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The Study

Oral Dysbiosis Is Associated with the Pathogenesis of Aortic Valve Diseases

In simple terms

This study found that the same kinds of bacteria that live in your mouth sometimes show up in people's heart valves. But it doesn't prove that the mouth bacteria made the heart valves sick — maybe the heart valves got damaged first, and then the bacteria just moved in.

35%

Analysis score

35/ 44

Maximum 44 for a cross-sectional study.

Where the score came from

Reporting40
Methodology4
Publication100
Statistical23
Study type (basis of the score)
Cross-Sectional Study
Level 4 - Case series
What’s the bottom line?

Scientists checked if germs from people's mouths ended up in their leaking or narrowed heart valves after surgery.

Where does this study sit?

Reviews of RCTs (Meta-analyses)

Max 100

Randomized Trials

Max 90

Reviews of Cohort Studies

Max 85

Cohort Studies

Max 72

Reviews of Case-Control Studies

Max 63

Case-Control Studies

Max 58

Cross-Sectional & Case Series

Max 50

Expert Opinion

Max 5
StrongerWeaker
Cross-Sectional & Case Series
Level 4
35

35 / 100

Quality score

Snapshots of a population at a single point in time, or descriptions of small groups. Can identify correlations and prevalence, but cannot determine cause and effect.

Cannot establish causation

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Key takeaways

Summary

Based on the study abstract and findings.

  1. 1Yes — having severe gum disease was much more common in these heart patients, and in some cases, the exact same bacteria were found in both the mouth and the heart valve.
  2. 2In 32 patients, germs from the mouth were found in 12 heart valves.
  3. 3In 6 patients, the germs matched exactly with those in their gums and tongue.
  4. 474% of patients had severe gum disease, compared to 63% of similar-age people.

Score breakdown, methodology, conflicts of interest, evidence analysis & raw study data

Publication

Journal

Microorganisms

Year

2025

Authors

Erika Yaguchi, Y. Komiyama, Shu Inami, I. Shibasaki, T. Shintani, Ryo Shiraishi, Toshiki Hyodo, Hideki Shiba, Shinsuke Hamaguchi, H. Fukuda, Shigeru Toyoda, Chonji Fukumoto, Sayaka Izumi, T. Wakui, Hitoshi Kawamata

Open Access
1 citations
Analysis v5
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