Evidence map›Paper›PMID 40788639›Full record

ArticleInternational endodontic journal2025

Exploring Relationships Within the Microbiome of Root Canal Infections and the Influence of Associated Clinical Parameters.

Dana Mominkhan, Luciana C N Brito, Abdul-Rakeem Yakubu, Eric Larson, Lynn Martin, Michele Patel, Warley Luciano Fonseca Tavares, Antonio Ribeiro-Sobrinho, Flavia Teles

Abstract read
In one paragraph

Article in International endodontic journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. [Microbial communities in extraradicular infections of post-treatment apical periodontitis without or with sinus tracts].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2026
    Article
  6. Journal of oral microbiology · 2026
    Article
  7. 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

9 authors.

Dana MominkhanDepartment of Endodontics, The University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.ORCID https://orcid.org/0009-0005-9528-6682
Luciana C N BritoUniversity of Itauna, Itauna, Brazil.
Abdul-Rakeem YakubuHarvard School of Dental Medicine, Boston, Massachusetts, USA.
Eric LarsonDepartment of Basic and Translational Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Lynn MartinDepartment of Basic and Translational Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0009-0002-7926-1504
Michele PatelThe Forsyth Institute, Cambridge, Massachusetts, USA.
Warley Luciano Fonseca TavaresFederal University of Minas Gerais, Belo Horizonte, Brazil.
Antonio Ribeiro-SobrinhoFederal University of Minas Gerais, Belo Horizonte, Brazil.
Flavia TelesDepartment of Basic and Translational Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0001-6945-9811

Funding

Brazilian Support Agencies for Superior Education (CAPES and CNPq) PRPQ/UFMGEndodontic Department at Penn Dental MedicineKrakow Harvard/Forsyth Endowed Endodontic Research FundSchool of Dentistry, UFMGThe authors would like to acknowledge the support of the Krakow Harvard/Forsyth Endowed Endodontic Research Fund and the Endodontic Department at Penn Dental Medicine. This study was also supported by research grants from the Brazilian Support Agencies for Superior Education (CAPES and CNPq) PRPQ/UFMG, and the post-graduation program of the School of Dentistry, UFMG. We want to thank the members of the Forsyth Institute Sequencing Core (Bruce Paster, Jon Mcafferty, Keerthana Krishnan, Sean Cotton, Alexis Kokaras and George Chen) for their technical assistance.
6 · The paper itself

Abstract

aimTo identify relationships among bacterial species in endodontic infections, to determine their core microbiome, and associated clinical characteristics. METHODOLOGY: 206 patients with endodontic infections and apical periodontitis were assessed for clinical parameters (periapical lesion, symptomatology, sinus tract). Samples from the apical third of roots were obtained before cleaning and shaping root canals, and microbial composition was analysed using 16S rRNA sequencing and HOMINGS. Correlation Network Analysis (CNA) was performed using the R package igraph, and networks were visualised in Cytoscape with centralities determined by CytoHubba. The core microbiome was identified using the R package Microbiome, listing species comprising at least 1% of samples in over 50% of cases.

resultsThe endodontic core microbiome included Parvimonas micra, Streptococcus sanguinis, Enterococcus faecalis, Porphyromonas endodontalis, Prevotella nigrescens and Fusobacterium nucleatum. Symptomatic cases had a core microbiome of Bacteroidaceae.G.1. sp oral taxon 272 and Haemophilus parainfluenzae. Sinus cases had a core microbiome of Bacteroidaceae.G.1. sp oral taxon 272, Mogibacterium timidum, Peptostreptococcus stomatis, Pseudoramibacter alactolyticus and Rothia dentocariosa. Lesion cases had a core microbiome of Atopobium rimae, Eubacterium.11.G.1. infirmum, Mogibacterium timidum and Pseudoramibacter alactolyticus. Certain taxa like Bacillus clausii and Eubacterium limosum were never detected.

conclusionsDespite critical gaps in root canal treatment clinical effectiveness, standardisation and understanding of pathogen complexity, our study, utilising next-generation 16S rRNA Sequencing and HOMINGS, provides valuable insights into core microbiome members involved in endodontic infections and their associations with distinct clinical signs and symptoms, offering insights that may guide more precise diagnosis and targeted treatment.

Indexed as

Dental Pulp CavityDental Pulp DiseasesMicrobiotaPeriapical PeriodontitisAdultAgedFemaleHumansMaleMiddle AgedRNA, Ribosomal, 16SRNA, Ribosomal, 16Sendodonticmicrobiomeroot canal infection

Identifiers

PMID40788639
PMCPMC12518688

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.