Evidence map›Paper›PMID 40108634›Full record

ArticleBMC oral health2025

Association between trace elements and dental caries in the USA: analysis of data from serial cross-sectional surveys, 2010-2016.

Taowu Chen, Yulin Chen, Heng Wang, Xueqing Li, Xin Guo, Hong Tan, Xiaoyan Zhang, Chunhui Li, Rui Shi, Chen Sun

Abstract read
In one paragraph

Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Taowu Chen *Department of Periodontics and Oral Mucosal Diseases, The Affiliated Stomatology Hospital of Southwest Medical University, Luzhou, Sichuan, China.
Yulin Chen *Department of Periodontics and Oral Mucosal Diseases, The Affiliated Stomatology Hospital of Southwest Medical University, Luzhou, Sichuan, China.
Heng Wang *Department of Periodontics and Oral Mucosal Diseases, The Affiliated Stomatology Hospital of Southwest Medical University, Luzhou, Sichuan, China.
Xueqing LiDepartment of Periodontics and Oral Mucosal Diseases, The Affiliated Stomatology Hospital of Southwest Medical University, Luzhou, Sichuan, China.
Xin GuoDepartment of Periodontics and Oral Mucosal Diseases, The Affiliated Stomatology Hospital of Southwest Medical University, Luzhou, Sichuan, China.
Hong TanDepartment of Periodontics and Oral Mucosal Diseases, The Affiliated Stomatology Hospital of Southwest Medical University, Luzhou, Sichuan, China.
Xiaoyan ZhangDepartment of Periodontics and Oral Mucosal Diseases, The Affiliated Stomatology Hospital of Southwest Medical University, Luzhou, Sichuan, China.
Chunhui LiDepartment of Periodontics and Oral Mucosal Diseases, The Affiliated Stomatology Hospital of Southwest Medical University, Luzhou, Sichuan, China.
Rui ShiDepartment of Periodontics and Oral Mucosal Diseases, The Affiliated Stomatology Hospital of Southwest Medical University, Luzhou, Sichuan, China. 1525603229@qq.com.
Chen SunDepartment of Periodontics and Oral Mucosal Diseases, The Affiliated Stomatology Hospital of Southwest Medical University, Luzhou, Sichuan, China. sunchen0711@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDental caries is a localized deterioration of hard tissues caused by acidic by-products of bacterial fermentation of dietary carbohydrates. However, except for fluoride, there were few studies focusing on the direct association between other trace elements. This study aimed to explore how other trace elements affect dental caries.

methodsData from 10,426 individuals were collected from the National Health and Nutrition Examination Survey (NHANES) during the 2010-2016 cycle. The sample was restricted to individuals aged 20 years or older who had complete clinical oral examination data, and who had also completed blood (N = 10,086), serum (N = 5,152), or urine tests (N = 5,297). These three groups were weighted to represent multi-year data. The effects of 20 trace elements on dental caries experience were investigated using quartiles of continuous variables and weighted multivariate logistic regression models.

resultsThe analysis revealed significant differences in trace elements (lead, cadmium, mercury, molybdenum, tin, and tungsten) between individuals with no dental caries experience and those with dental caries experience (P < 0.05). Adjusted results from the weighted multivariate logistic regression model showed that the odds ratios (OR) for following trace elements were significantly positively associated with dental caries experience: lead (OR = 1.0105; 95% CI 1.0030-1.0181; P = 0.0077), cobalt (OR = 1.0048; 95% CI 1.001-1.0087; P = 0.0154), cesium (OR = 1.0028; 95% CI 1.0011-1.0046; P = 0.0027), and arsenic (OR = 1.0002; 95% CI 1-1.0004; P = 0.0244), while iron (OR = 0.9974; 95% CI 0.9954-0.9994; P = 0.0116) showed the negative association.

conclusionThe results of this cross-sectional study conducted on the U.S. population identified a statistically significant positive association between dental caries and trace elements, including lead, cobalt, cesium, and arsenic, while a negative association was observed with iron.

Indexed as

Dental CariesTrace ElementsAdultAgedCross-Sectional StudiesFemaleHumansLeadMaleMiddle AgedNutrition SurveysUnited StatesYoung AdultLeadTrace ElementsBloodDental cariesNHANESSerumTrace elementUrine

Identifiers

PMID40108634
PMCPMC11924794

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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.