Evidence map›Paper›PMID 33963212›Full record

Trial reportScientific reports2021

Mechanical biofilm disruption causes microbial and immunological shifts in periodontitis patients.

W Johnston, B T Rosier, A Artacho, M Paterson, K Piela, C Delaney, J L Brown, G Ramage, A Mira, S Culshaw

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
8.2field-weighted citation impact, top 2% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

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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 3 countries.

W Johnston *Oral Sciences, Glasgow Dental Hospital and School, School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, G12 8TA, UK.ORCID 0000-0001-8794-575X
B T Rosier *The Foundation for the Promotion of Health and Biomedical Research (FISABIO), Avda. de Catalunya, 21, 46020, Valencia, Spain.ORCID 0000-0002-3267-6561
A ArtachoThe Foundation for the Promotion of Health and Biomedical Research (FISABIO), Avda. de Catalunya, 21, 46020, Valencia, Spain.ORCID 0000-0002-3166-3822
M PatersonOral Sciences, Glasgow Dental Hospital and School, School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, G12 8TA, UK.ORCID 0000-0003-3189-3940
K PielaOral Sciences, Glasgow Dental Hospital and School, School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, G12 8TA, UK.ORCID 0000-0001-5925-3246
C DelaneyOral Sciences, Glasgow Dental Hospital and School, School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, G12 8TA, UK.ORCID 0000-0001-9467-4468
J L BrownOral Sciences, Glasgow Dental Hospital and School, School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, G12 8TA, UK.ORCID 0000-0002-8168-5333
G RamageOral Sciences, Glasgow Dental Hospital and School, School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, G12 8TA, UK.ORCID 0000-0002-0932-3514
A MiraThe Foundation for the Promotion of Health and Biomedical Research (FISABIO), Avda. de Catalunya, 21, 46020, Valencia, Spain.ORCID 0000-0002-9127-3877
S CulshawOral Sciences, Glasgow Dental Hospital and School, School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, G12 8TA, UK. Shauna.Culshaw@glasgow.ac.uk.ORCID 0000-0002-9653-5629
University of Glasgow · GBFundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana · ESMedical University of Lodz · PL

Funding

BBSRC BB/P504567/1EU Marie Curie ITN RAPID 290246Joint studentship between University of Glasgow and Dentsply Sirona 300881Spanish Ministry of Science, Innovation and Universities Bio2015-68711-RSpanish Ministry of Science, Innovation and Universities RTI2018-102032-B-I00Versus Arthritis 20823
6 · The paper itself

Abstract

Periodontitis is characterized by subgingival biofilm dysbiosis, inflammation and tissue destruction. Current treatment involves mechanical biofilm disruption known as non-surgical periodontal therapy (NSPT). This study sought to characterise the impact of treatment on microbial diversity and overall community, and the parallel impact on host inflammation in the oral cavity. Fourty-two periodontitis patients were included in this study, with periodontal clinical parameters, subgingival plaque and saliva samples collected at baseline and 90 days after treatment. Salivary cytokines were quantified, and subgingival plaque was analysed using 16S rRNA sequencing. After treatment, there were marked health-associated alterations in microbial composition and diversity, including differential abundance of 42 genera and 61 species. These changes were accompanied by substantial clinical improvement (pockets ≥ 5 mm, 27.50% to 9.00%, p < 0.001) and a decrease in salivary IL-1β (p < 0.001)-a putative marker of periodontal inflammation. Despite significant reductions in disease associated anaerobes, several genera (Fusobacterium, Prevotella, Tanenerella, Treponema) remained present and formed a distinct subnetwork associated with residual disease. Collectively, this study shows that current periodontal treatment results in partial restoration of a healthy microbial ecosystem, but features of biofilm dysbiosis and host inflammation remain in some patients, which were surprisingly independent of clinical response.

Indexed as

BacteriaBacterial Physiological PhenomenaBiofilmsPeriodontitisFemaleHumansInterleukin-1betaLongitudinal StudiesMaleMiddle AgedSalivaIL1B protein, humanInterleukin-1beta

Identifiers

PMID33963212
PMCPMC8105330
OpenAlexW3158972873

What OpenQuestion holds

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Registered trials

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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.