Evidence map›Paper›PMID 41856754›Full record

SynthesisJournal of clinical periodontology2026

Impact of Electronic Cigarette Use on the Oral Microbiota: A Systematic Review.

Giusy Rita Maria La Rosa, Lakshman Perera Samaranayake, Egija Zaura, Ang Sun, Virginia Fuochi, Pio Maria Furneri, Jan Kowalski, Karol Myszel, Iain Chapple, Riccardo Polosa

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of clinical periodontology, 2026. 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. 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

10 authors.

Giusy Rita Maria La RosaDepartment of Clinical and Experimental Medicine, University of Catania, Catania, Italy.ORCID 0000-0001-5127-5299
Lakshman Perera SamaranayakeThe University of Hong Kong, Pokfulam, Hong Kong.
Egija ZauraDepartment of Preventive Dentistry, Academic Centre for Dentistry Amsterdam, University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Ang SunDepartment of Biology, College of Science and Technology, Temple University, Philadelphia, Pennsylvania, USA.
Virginia FuochiDepartment of Biomedical and Biotechnological Sciences (BIOMETEC), University of Catania, Catania, Italy.
Pio Maria FurneriDepartment of Biomedical and Biotechnological Sciences (BIOMETEC), University of Catania, Catania, Italy.
Jan KowalskiDepartment of Periodontology, Medical University of Warsaw, Warsaw, Poland.
Karol MyszelCenter of Hearing and Speech, Kajetany, Poland.
Iain ChapplePeriodontal Research Group & Birmingham NIHR Biomedical Research Centre in Inflammation, The University of Birmingham & Birmingham Community Healthcare NHS Trust, Birmingham, UK.ORCID 0000-0003-2697-7082
Riccardo PolosaDepartment of Clinical and Experimental Medicine, University of Catania, Catania, Italy.

Funding

Department of Clinical and Experimental Medicine, University of Catania 6C725202048/2024
6 · The paper itself

Abstract

aimTo examine whether the oral microbiota of e-cigarette users differs from that of never smokers and current smokers. MATERIALS AND

methodsPubMed, Scopus and Web of Science were searched on 27 August 2025. Human studies using molecular methods to compare oral microbiota in saliva, subgingival plaque and oral mucosal swabs among e-cigarette users, never smokers and current smokers were included. Primary outcomes were alpha diversity, beta diversity and differential taxonomic abundance. Risk of bias was assessed using JBI tools and certainty of evidence using GRADE.

resultsTwelve studies were included; most were cross-sectional and heterogeneous in design, exposure and samples. Alpha diversity findings were inconsistent across samples, whereas beta diversity more consistently indicated distinct microbial communities in e-cigarette users compared with never smokers and current smokers. Taxonomic differences were heterogeneous and sample-dependent, with some enrichment of genera such as Veillonella, Leptotrichia, and Fusobacterium compared with never smokers.

conclusionsElectronic cigarette use is associated with sample-specific oral microbiota differences that partly overlap with, but differ from, those observed in never smokers and current smokers. However, the certainty of evidence is very low due to predominantly cross-sectional designs and methodological limitations, underscoring the need for longitudinal studies with standardised exposure and protocols.

Indexed as

Electronic Nicotine Delivery SystemsMicrobiotaMouthVapingHumansSalivadysbiosise‐cigaretteoral microbiotaperiodontal diseasesmoking

Identifiers

PMID41856754
PMCPMC13167625

What OpenQuestion holds

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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.