Evidence map›Paper›PMID 34485763›Full record

ArticleHuman microbiome journal2020

Adjunctive dental therapies in caries-active children: Shifting the cariogenic salivary microbiome from dysbiosis towards non-cariogenic health.

Claudia Lyashenko, Elisa Herrman, Jessica Irwin, Allie James, Shay Strauss, John Warner, Brandon Khor, Michael Snow, Stephanie Ortiz, Erin Waid and 9 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Human microbiome journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07741409 (Povidone Iodine to Prevent Early Childhood Caries), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 35% 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.

NCT07741409 phase3not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Povidone Iodine to Prevent Early Childhood Caries

TypeinterventionalSponsorJeffrey A. BanasRan2026 to 2028Enrolled174ConditionsDental CariesArmsPovidone Iodine 5% Soln,Top,Kit, Probiotics, Placebo
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. 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

19 authors at 2 institutions in 2 countries.

Claudia LyashenkoDepartment of Integrative Biomedical and Diagnostic Sciences, Oregon Health & Science University School of Dentistry, United States.
Elisa HerrmanAcademic DMD Program, Oregon Health & Science University School of Dentistry, United States.
Jessica IrwinDepartment of Pediatric Dentistry, Oregon Health & Science University School of Dentistry, United States.
Allie JamesDepartment of Pediatric Dentistry, Oregon Health & Science University School of Dentistry, United States.
Shay StraussDepartment of Integrative Biomedical and Diagnostic Sciences, Oregon Health & Science University School of Dentistry, United States.
John WarnerDepartment of Pediatric Dentistry, Oregon Health & Science University School of Dentistry, United States.
Brandon KhorAcademic DMD Program, Oregon Health & Science University School of Dentistry, United States.
Michael SnowAcademic DMD Program, Oregon Health & Science University School of Dentistry, United States.
Stephanie OrtizAcademic DMD Program, Oregon Health & Science University School of Dentistry, United States.
Erin WaidAcademic DMD Program, Oregon Health & Science University School of Dentistry, United States.
Bishoy NasryAcademic DMD Program, Oregon Health & Science University School of Dentistry, United States.
Jennifer ChaiAcademic DMD Program, Oregon Health & Science University School of Dentistry, United States.
Carissa ChoongAcademic DMD Program, Oregon Health & Science University School of Dentistry, United States.
Elizabeth PalmerDepartment of Pediatric Dentistry, Oregon Health & Science University School of Dentistry, United States.
Kim KutschOregon Health & Science University School of Dentistry, United States.
Anna ForsythDepartment of Pediatric Dentistry, Oregon Health & Science University School of Dentistry, United States.
Dongseok ChoiOHSU-PSU School of Public Health, United States.
Tom MaierDepartment of Integrative Biomedical and Diagnostic Sciences, Oregon Health & Science University School of Dentistry, United States.
Curtis A MachidaDepartment of Integrative Biomedical and Diagnostic Sciences, Oregon Health & Science University School of Dentistry, United States.
Oregon Health & Science University · USKyung Hee University · KR

Funding

Dominant Mutans Streptococci Genetic Strains in Caries-Active ChildrenR15DE024317 · NIDCR · OREGON HEALTH & SCIENCE UNIVERSITY · PI MACHIDA, CURTIS A · 2014 to 2015
$556k
NIDCR NIH HHS R15 DE024317
6 · The paper itself

Abstract

backgroundThe oral microbiome is a complex assembly of microbial species, whose constituents can tilt the balance towards progression of oral disease or sustained health. Recently we identified sex-specific differences in the salivary microbiome contained within caries-active and caries-free children. In this study, we sought to ascertain if adjunctive dental therapies, including povidone iodine and chlorhexidine, were effective in shifting the cariogenic microbiome from dysbiosis to non-cariogenic health.

designWe recruited young children (ages 2-12 years) to enter five enrollment groups, with each group (N = 9-30 participants/group) receiving caries restorative and/or adjunctive therapies, either singularly or in combination (OHSU IRB #6535). Saliva specimens were collected pre- and post-treatment (4-8 weeks) of caries preventive measures, and oral microbiota were identified using next generation sequencing (HOMI

resultsWith the use of multi-dimensional scaling plots, support vector machine learning, odds ratio analysis, and other statistical methods, we have determined that treatment with povidone iodine can shift the composition of the salivary cariogenic microbiome to include higher proportions of aerobic microorganisms, such as

conclusionWe have identified microorganisms that are associated with caries-active children and have determined that povidone iodine is an effective adjunctive therapy that has the potential to shift the composition of the cariogenic microbiome to one more closely aligned with non-cariogenic health.

Indexed as

Caries-active childrenDental cariesDysbiosisMicrobiome shiftOral healthPovidone iodineSalivary microbiomeStentrophomonas maltophila

Identifiers

PMID34485763
PMCPMC8415465
OpenAlexW3082256517

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.