Supplementary file 1_Tooth surface loss associated with unshelled sunflower seed consumption: a scoping review.pdf

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.</p>Conclusion<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.</p>