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Microbiome differences between trauma- and caries-derived periapical lesions using next-generation sequencing.

Jiyuan Zhan1, Yinxue Huang1, Xinhui Meng1

  • 1Yunnan Key Laboratory of Stomatology & Department of Cariology, Operative Dentistry and Endodontics, The Affiliated Stomatology Hospital, Kunming Medical University, Kunming, China.

Journal of Oral Microbiology
|September 26, 2025
PubMed
Summary
This summary is machine-generated.

Trauma-derived periapical lesions show lower microbial diversity than caries-derived ones. Campylobacter is a key bacterium distinguishing trauma-induced lesions, suggesting it may be a diagnostic marker.

Keywords:
Trauma teethcampylobactermicrobiomenext-generation sequencingperiapical lesions

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Area of Science:

  • Oral microbiology
  • Endodontics
  • Microbial ecology

Background:

  • The microbiome of periapical lesions from caries is well-studied.
  • The microbial profile of periapical lesions resulting from trauma is not well understood.

Purpose of the Study:

  • To characterize the apical microbiome of trauma-derived periapical lesions.
  • To identify taxonomic differences between trauma- and caries-derived periapical lesions.

Main Methods:

  • Collected microbial samples from 20 patients (10 trauma, 10 caries).
  • Used Illumina sequencing of the 16S rRNA gene's V3-V4 regions.
  • Performed diversity and differential abundance analyses (LEfSe).

Main Results:

  • Identified 36 bacterial phyla and 587 genera.
  • Trauma group showed higher Campylobacter abundance (P=0.002).
  • Reduced abundance of Prevotella, Vibrio, and Filifactor in trauma cases.
  • Campylobacter identified as a biomarker for trauma-derived lesions.

Conclusions:

  • Trauma-derived periapical lesions have reduced microbial diversity.
  • Campylobacter is a potential pathognomonic taxon for trauma-derived periapical lesions.