Evidence map›Paper›PMID 42631755›Full record

Trial reportClinical oral investigations2026

Oral health effects of nicotine pouches in snus users: clinical and immunological findings.

Sara Alizadehgharib, Anna-Karin Östberg, Anna Lehrkinder, Jisha Varghese, Taha Abdul Jabar, Filip Ilver, Peter Lingström

Abstract readRandomized Controlled Trial
In one paragraph

Trial report 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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Sara AlizadehgharibDepartment of Oral Microbiology and Immunology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Box 450, Gothenburg, 405 30, Sweden. sara.alizadehgharib@gu.se.ORCID https://orcid.org/0000-0003-1587-9508
Anna-Karin ÖstbergDepartment of Oral Microbiology and Immunology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Box 450, Gothenburg, 405 30, Sweden.ORCID http://orcid.org/0000-0002-9457-988X
Anna LehrkinderDepartment of Cariology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID http://orcid.org/0000-0002-5915-734X
Jisha VargheseDepartment of Cariology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID http://orcid.org/0009-0002-3620-1288
Taha Abdul JabarDepartment of Cariology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID http://orcid.org/0009-0003-2497-8783
Filip IlverPublic Dental Service (Folktandvården Breared and Tvååker), Region Halland, Sweden.ORCID http://orcid.org/0009-0005-2264-5269
Peter LingströmDepartment of Cariology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID http://orcid.org/0000-0002-0798-8520

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesChanges in the oral mucosa are characteristic of snus-induced lesions (SILs), typically occurring at the site of pouch placement. These lesions are reversible after cessation. This study evaluated the effects of two non-tobacco-based nicotine pouches (ZYN MATERIALS AND

methodsIn this open-label, randomized longitudinal study, 45 daily snus users were assigned to either the dry formulation (n = 23) or the moist formulation (n = 22) for four weeks. Clinical assessments were performed at baseline, day 14, and day 28. Lesions were graded on a four-point scale. Biopsies and saliva samples were collected at baseline and day 28.

resultsBoth groups showed significant improvement in lesion severity (p < 0.0001). No significant changes were observed in epithelial thickness, inflammatory cell infiltration, total protein levels, IL-1β, TNF-α, or MCP-1. IL-8 levels increased significantly in the dry formulation group (p < 0.01).

conclusionsSwitching to nicotine pouches improved SILs without major changes in the inflammatory markers assessed. CLINICAL RELEVANCE: Nicotine pouches were associated with improvement of snus-induced lesions in this study population.

trial registrationISRCTN13243849, registered 01/09/2022.

Indexed as

Mouth MucosaNicotineTobacco, SmokelessAdultCytokinesFemaleHumansLongitudinal StudiesMaleMiddle AgedCytokinesNicotineClinical trialCytokinesInflammationNicotine pouchesOral mucosa

Identifiers

PMID42631755
PMCPMC13499737

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Registered trials

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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.