Evidence map›Paper›PMID 32419378›Full record

Trial reportMicrobiologyOpen2020

An oral health optimized diet reduces the load of potential cariogenic and periodontal bacterial species in the supragingival oral plaque: A randomized controlled pilot study.

Christian Tennert, Ann-Christin Reinmuth, Katharina Bremer, Ali Al-Ahmad, Lamprini Karygianni, Elmar Hellwig, Kirstin Vach, Petra Ratka-Krüger, Annette Wittmer, Johan Peter Woelber

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in MicrobiologyOpen, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06130189 (The Impact of Nutrition, Physical Activity Habits and Adherence to the Mediterranean Diet on Children's Oral Health), which is not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06130189 completednot on this mapstarted 2023, after this paper: background citation

The Impact of Nutrition, Physical Activity Habits and Adherence to the Mediterranean Diet on Children's Oral Health

TypeobservationalSponsorAnkara Medipol UniversityRan2023 to 2025Enrolled160ConditionsDiet Habit, Family Characteristics, Tooth Decay, Periodontal Health
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Association between an anti-inflammatory low-carbohydrate diet and gingivitis in women with obesity.Canadian journal of dental hygiene : CJDH = Journal canadien de l'hygiene dentaire : JCHD · 2026
    Article
  5. Review
  6. Article
  7. Review
  8. Acquisition of the Oral Microbiome.Advances in experimental medicine and biology · 2025
    Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Periodontal bacteria influence systemic diseases through the gut microbiota.Frontiers in cellular and infection microbiology · 2024
    Review
  16. Article
  17. Review
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Christian TennertDepartment of Restorative, Preventive and Pediatric Dentistry, University of Bern, Bern, Switzerland.ORCID 0000-0001-7248-5287
Ann-Christin ReinmuthDepartment of Operative Dentistry and Periodontology, Faculty of Medicine, Center for Dental Medicine, Medical Center - University of Freiburg, Freiburg im Breisgau, Germany.
Katharina BremerDepartment of Operative Dentistry and Periodontology, Faculty of Medicine, Center for Dental Medicine, Medical Center - University of Freiburg, Freiburg im Breisgau, Germany.
Ali Al-AhmadDepartment of Operative Dentistry and Periodontology, Faculty of Medicine, Center for Dental Medicine, Medical Center - University of Freiburg, Freiburg im Breisgau, Germany.
Lamprini KarygianniClinic of Preventive Dentistry, Periodontology and Cariology, Center of Dental Medicine, University of Zürich, Zürich, Switzerland.
Elmar HellwigDepartment of Operative Dentistry and Periodontology, Faculty of Medicine, Center for Dental Medicine, Medical Center - University of Freiburg, Freiburg im Breisgau, Germany.
Kirstin VachDepartment of Medical Biometry and Statistics, Medical Center - University of Freiburg, Freiburg im Breisgau, Germany.
Petra Ratka-KrügerDepartment of Operative Dentistry and Periodontology, Faculty of Medicine, Center for Dental Medicine, Medical Center - University of Freiburg, Freiburg im Breisgau, Germany.
Annette WittmerDepartment of Microbiology and Hygiene, Institute of Medical Microbiology and Hygiene, Medical Center - University of Freiburg, Freiburg im Breisgau, Germany.
Johan Peter WoelberDepartment of Operative Dentistry and Periodontology, Faculty of Medicine, Center for Dental Medicine, Medical Center - University of Freiburg, Freiburg im Breisgau, Germany.
University of Freiburg · DEUniversity of Bern · CHUniversity of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to investigate the effects of an oral health optimized diet on the composition of the supragingival oral plaque in a randomized controlled trial. Participants of the standard diet group (n = 5) had a diet high in processed carbohydrates and did not change their dietary behavior during the observation. The healthy diet group (n = 9) had to change the diet after 2 weeks from a diet high in processed carbohydrates to a diet low in carbohydrates, rich in omega-3 fatty acids, rich in vitamins C and D, antioxidants and fiber for 4 weeks. Saliva and supragingival plaque samples were taken at the end of week two and eight of the observation period to investigate the composition of microbiota in saliva and supragingival plaque. Data were subjected to an exploratory analysis to identify significant differences. Statistically significant differences were only found in the healthy diet group between the baseline (week 2) and the final sample (week 8) for specific species in plaque and saliva samples. A reduction of the total counts of Streptococcus mitis group, Granulicatella adiacens, Actinomyces spp., and Fusobacterium spp. was found in plaque samples of the healthy diet group. In saliva samples of the healthy diet group, the total counts of Actinomyces spp. and Capnocytophaga spp. decreased. A diet low in carbohydrates, rich in omega-3 fatty acids, rich in vitamins C and D, and rich in fiber reduced Streptococcus mitis group, Granulicatella adiacens, Actinomyces spp., and Fusobacterium spp. in the supragingival plaque.

Indexed as

Oral HealthActinomycesAntioxidantsAscorbic AcidBacteriaCapnocytophagaCarnobacteriaceaeDental PlaqueDietDietary CarbohydratesDietary FiberDiet TherapyFatty Acids, Omega-3FusobacteriumHumansPilot ProjectsAntioxidantsAscorbic AcidDietary CarbohydratesDietary FiberFatty Acids, Omega-3Vitamin Dfatty acidslow-carb dietnutritionomega 3oral microbiotavitamins

Identifiers

PMID32419378
PMCPMC7424251
OpenAlexW3025716245

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.