Introduction

We recently gave an outline of the different types of paper published in 2019 and 2020 as open access through BDJ Open,1 the online sister journal to the BDJ. As BDJ Open is online-only, there are no constraints in terms of printed pages, and this gives authors the opportunity to publish a wider variety of manuscript types. BDJ Open had its most successful year to date in 2021 with 35 published papers. This paper provides an update on the previous one to outline which areas authors chose to publish as open access in 2021.

This year, it was interesting to note an increase in publications that were pilot studies, study protocols and similar. This is a further advantage of open access publishing; the scientific method involves continuous refinement of hypotheses and publishing protocols and early results by open access gives strength to that. It allows earlier opportunity for comment by other researchers, both through the peer review process and through further correspondence to authors directly and to the journal editors who publish their work.

Unsurprisingly, a number of published papers looked at how the COVID-19 pandemic affected dental practice. Naturally, this was an area of rapidly evolving evidence and, again, open access allowed a way of sharing this new, emerging knowledge widely and quickly, as there are generally shorter wait times for publication in online journals. Published manuscripts, including those related to COVID-19, have been grouped in the same way in this update as in the 2019-2020 version of our review of BDJ Open published articles. This allows for comparisons to be made between the 2019-2020 and the 2021 reviews.

Dental professionals

In 2021, there were five published manuscripts focusing on the experiences of dental professionals (the same yearly average as for 2019-2020).2,3,4,5,6 Just one of these focused on COVID-19 and this came from Nepal.5 This is likely due to the large number of published manuscripts on this topic in the print version of the BDJ (which also has the option for publishing open access). This manuscript, and the manuscript from Senegal on the classification of periodontal diseases,3 are both further examples of where open access publishing allows authors from across the globe to publish their findings.

Patient experience

In 2021 alone, there were eight papers published on the experience of patients,7,8,9,10,11,12,13,14 again from a wide geographical reach including Lima,11 Malaysia7 and India.13 Of these eight, three papers focused on the health and oral health of older adults.10,13,14 This is an indication of the increasing global awareness of this issue.

Pre-clinical/ex vivo

There were just four papers published reporting the results of ex vivo studies.15,16,17,18 These outline early pre-clinical studies of new health technologies (new materials, methods and pharmacological interventions) and in vitro studies of existing technologies. These were relatively more frequent in the early days of BDJ Open, but this journal now covers the whole range of dental research.

Health technology assessment/clinical interventions

There were ten papers published which examined the effectiveness and cost-effectiveness of health technologies and interventions.19,20,21,22,23,24,25,26,27,28 This included a protocol on a study into water fluoridation,20 a scoping review for salivary COVID-19 diagnostics21 and a pilot trial for the use of propolis following head and neck radiotherapy.22 As noted above, print journals such as the BDJ are aimed at a wide readership and are less able to prioritise publishing protocols and early results. These papers are generally published as part of a longer process of knowledge development, as opposed to having generalisable results. Again, open access publishing allows this continuous process of hypothesis testing to be shared more widely.

Epidemiology

There were four papers published in the field of epidemiology,29,30,31,32 which examine the incidence, distribution and possible control of diseases and other factors relating to health. This is the same number for 2019 and 2020 combined and represents a further area of expansion for BDJ Open.

Systematic reviews

There were four systematic reviews published in 2021,33,34,35,36 with just two published in the whole of 2019-2020. BDJ Open is a research journal and so does not currently publish narrative reviews. However, systematic reviews aim to answer a novel question by combining and assessing all the available evidence, and we are very pleased to have published some high-quality systematic reviews in 2021. These are evidently of interest to our readership as the paper by Martin et al.34 reviewing articaine in dentistry was the top accessed paper in BDJ Open in 2021. The paper by Johnson et al.36 on contamination by periodontal procedures was also highly viewed. Systematic reviews such as this one are important as COVID-19 led to a huge increase in submissions to journals worldwide, and systematically reviewing the available literature makes a substantial addition to the knowledge base.

Conclusion

BDJ Open saw its most successful year to date in 2021 with 35 publications. The range and quality of published papers also continues to improve. Further benefits of open access publishing were seen in terms of rapid publication of emerging topics, most notably COVID-19. An increase in publication of early results and study protocols is also encouraging in adding to the available evidence base. By no means are all submitted manuscripts accepted for publication, and the editorial team would like to thank all authors who have submitted manuscripts for consideration. We would also like to express sincere thanks to the large number of referees required to publish 35 papers in a research-only journal.

Further information for potential authors or referees can be found at https://www.nature.com/bdjopen/authors-and-referees.