Evidence map›Paper›PMID 41870676›Full record

ArticleClinical oral investigations2026

Supragingival dental biofilm microbiomes of tobacco heating system smokers, cigarette smokers and non-smokers.

Elvis Božac, Jurica Žučko, Alen Braut, Stjepan Špalj, Romana Peršić Bukmir, Nataša Toplak, Matjaž Hladnik, Bojana Mohar Vitezić

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Article in Clinical oral investigations, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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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

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Elvis BožacDepartment of Endodontics and Restorative Dental Medicine, Faculty of Dental Medicine, University of Rijeka, Rijeka, Croatia. elvis.bozac@uniri.hr.
Jurica ŽučkoDepartment of Biochemical Engineering, Faculty of Food Technology and Biotechnology, University of Zagreb, Zagreb, Croatia.
Alen BrautDepartment of Endodontics and Restorative Dental Medicine, Faculty of Dental Medicine, University of Rijeka, Rijeka, Croatia.
Stjepan ŠpaljDepartment of Orthodontics, Faculty of Dental Medicine, University of Rijeka, Rijeka, Croatia.
Romana Peršić BukmirDepartment of Endodontics and Restorative Dental Medicine, Faculty of Dental Medicine, University of Rijeka, Rijeka, Croatia.
Nataša ToplakAlma Mater Europea University, Maribor, Slovenia.
Matjaž HladnikDepartment of Applied Natural Sciences, Faculty of Mathematics, Natural Sciences and Information Technologies University of Primorska, Koper, Slovenia.
Bojana Mohar VitezićDepartment of Microbiology and Parasitology, Faculty of Medicine, University of Rijeka, Rijeka, Croatia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe study compared the bacterial composition of supragingival dental biofilm (SDB) among smokers and non-smokers (NS). MATERIALS AND

methodsThis cross-sectional study included 60 subjects allocated into three groups: tobacco heating system smokers (THSS), cigarette smokers (CS) and NS. SDB samples were collected, and bacterial DNA was extracted and prepared for next generation sequencing of the 16s rRNA gene hypervariable regions. Bioinformatic pipelines were applied to assess microbial diversity and taxonomic composition.

resultsNo significant differences were observed in alpha diversity (Observed taxa and Shannon index) or beta diversity (Bray-Curtis index) among groups. In contrast, significant differences in microbiome bacterial composition were identified across multiple taxonomic levels. At the genus level, Alysiella (p = 0.016) and Propionibacterium (p = 0.025) were most abundant in THSS, whereas Actinobaculum (p = 0.004), Avibacterium (p = 0.015) and Haemophilus (p = 0.030) predominated in NS. At the species level: Alysiella filiformis (p = 0.006) and Streptococcus thermophilus (p = 0.025) were most abundant in THSS, Streptococcus lactarius (p = 0.05) in CS, and Prevotella multiformis (p = 0.016) and Lactobacillus salivarius (p = 0.018) in NS group.

conclusionsDistinct differences in bacterial composition of SDB were observed among THSS, CS and NS. The increased abundance of anaerobic bacteria with cariogenic potential in THSS and CS suggests a more dysbiotic profile and increased pathogenic potential compared to NS. CLINICAL RELEVANCE: Variations in SDB bacterial composition may influence the pathological potential of dental biofilms in smokers and non-smokers.

Indexed as

BiofilmsDental PlaqueMicrobiotaNon-SmokersSmokersSmokingAdultCross-Sectional StudiesDNA, BacterialFemaleHumansMaleRNA, Ribosomal, 16SDNA, BacterialRNA, Ribosomal, 16SDental cariesDental plaqueMicrobiotaSmokingSmoking devices

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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.