Evidence map›Paper›PMID 38001433›Full record

Trial reportBMC oral health2023

Factors affecting the number of bacteria in saliva and oral care methods for the recovery of bacteria in contaminated saliva after brushing: a randomized controlled trial.

Madoka Funahara, Runa Yamaguchi, Hiromi Honda, Misaki Matsuo, Wataru Fujii, Atsuko Nakamichi

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC oral health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.4field-weighted citation impact, top 6% 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

9 citing papers in PubMed, 16 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

6 authors at 1 institution in 1 country.

Madoka FunaharaSchool of Oral Health Sciences Faculty of Dentistry, Kyushu Dental University, 2-6-1 Manazuru, Kokura-Kita, Kitakyushu, Fukuoka, 803-8580, Japan. r17funahara@fa.kyu-dent.ac.jp.
Runa YamaguchiSchool of Oral Health Sciences Faculty of Dentistry, Kyushu Dental University, 2-6-1 Manazuru, Kokura-Kita, Kitakyushu, Fukuoka, 803-8580, Japan.
Hiromi HondaSchool of Oral Health Sciences Faculty of Dentistry, Kyushu Dental University, 2-6-1 Manazuru, Kokura-Kita, Kitakyushu, Fukuoka, 803-8580, Japan.
Misaki MatsuoSchool of Oral Health Sciences Faculty of Dentistry, Kyushu Dental University, 2-6-1 Manazuru, Kokura-Kita, Kitakyushu, Fukuoka, 803-8580, Japan.
Wataru FujiiSchool of Oral Health Sciences Faculty of Dentistry, Kyushu Dental University, 2-6-1 Manazuru, Kokura-Kita, Kitakyushu, Fukuoka, 803-8580, Japan.
Atsuko NakamichiSchool of Oral Health Sciences Faculty of Dentistry, Kyushu Dental University, 2-6-1 Manazuru, Kokura-Kita, Kitakyushu, Fukuoka, 803-8580, Japan.
Kyushu Dental University · JP

Funding

J Grants-in-Aid for Scientific Research JP22K10295
6 · The paper itself

Abstract

backgroundOral care is important in preventing aspiration pneumonia in older adults. However, it is not clear what kind of oral care can reduce the number of bacteria in saliva. The purposes of this study are to clarify whether there is a relationship between plaque amounts and salivary bacterial counts, and how bacteria dispersed into the oral cavity by brushing can be reduced.

methodsFirst, saliva samples were collected from 10 healthy adult volunteers after 30 h of unbrushing and after thorough brushing, and the total bacterial count was determined by real-time PCR. Next, 40 older adults attending an outpatient dental clinic were randomly assigned into two groups: a wiping group (20 patients) and a mouthwashing group (20 patients). Saliva was collected before and after brushing, and after wiping in the wiping group and after mouthwashing in the mouthwashing group, and the total bacterial count was quantified by real-time PCR.

resultsIn a study of volunteers, there was no association between plaque amounts and salivary bacterial counts. In a study of older adult patients, salivary bacterial counts were significantly higher in patients with higher oral hygiene index and fewer remaining teeth. Brushing increased salivary bacterial counts. Wiping did not significantly reduce the number of bacteria, while mouthwash returned the increased number of bacteria after brushing to the pre-brushing level.

conclusionsThere is no direct relationship between the amount of plaque and the number of bacteria in saliva. Brushing disperses bacteria into the oral cavity, resulting in a marked increase in the number of bacteria in saliva. Wiping does not collect the dispersed bacteria, and it seems essential to rinse the mouth after brushing.

trial registrationUMIN000045854.

Indexed as

Dental PlaqueSalivaAgedBacteriaHumansMouthwashesToothbrushingMouthwashesBacterial countsBrushingMouthwashOral care

Identifiers

PMID38001433
PMCPMC10675882
OpenAlexW4388969786

What OpenQuestion holds

Textmetadata
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.