Evidence map›Paper›PMID 33690911›Full record

ReviewPeriodontology 20002021

The dental plaque biofilm matrix.

Nicholas S Jakubovics, Steven D Goodman, Lauren Mashburn-Warren, Graham P Stafford, Fabian Cieplik

2 registry-linked trialsOpen access · hybridAbstract readReview
In one paragraph

Review in Periodontology 2000, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 251 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
251citing papers in PubMed, 3 pooled it
43.8field-weighted citation impact, top 1% 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.

NCT06857474 nacompletednot on this mapstarted 2025, after this paper: background citation

The Effect of Bristle Brush, Rubber Cup, and Air Polishing on Tooth Surface Roughness of Scaled Teeth: A Randomized Controlled Trial Study Using Scanning Electron Microscope: Randomized Controlled Trial

TypeinterventionalSponsorKhyber Medical University PeshawarRan2025 to 2025Enrolled56ConditionsPeriodontal Diseases, Tooth Abrasion, Dental PlaqueArmsBristle Brush Polishing, Rubber Cup Polishing, Air Polishing, Ultrasonic Scaling
NCT07039071 narecruitingnot on this mapstarted 2026, after this paper: background citation

Evaluation of Clinical and Patient-Reported Outcomes of Laceback: A Split-Mouth Randomised Controlled Trial

TypeinterventionalSponsorInternational Islamic University MalaysiaRan2026 to 2027Enrolled38ConditionsMalocclusionArmsLaceback
3 · Its place in the literature

Who cites it

251 citing papers in PubMed, 3 syntheses or guidelines pooled it, 419 citations in OpenAlex.

  1. Pooled it
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  3. Understanding bacterial biofilms: From definition to treatment strategies.Frontiers in cellular and infection microbiology · 2023
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191 more citing papers are in PubMed but not listed here.

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

5 authors at 4 institutions in 3 countries.

Nicholas S JakubovicsSchool of Dental Sciences, Newcastle University, Newcastle upon Tyne, UK.
Steven D GoodmanCenter for Microbial Pathogenesis, The Abigail Wexner Research Institute at Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Lauren Mashburn-WarrenCenter for Microbial Pathogenesis, The Abigail Wexner Research Institute at Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Graham P StaffordIntegrated Biosciences, School of Clinical Dentistry, University of Sheffield, Sheffield, UK.
Fabian CieplikDepartment of Conservative Dentistry and Periodontology, University Hospital Regensburg, Regensburg, Germany.
Nationwide Children's Hospital · USNewcastle University · GBUniversity Hospital Regensburg · DEUniversity of Sheffield · GB

Funding

DETERMINANTS OF H. INFLUENZAE VIRULENCE IN OTITIS MEDIAR01DC003915 · NIDCD · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI GOODMAN, STEVEN D · 1999 to 2025
$12.5M
Novel immunotherapeutics for the management of otitis media due to H. influenzaeR01DC011818 · NIDCD · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI BAKALETZ, LAUREN O, GOODMAN, STEVEN D · 2011 to 2020
$5.4M
NIDCD NIH HHS R01 DC003915NIDCD NIH HHS R01 DC011818The Dunhill Medical Trust RPGF1810/101
6 · The paper itself

Abstract

The extracellular matrix is a critical component of microbial biofilms, such as dental plaque, maintaining the spatial arrangement of cells and coordinating cellular functions throughout the structure. The extracellular polymeric substances that comprise the matrix include carbohydrates, nucleic acids, proteins, and lipids, which are frequently organized into macromolecular complexes and/or are associated with the surfaces of microbial cells within the biofilm. Cariogenic dental plaque is rich in glucan and fructan polysaccharides derived from extracellular microbial metabolism of dietary sucrose. By contrast, the matrix of subgingival dental plaque is a complex mixture of macromolecules that is still not well understood. Components of the matrix escape from microbial cells during lysis by active secretion or through the shedding of vesicles and serve to anchor microbial cells to the tooth surface. By maintaining the biofilm in close association with host tissues, the matrix facilitates interactions between microorganisms and the host. The outcome of these interactions may be the maintenance of health or the development of dental disease, such as caries or periodontitis. The matrix affords microbial cells protection against chemical and physical insults and hinders the eradication of pathogenic dental plaque. Therefore, strategies to control the matrix are critical to maintain oral health. This review discusses recent advances in our understanding of the composition, origins, and function of the dental plaque matrix, with a focus on subgingival dental plaque. New strategies to control subgingival dental plaque based on targeting the biofilm matrix are also considered.

Indexed as

Dental CariesDental PlaquePeriodontitisBiofilmsExtracellular Polymeric Substance MatrixHumansextracellular DNAperiodontitispolysaccharidessecretionsubgingival dental plaquevesicles

Identifiers

PMID33690911
PMCPMC9413593
OpenAlexW3135218603

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.