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Widmer C, Skutas J, Easson C et al. J Endod 2018; 10.1016/j.joen.2018.03.009

It is becoming increasingly apparent, with new isolation and identification systems, that in healthy states, bacteria exist in symbiotic relationship with human hosts. Sites previously thought of as sterile, such as blood, urine and the dental pulp, are in fact populated by mircoorganisms.

Using verified decontamination techniques, this study removed the pulp tissue from ten disease-free, single-rooted teeth, with no history of trauma, prior to extraction for orthodontic reasons. DNA extraction techniques revealed an average of 343 (range 191–479) unique taxa per sample which were predominantly Ralstonia, Acinetobacter and Staphylococcus. Taxa dominant in plaque samples tended to be present in low abundance in the pulp and those dominant in the pulp present in low abundance in the plaque.

Other studies have shown the presence of these bacteria in blood but in different ratios and numbers to that found in pulpal tissue in this study. The authors conclude that there is evidence that the healthy pulp may not be sterile and that further research is needed.