Evidence map›Paper›PMID 37002439›Full record

ArticleClinical oral investigations2023

Cerebral abscesses with odontogenic origin: a population-based cohort study.

Frederik V B Jespersen, Signe U-B Hansen, Simon S Jensen, Lars H Omland, Jannik Helweg-Larsen, Thomas Bjarnsholt, Claus H Nielsen, Morten Ziebell, Jacob Bodilsen, Merete Markvart

Open access · hybridAbstract read
In one paragraph

Article in Clinical oral investigations, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
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.

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

15 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
  2. Article
  3. Brain abscess following right maxillary odontogenic infection in a patient with diabetes mellitus: a case report.Journal of the Korean Association of Oral and Maxillofacial Surgeons · 2025
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Odontogenic brain abscess caused byJournal of oral microbiology · 2025
    Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. A Report of Two Cases of Meningoencephalitis Caused byInfection and drug resistance · 2024
    Article
  14. Polymicrobial infections with specificJournal of oral microbiology · 2024
    Review
  15. 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 1 country.

Frederik V B JespersenCariology and Endodontics, Section of Clinical Oral Microbiology, Department of Odontology, University of Copenhagen, Nørre Allé 20, 2200, Copenhagen, Denmark.
Signe U-B HansenCariology and Endodontics, Section of Clinical Oral Microbiology, Department of Odontology, University of Copenhagen, Nørre Allé 20, 2200, Copenhagen, Denmark.
Simon S JensenCariology and Endodontics, Section of Clinical Oral Microbiology, Department of Odontology, University of Copenhagen, Nørre Allé 20, 2200, Copenhagen, Denmark.
Lars H OmlandDepartment of Infectious Diseases, Copenhagen University Hospital, Copenhagen, Denmark.
Jannik Helweg-LarsenDepartment of Infectious Diseases, Copenhagen University Hospital, Copenhagen, Denmark.
Thomas BjarnsholtDepartment of Clinical Microbiology, Copenhagen University Hospital, Copenhagen, Denmark.
Claus H NielsenCariology and Endodontics, Section of Clinical Oral Microbiology, Department of Odontology, University of Copenhagen, Nørre Allé 20, 2200, Copenhagen, Denmark.
Morten ZiebellDepartment of Neurosurgery, Copenhagen University Hospital, Copenhagen, Denmark.
Jacob BodilsenDepartment of Infectious Diseases, Aalborg University Hospital, Aalborg, Denmark.
Merete MarkvartCariology and Endodontics, Section of Clinical Oral Microbiology, Department of Odontology, University of Copenhagen, Nørre Allé 20, 2200, Copenhagen, Denmark. mema@sund.ku.dk.
University of Copenhagen · DKCopenhagen University Hospital · DKAalborg University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesRecent studies have indicated that cerebral abscess (CA) patients with odontogenic origin are on the rise. However, CA patients are often poorly characterized and with an unknown etiologic background. The purpose of this study is to identify and characterize CA patients that may have an odontogenic origin based on microbiologic, radiographic, and/or clinical findings. MATERIALS AND

methodsThis is a population-based cohort study analyzing retrospective and prospective data from CA patients. Radiographic examinations of panoramic radiographs (PRs) or computed tomography (CT) scans were conducted. CA patients characterized with odontogenic origin required the fulfilment of the following criteria on admission: (1) Oral pathologic conditions were the only bacterial infections present, (2) oral microorganisms were isolated in the purulent exudate from the brain, and (3) radiographically and/or clinical recordings of oral pathologic conditions.

resultsA total of 44 patients could be included in this study of which 25 (57%) were characterized as having CA with a likely odontogenic origin. Type two diabetes (T2D) (p = 0.014) and microorganisms of the Streptococcus anginosus group (SAG) (p < 0.01) were overrepresented in patients with CAs of odontogenic origin.

conclusionsOdontogenic infections may cause CAs to a greater extent than previously assumed. T2D was overrepresented among patients with odontogenic CA. When microorganisms of the SAG were isolated from the brain pus, CA patients had a predisposing odontogenic or sinus infection. CLINICAL RELEVANCE: The identification of patients with a likely odontogenic CA will contribute to understanding the etiology of the infectious disease and highlighting the importance of preserving oral health.

Indexed as

Brain AbscessDiabetes Mellitus, Type 2Cohort StudiesHumansProspective StudiesRetrospective StudiesBrain abscessDental infection controlMicrobiologyOral healthOral pathologyPanoramic radiography

Identifiers

PMID37002439
PMCPMC10329578
OpenAlexW4362459948

What OpenQuestion holds

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LicenceCC BY
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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.