Evidence map›Paper›PMID 40189709›Full record

ArticleProgress in orthodontics2025

Exploring the impact of orthodontic appliances on the oral microbiome and inflammatory parameters.

Michael Nemec, Patrick Ringl, Kathrin Spettel, Lisa Schneider, Richard Kriz, Sonia Galazka, Marcus Sedlak, Erwin Jonke, Oleh Andrukhov, Athanasios Makristathis

Erratum issuedAbstract read
In one paragraph

Article in Progress in orthodontics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Michael Nemec *Clinical Division of Orthodontics, University Clinic of Dentistry, Medical University of Vienna, Vienna, Austria.
Patrick Ringl *Division of Clinical Microbiology, Department of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Kathrin SpettelDivision of Clinical Microbiology, Department of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Lisa SchneiderDivision of Infectious Diseases and Tropical Medicine, Department of Medicine, Medical University of Vienna, Vienna, Austria.
Richard KrizSection Biomedical Science, Health Sciences, University of Applied Sciences FH Campus Wien, Vienna, Austria.
Sonia GalazkaDivision of Data, Statistics and Risk Assessment, Austrian Agency for Health and Food Safety AGES, Vienna, Austria.
Marcus SedlakCompetence Center for Periodontal Research, University Clinic of Dentistry, Medical University of Vienna, Vienna, Austria.
Erwin JonkeClinical Division of Orthodontics, University Clinic of Dentistry, Medical University of Vienna, Vienna, Austria.
Oleh AndrukhovCompetence Center for Periodontal Research, University Clinic of Dentistry, Medical University of Vienna, Vienna, Austria. oleh.andrukhov@meduniwien.ac.at.
Athanasios MakristathisDivision of Clinical Microbiology, Department of Laboratory Medicine, Medical University of Vienna, Vienna, Austria. athanasios.makristathis@meduniwien.ac.at.

Funding

Bürgermeister Fonds der Stadt Wien - Medizinisch-Wissenschaftlicher Fonds der Stadt Wien 19089Deutsche Gesellschaft für Aligner Orthodontie Förderpreis 2020
6 · The paper itself

Abstract

backgroundThe symbiotic relationship between the oral microbiome and the host immune system is a prerequisite of oral health. Disruptions to this system can be associated with the development of diseases like dental caries. Introducing orthodontic treatments, such as aligners and fixed appliances, might impact this microbial ecosystem. This study evaluated potential changes in salivary microbiome and the level of inflammatory marker myeloid-related protein 8/14 in patients undergoing orthodontic treatment with aligners or fixed appliances.

methodsForty-eight patients were divided into two groups for treatment with fixed appliances or clear aligners. Unstimulated saliva samples were collected at baseline, three, and six months for microbiome analysis via 16 S rRNA sequencing and MRP-8/14 level measurement using ELISA.

resultsAmong 503 identified microbial species, no significant changes were noted in overall microbiome. A considerable increase of caries-relevant species could not be observed either. MRP-8/14 levels remained unchanged across treatments, indicating no alterations in the inflammatory level.

conclusionOrthodontic treatment with fixed or removable appliances does not significantly alter the salivary microbiome or influence inflammation, suggesting that these interventions are unlikely to affect oral health negatively.

Indexed as

InflammationMicrobiotaMouthOrthodontic AppliancesOrthodontic Appliances, FixedSalivaAdolescentDental CariesFemaleHumansMaleOrthodontic Appliances, RemovableYoung Adult16S rRNA sequencingMicrobiomeOrthodonticsSaliva

Identifiers

PMID40189709
PMCPMC11973030

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.