Evidence map›Paper›PMID 40559585›Full record

SynthesisPathogens (Basel, Switzerland)2025

An Umbrella Review of E-Cigarettes' Impact on Oral Microbiota and Biofilm Buildup.

Beatriz Panariello, Fabrízio Dias Panariello, Ashminie Misir, Eliane Porto Barboza

Abstract readSystematic Review
In one paragraph

Synthesis in Pathogens (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. 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

4 authors.

Beatriz PanarielloSchool of Dental Medicine, Lake Erie College of Osteopathic Medicine, Bradenton, FL 34211, USA.ORCID 0000-0002-2138-1223
Fabrízio Dias PanarielloSchool of Medical Sciences, São Leopoldo Mandic, Campinas 13045-755, Brazil.ORCID 0009-0000-1441-8430
Ashminie MisirSchool of Dental Medicine, Lake Erie College of Osteopathic Medicine, Bradenton, FL 34211, USA.ORCID 0009-0004-8214-3351
Eliane Porto BarbozaSchool of Dental Medicine, Lake Erie College of Osteopathic Medicine, Bradenton, FL 34211, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

E-cigarettes, a form of electronic nicotine delivery system (ENDS), have gained significant popularity, particularly among adolescents who often view vaping as a "cool" lifestyle choice. This growing trend has spurred extensive research on the effects of ENDS on both oral and systemic health. By synthesizing data from systematic reviews and meta-analyses, this umbrella review offers a comprehensive evaluation of the impact of e-cigarettes on oral biofilm accumulation and microbiota composition. A systematic search was conducted up to 12 March 2025, across PubMed/MEDLINE, Google Scholar, Cochrane Library, and Scopus for studies published between 2015 and 2025. Ten studies met the eligibility criteria. The quality of the selected papers, as assessed using the AMSTAR 2 tool, ranged from moderate to high. The findings of this review suggest that e-cigarette use may contribute to dysbiosis in the oral microbiota and foster biofilm accumulation, thereby increasing the risk of oral diseases such as periodontitis, peri-implantitis, oral candidiasis, and caries. The findings also highlight the need for further research into the long-term effects of e-cigarette use on oral health. This review is registered with PROSPERO (CRD420251025639).

Indexed as

BiofilmsElectronic Nicotine Delivery SystemsMicrobiotaMouthVapingDysbiosisHumansOral Healthbiofilmsdental plaquee-cigaretteselectronic nicotine delivery systemsoral biofilmsoral microbiotavaping

Identifiers

PMID40559585
PMCPMC12196310

What OpenQuestion holds

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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.