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Background Research excellence, distinct from productivity, is a key criterion in science policy and institutional evaluation. This study examined global distribution and determinants of dental research excellence using the Stanford–Elsevier Lists (SEL) of the top 2% most-cited scientists. Methods A bibliometric analysis was conducted using SEL datasets from 2017 to 2023. The analysis followed an ecological model consisting of three layers of independent variables: national-level indicators (macroeconomic metrics, oral disease burden, and development indices), institutional rankings, and individual-level variables (gender and academic age) were analysed. Descriptive statistics, multivariable regressions, and mixed-effects models were applied. Results The analysis demonstrated a markedly uneven global distribution of excellent dental scholars (EDS), with 96.1% and 88.9% of career-long and single-year EDS, respectively, based in high-income countries. English-speaking countries dominated, reflecting historical and linguistic biases. Institutional elitism was apparent, with 20 universities accounting for nearly one-fifth of all EDS worldwide. Gender disparities persisted, with women comprising only 14.8% ( career-long ) and 18.1% ( single-year ). Academic age consistently predicted scholarly metrics more strongly than gender. EDS numbers correlated positively with macroeconomic indicators, particularly RD investment, while oral disease burden was negatively correlated. Conclusions Dental research excellence is disproportionately concentrated in high-income, English-speaking countries and elite institutions. Historic gender disparities remain, though narrowing trends are noticeable. The observed misalignment between oral disease burden and research excellence highlights the need for inclusive, needs-based research investment.
Abanoub Riad (Fri,) studied this question.