinicians are experienced in diagnosing and managing those conditions.

I trust that the oral medicine-themed issue of the PDJ will serve as a tabletop reference in General Dental Practice. The discussion of the entire spectrum of oral diseases is beyond the scope of this single issue; instead, we have selected what we believe to be important oral medicine conditions. The introductory article addresses an approach in formulating clinical diagnosis and management of the various types of oral candidosis. This is followed by articles on oral lichen planus and lichenoid lesions, managing a dry mouth in primary care, a review of common oral medicine conditions in children, oral facial pain, burning mouth syndrome, and chronic graft versus host disease (cGvHD). Although the latter is less common, it can occur in the increasing numbers of patients receiving hematopoietic stem cell transplants.⁸

The information presented is primarily aimed to cover the diagnostic aspects and an overview of patient management, including patient referral. The main objective is to provide readers with a cutting-edge update on the above topics, including raising awareness of the need to diagnose and manage patients with oral medicine conditions in primary care, and when to make a referral to an oral medicine service if available. Alternatively, a referral to a specialist in oral and maxillofacial surgery can be made when appropriate.

It is hoped that this themed issue will help the primary care dental team to integrate the principles of oral medicine and oral pathology into clinically applicable concepts that will enable the practitioner to develop clinical differential diagnoses and participate in definitive diagnosis through a multidisciplinary approach with dental specialty teams. It is my further hope that the reader will not only be provided with updated information as to the multiple facets of oral medicine conditions but will also find new information to further aid them in the diagnosis and management of these occasionally enigmatic disorders.

No issue of the Primary Dental Journal could come to successful fruition without the contributions of well-qualified authors. I am extremely thankful to the guest editor, Dr Emma Hayes, consultant in oral medicine, and to all contributing authors for their invaluable input to this issue. I believe that this edition of the Primary Dental Journal will be an asset and resource to the general dental practice team.

The Primary Dental Journal is the College’s quarterly peer-reviewed journal dedicated to general dental practice. The titles and abstracts of PDJ papers are available to all dental professionals via the searchable PDJ homepage, with full paper access available to College members through the PDJ Library.

Printed copies of the Summer 2025 issue on oral medicine should arrive with College members in the second half of September.

References

¹ Spielman AI. History of Oral Diagnosis, Medicine, Pathology and Radiology. In: Illustrated Encyclopedia of the History of Dentistry. [Internet]. New York: History of Dentistry and Medicine; 2023. Available at historyofdentistryandmedicine.com [Accessed Jun 2025]

²Peutz JLA. Over een zeer merkwaardige, gecombineerde familiaire pollyposis van de sligmliezen van den tractus intestinalis met die van de neuskeelholte en gepaard met eigenaardige pigmentaties van huid-en slijmvliezen (Very remarkable case of familial polyposis of the mucous membrane of the intestinal tract and nasopharynx accompanied by peculiar pigmentations of skin and mucous membrane). Nederl Maandschr v Geneesk. 1921;10:134-146. Dutch.

³Jeghers H, McKusick VA, Katz KH. Generalized Intestinal Polyposis and Melanin Spots of the Oral Mucosa, Lips and Digits — A Syndrome of Diagnostic Significance. N Engl J Med. 1949;241(26):1031-1036.

⁴Wilson E. On The Management of the Skin as a Means of Promoting and Preserving Health (3rd ed.). London: John Churchill; 1849. Retrieved 15 June 2025. Full text at Internet Archive (archive.org)

⁵Wilson E. On Diseases of the Skin (4th American, from the 4th & enlarged London ed.). Philadelphia: Blanchard & Lea; 1857. Retrieved 15 June 2025. Full text at Internet Archive (archive.org)

⁶Stone MJ. The wisdom of Sir William Osler. Am J Cardiol. 1995;75(4):269-276.

⁷Scully C. Oral medicine in academia. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016;122(1):111.

⁸Passweg JR, Baldomero H, Chabannon C, et al. Hematopoietic cell transplantation and cellular therapy survey of the EBMT: monitoring of activities and trends over 30 years. 2021;56(7):1651-1664.

Igor Blum FCGDent, Clinical Professor of Primary Care Dentistry and Advanced General Dental Practice at King’s College London and Editor of the Primary Dental Journal, and Sir Nairn Wilson CBE FCGDent, President Emeritus of the College and the journal’s first Editor, celebrate the publication of its fiftieth issue

Prof Igor Blum FCGDent (left) and Sir Nairn Wilson CBE FCGDent (right)

The latest issue of the Primary Dental Journal (PDJ) – the 50th to date – is a truly special ‘general dentistry’ edition marking this significant milestone.

Not only does the PDJ have a rich history of serving general dental practice, but it is also one of the premier journals for intellectual discourse on all aspects of primary dental care pertinent to members of the whole dental team.

First published in 2012, shepherded under the tenure as Editor-in-Chief of the then Professor (now Sir) Nairn Wilson, it brought together three publications of the former Faculty of General Dental Practice (FGDP[UK]): Primary Dental Care (a research journal for dentists), Team in Practice (a journal for Dental Care Professionals) and the newsletter First Hand.

The fourth volume of the journal, published in 2015, was produced with the assistance of a new Clinical Editor – Dr (now Professor) Igor Blum. In addition to themed issues on Consent (curated by Guest Editor, Andy Toy), Special Care Dentistry (Guest Editors, Debbie Chandler and Richard Valle-Jones) and Paediatric Dentistry (Guest Editor, Richard Welbury), the volume included the journal’s first ‘general issue’ with papers on a range of topics, including temporomandibular dysfunction, contemporary laboratory work, tooth surface loss, the effects of bisphosphonates in implant dentistry, reducing harm (iatrogenic damage) in the provision of care, risk assessment and the prevention and management of dry sockets.

Volume 6, issue 1 was a special, one-off, commemorative issue of PDJ to help mark and celebrate the twenty-fifth anniversary of the formation of the FGDP(UK). In addition to a ‘conversation’ between Professor Nairn Wilson and the then Dean of the Faculty, Mick Horton, and a photo montage of the history of the faculty, the issue included commissioned papers by leading dental experts in the UK. This commemorative issue and the subsequent two themed issues – Dental Emergencies (Guest Editor, Russ Ladwa) and Extended Integrated Care (Guest Editor, Kathy Fan) were Professor Wilson’s last contributions to PDJ before passing on the baton to Dr Blum in 2017.

Professor Blum’s first issue as Editor-in-Chief was the December 2017 (Volume 6, issue 4) themed issue on Removable Prosthodontics (Guest Editor, Graham Stokes). Professor Blum’s vision for the journal was to evolve, grow and, in the process, continue to go from strength to strength. A further vision was to make the journal accessible on an international level, rather than limiting it to the readership in the UK, for the benefit of primary dental care teams and their patients around the world.

Within each annual volume, two or three issues are themed on specific and relevant fields of interest, and one or two ‘general dentistry’ issues cover a wide range of topics. Each issue offers a combination of research, clinical best practice papers and scenario articles which allow the whole dental team to work together to improve standards of patient care. In Spring 2021 the PDJ published its 10th Volume Anniversary special issue celebrating this remarkable milestone.

After nine years’ publication by the FGDP(UK), the College took over in 2021, and this 2025 Spring issue marks fifty issues of the journal as a source for dissemination of contemporary research, clinical and non-clinical articles relevant to general dental practice.

Since its inception, the PDJ has evolved substantially and earned an established place as an authoritative source in today’s dental literature. As such, it provides CGDent with one of its most valued membership benefits. While its purpose has been constant – to be a professional development journal for the whole dental team, and a record and source of news about the College – its editorial and production processes and standards have evolved over the years.

Most significantly, in 2019 the FGDP entered into a contract with Sage Publishing and the PDJ has progressed from an in-house ‘cottage industry’ publication to an internationally accessible publication with an electronic editorial management platform, ScholarOne. As such the journal benefits from the resources available through our publisher, which has facilitated its continued growth.

Over the years, we have watched with great pleasure how the PDJ has grown and gained ever-increasing standing and status in becoming an internationally recognised and esteemed journal, aimed at the whole primary care team. The journal is now indexed in PubMed/MEDLINE and Scopus, and 1,500 papers – past and present – are available online to CGDent members through the PDJ Library and in over 10,000 academic institutions worldwide.

With the current international exposure of articles published in the PDJ, there have been many thousands of downloads and citations of articles. This confirms that the PDJ has an international reach and impact on the dental team and clinical practice, both nationally and internationally, improving standards of patient care.

As a result, the PDJ has started to attract international dental experts as guest editors. In the context of a new membership organisation borne out of a more established one, the journal has also played a central role in providing reassurance and continuity of service to members over the last four years and has developed an important role in supporting the College’s membership retention and growth.

Looking back, we would like to express our sincere gratitude to the very many authors, guest editors, peer reviewers, staff and others who have contributed to each of the 50 issues to date and enabled us to reach this important milestone.

Special thanks must be extended to the former and current managing editors of the journal – Amy Brewerton, Hillevi Sellén, and Lily Atkins; to a member of the founding Editorial Board, Ario Santini FCGDent, who continues to provide highly rated abstracts of relevance to the contents of each issue of the journal; and to Darren Westlake, who has designed the covers and laid out the figures in each and every issue.

We are confident that we have created an attractive, distinctive, reader-friendly journal and it is our hope that you will enjoy the 50th issue and join the previous and current editorial team in celebrating all it stands for.

A list of the themed editions within the first 50 issues of the PDJ is available here

The titles and abstracts of PDJ papers are available to all dental professionals via the searchable PDJ homepage, with full paper access available to College members through the PDJ Library

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