Evidence map›Paper›PMID 34208451›Full record

ArticleMicroorganisms2021

Microbiome of Odontogenic Abscesses.

Sebastian Böttger, Silke Zechel-Gran, Daniel Schmermund, Philipp Streckbein, Jan-Falco Wilbrand, Michael Knitschke, Jörn Pons-Kühnemann, Torsten Hain, Markus Weigel, Hans-Peter Howaldt and 2 more

Open access · goldAbstract read
In one paragraph

Article in Microorganisms, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 5% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. High prevalence of antibiotic resistance ofJournal of oral microbiology · 2025
    Article
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  11. Article
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  14. Pleural Empyema Caused by Streptococcus intermedius and Fusobacterium nucleatum: A Distinct Entity of Pleural Infections.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  15. Review
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  20. Review
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

12 authors at 1 institution in 1 country.

Sebastian BöttgerDepartment of Oral and Maxillofacial Surgery, Justus-Liebig-University Giessen, University Hospital Giessen and Marburg, Giessen, D-35392 Giessen, Germany.ORCID 0000-0003-2417-9511
Silke Zechel-GranInstitute of Medical Microbiology, Justus-Liebig-University Giessen, D-35392 Giessen, Germany.
Daniel SchmermundDepartment of Oral and Maxillofacial Surgery, Justus-Liebig-University Giessen, University Hospital Giessen and Marburg, Giessen, D-35392 Giessen, Germany.
Philipp StreckbeinDepartment of Oral and Maxillofacial Surgery, Justus-Liebig-University Giessen, University Hospital Giessen and Marburg, Giessen, D-35392 Giessen, Germany.ORCID 0000-0003-0113-1128
Jan-Falco WilbrandDepartment of Oral and Maxillofacial Surgery, Justus-Liebig-University Giessen, University Hospital Giessen and Marburg, Giessen, D-35392 Giessen, Germany.ORCID 0000-0003-1081-6057
Michael KnitschkeDepartment of Oral and Maxillofacial Surgery, Justus-Liebig-University Giessen, University Hospital Giessen and Marburg, Giessen, D-35392 Giessen, Germany.ORCID 0000-0002-2632-1799
Jörn Pons-KühnemannInstitute of Medical Informatics, Justus-Liebig-University Giessen, D-35392 Giessen, Germany.
Torsten HainInstitute of Medical Microbiology, Justus-Liebig-University Giessen, D-35392 Giessen, Germany.
Markus WeigelInstitute of Medical Microbiology, Justus-Liebig-University Giessen, D-35392 Giessen, Germany.ORCID 0000-0002-3140-3174
Hans-Peter HowaldtDepartment of Oral and Maxillofacial Surgery, Justus-Liebig-University Giessen, University Hospital Giessen and Marburg, Giessen, D-35392 Giessen, Germany.
Eugen DomannGerman Center for Infection Research (DZIF), Justus-Liebig-University Giessen, Partner Site Giessen-Marburg-Langen, D-35392 Giessen, Germany.ORCID 0000-0003-4089-1023
Sameh AttiaDepartment of Oral and Maxillofacial Surgery, Justus-Liebig-University Giessen, University Hospital Giessen and Marburg, Giessen, D-35392 Giessen, Germany.ORCID 0000-0002-9174-6435
Justus-Liebig-Universität Gießen · DE

Funding

The work of T.H. was supported by the German Research Foundation DFG (KFO 309 Z01, SFB1021 Z02 and SFB-TR84 B/08) (KFO 309 Z01, SFB1021 Z02 and SFB-TR84 B/08)
6 · The paper itself

Abstract

Severe odontogenic abscesses are regularly caused by bacteria of the physiological oral microbiome. However, the culture of these bacteria is often prone to errors and sometimes does not result in any bacterial growth. Furthermore, various authors found completely different bacterial spectra in odontogenic abscesses. Experimental 16S rRNA gene next-generation sequencing analysis was used to identify the microbiome of the saliva and the pus in patients with a severe odontogenic infection. The microbiome of the saliva and the pus was determined for 50 patients with a severe odontogenic abscess. Perimandibular and submandibular abscesses were the most commonly observed diseases at 15 (30%) patients each. Polymicrobial infections were observed in 48 (96%) cases, while the picture of a mono-infection only occurred twice (4%). On average, 31.44 (±12.09) bacterial genera were detected in the pus and 41.32 (±9.00) in the saliva. In most cases, a predominantly anaerobic bacterial spectrum was found in the pus, while saliva showed a similar oral microbiome to healthy individuals. In the majority of cases, odontogenic infections are polymicrobial. Our results indicate that these are mainly caused by anaerobic bacterial strains and that aerobic and facultative anaerobe bacteria seem to play a more minor role than previously described by other authors. The 16S rRNA gene analysis detects significantly more bacteria than conventional methods and molecular methods should therefore become a part of routine diagnostics in medical microbiology.

Indexed as

16S rRNA gene analysisanaerobic infectionodontogenic abscessoral microbiomepolymicrobial infection

Identifiers

PMID34208451
PMCPMC8234849
OpenAlexW3170273965

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.