Non-Cochrane · aetiology · PM41629856

The oral bacterial microbiota change in oral squamous cell carcinoma: a systematic review and meta-analysis.

Cao Qixuan, Yang Yue, Bai Shuang, et al. · BMC oral health · 2026 · PubMed · doi:10.1186/s12903-026-07813-w

Findings

98 findings

Population
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Veillonella (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing
SMD -0.39 [-0.64, -0.13]
GRADE not reported
13 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Proteobacteria (phylum level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing · Overall of studies in the sample type subgroup analysis (saliva, oral rinse, oral swab)
SMD -0.28 [-0.58, 0.01]
GRADE not reported
8 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Parvimonas (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing · Overall of studies in the sample type subgroup analysis (saliva, oral rinse, oral swab)
SMD 0.74 [0.28, 1.19]
GRADE not reported
8 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Firmicutes (phylum level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing · Overall of studies in the sample type subgroup analysis (saliva, oral rinse, oral swab)
SMD -0.01 [-0.17, 0.15]
GRADE not reported
10 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Prevotella (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing
SMD 0.10 [-0.20, 0.40]
GRADE not reported
14 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Rothia (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing
SMD -0.37 [-0.59, -0.16]
GRADE not reported
13 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Peptostreptococcus (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing
SMD 0.32 [0.19, 0.45]
GRADE not reported
11 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Gemella (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing
SMD 0.14 [-0.14, 0.42]
GRADE not reported
12 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Haemophilus (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing · Overall of studies in the sample type subgroup analysis (saliva, oral rinse, oral swab)
SMD -0.14 [-0.37, 0.08]
GRADE not reported
11 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Fusobacterium (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing
SMD 0.60 [0.47, 0.73]
GRADE not reported
14 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Lactobacillus (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing
SMD 0.53 [-0.21, 1.28]
GRADE not reported
7 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Proteobacteria (phylum level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing
SMD -0.25 [-0.59, 0.09]
GRADE not reported
9 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Veillonella (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing · Overall of studies in the sample type subgroup analysis (saliva, oral rinse, oral swab)
SMD -0.34 [-0.59, -0.09]
GRADE not reported
12 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Gemella (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing · Overall of studies in the sample type subgroup analysis (saliva, oral rinse, oral swab)
SMD 0.16 [-0.16, 0.48]
GRADE not reported
10 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Bacteroidetes (phylum level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing · Overall of studies in the sample type subgroup analysis (saliva, oral rinse, oral swab)
SMD -0.06 [-0.35, 0.24]
GRADE not reported
9 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Actinomyces (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing
SMD -0.34 [-0.59, -0.08]
GRADE not reported
12 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Neisseria (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing
SMD -0.18 [-0.47, 0.12]
GRADE not reported
12 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Rothia (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing · Overall of studies in the sample type subgroup analysis (saliva, oral rinse, oral swab)
SMD -0.33 [-0.57, -0.08]
GRADE not reported
12 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Capnocytophaga (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing
SMD 0.62 [0.49, 0.75]
GRADE not reported
12 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Bacteroidetes (phylum level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing
SMD -0.10 [-0.59, 0.39]
GRADE not reported
10 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Streptococcus (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing
SMD -0.36 [-0.67, -0.05]
GRADE not reported
14 studies
People with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (case status)Healthy controlsRelative abundance of Parvimonas (genus level) in oral bacterial microbiota
Overall
SMD 0.43 [0.28, 0.58]
GRADE not reported
10 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Capnocytophaga (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing · Overall of studies in the sample type subgroup analysis (saliva, oral rinse, oral swab)
SMD 0.63 [0.36, 0.90]
GRADE not reported
10 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Fusobacterium (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing · Overall of studies in the sample type subgroup analysis (saliva, oral rinse, oral swab)
SMD 0.56 [0.43, 0.69]
GRADE not reported
13 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Actinobacteria (phylum level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing · Overall of studies in the sample type subgroup analysis (saliva, oral rinse, oral swab)
SMD -0.73 [-1.23, -0.23]
GRADE not reported
9 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Leptotrichia (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing
SMD -0.12 [-0.24, -0.00]
GRADE not reported
13 studies
People with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (case status)Healthy controlsRelative abundance of Alloprevotella (genus level) in oral bacterial microbiota
Overall
SMD 0.43 [0.29, 0.57]
GRADE not reported
10 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Dialister (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing
SMD 0.54 [0.34, 0.74]
GRADE not reported
7 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Actinobacteria (phylum level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing
SMD -0.85 [-1.36, -0.35]
GRADE not reported
10 studies
People with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (case status)Healthy controlsRelative abundance of Fusobacteria (phylum level) in oral bacterial microbiota
Overall
SMD 0.61 [0.32, 0.90]
GRADE not reported
9 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Prevotella (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing · Overall of studies in the sample type subgroup analysis (saliva, oral rinse, oral swab)
SMD 0.10 [-0.22, 0.41]
GRADE not reported
13 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Neisseria (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing · Overall of studies in the sample type subgroup analysis (saliva, oral rinse, oral swab)
SMD -0.23 [-0.59, 0.12]
GRADE not reported
11 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Actinomyces (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing · Overall of studies in the sample type subgroup analysis (saliva, oral rinse, oral swab)
SMD -0.38 [-0.60, -0.16]
GRADE not reported
11 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Fusobacteria (phylum level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing · Overall of studies in the sample type subgroup analysis (saliva, oral rinse, oral swab)
SMD 0.47 [0.31, 0.64]
GRADE not reported
7 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Firmicutes (phylum level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing
SMD -0.13 [-0.43, 0.17]
GRADE not reported
11 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Porphyromonas (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing · Overall of studies in the sample type subgroup analysis (saliva, oral rinse, oral swab)
SMD 0.13 [-0.11, 0.37]
GRADE not reported
12 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Haemophilus (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing
SMD -0.23 [-0.36, -0.09]
GRADE not reported
12 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Alloprevotella (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing · Overall of studies in the sample type subgroup analysis (saliva, oral rinse, oral swab)
SMD 0.44 [0.30, 0.59]
GRADE not reported
8 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Aggregatibacter (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing
SMD 0.10 [-0.29, 0.49]
GRADE not reported
7 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Streptococcus (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing · Overall of studies in the sample type subgroup analysis (saliva, oral rinse, oral swab)
SMD -0.33 [-0.63, -0.03]
GRADE not reported
13 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Leptotrichia (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing · Overall of studies in the sample type subgroup analysis (saliva, oral rinse, oral swab)
SMD -0.12 [-0.30, 0.07]
GRADE not reported
12 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Porphyromonas (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse, saliva, oral swab or tissue samples; 16S rRNA or metagenomic sequencing
SMD 0.07 [-0.16, 0.31]
GRADE not reported
12 studies
OSCC patients and healthy controls, saliva samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Aggregatibacter (genus level), oral bacterial microbiota by next-generation sequencing
Saliva samples · Sample type: Saliva
SMD -0.04 [-0.64, 0.56]
GRADE not reported
5 studies
OSCC patients and healthy controls, saliva samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Fusobacteria (phylum level), oral bacterial microbiota by next-generation sequencing
Saliva samples · Sample type: Saliva
SMD 0.28 [0.01, 0.54]
GRADE not reported
5 studies
OSCC patients and healthy controls, saliva samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Rothia (genus level), oral bacterial microbiota by next-generation sequencing
Saliva samples · Sample type: Saliva
SMD -0.31 [-0.66, 0.05]
GRADE not reported
8 studies
OSCC patients and healthy controls, saliva samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Prevotella (genus level), oral bacterial microbiota by next-generation sequencing
Saliva samples · Sample type: Saliva
SMD -0.14 [-0.47, 0.19]
GRADE not reported
8 studies
OSCC patients and healthy controls, saliva samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Bacteroidetes (phylum level), oral bacterial microbiota by next-generation sequencing
Saliva samples · Sample type: Saliva
SMD 0.00 [-0.26, 0.27]
GRADE not reported
5 studies
OSCC patients and healthy controls, saliva samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Porphyromonas (genus level), oral bacterial microbiota by next-generation sequencing
Saliva samples · Sample type: Saliva
SMD 0.18 [-0.04, 0.41]
GRADE not reported
7 studies
OSCC patients and healthy controls, saliva samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Actinomyces (genus level), oral bacterial microbiota by next-generation sequencing
Saliva samples · Sample type: Saliva
SMD -0.34 [-0.73, 0.05]
GRADE not reported
7 studies
OSCC patients and healthy controls, saliva samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Gemella (genus level), oral bacterial microbiota by next-generation sequencing
Saliva samples · Sample type: Saliva
SMD 0.31 [0.01, 0.62]
GRADE not reported
8 studies
OSCC patients and healthy controls, saliva samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Lactobacillus (genus level), oral bacterial microbiota by next-generation sequencing
Saliva samples · Sample type: Saliva
SMD 0.31 [-0.34, 0.97]
GRADE not reported
5 studies
OSCC patients and healthy controls, saliva samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Streptococcus (genus level), oral bacterial microbiota by next-generation sequencing
Saliva samples · Sample type: Saliva
SMD -0.12 [-0.53, 0.30]
GRADE not reported
8 studies
OSCC patients and healthy controls, saliva samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Alloprevotella (genus level), oral bacterial microbiota by next-generation sequencing
Saliva samples · Sample type: Saliva
SMD 0.40 [0.23, 0.58]
GRADE not reported
6 studies
OSCC patients and healthy controls, saliva samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Peptostreptococcus (genus level), oral bacterial microbiota by next-generation sequencing
Saliva samples · Sample type: Saliva
SMD 0.41 [0.10, 0.71]
GRADE not reported
8 studies
OSCC patients and healthy controls, saliva samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Proteobacteria (phylum level), oral bacterial microbiota by next-generation sequencing
Saliva samples · Sample type: Saliva
SMD -0.44 [-1.17, 0.28]
GRADE not reported
4 studies
OSCC patients and healthy controls, saliva samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Haemophilus (genus level), oral bacterial microbiota by next-generation sequencing
Saliva samples · Sample type: Saliva
SMD -0.13 [-0.56, 0.30]
GRADE not reported
7 studies
OSCC patients and healthy controls, saliva samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Fusobacterium (genus level), oral bacterial microbiota by next-generation sequencing
Saliva samples · Sample type: Saliva
SMD 0.49 [0.23, 0.74]
GRADE not reported
7 studies
OSCC patients and healthy controls, saliva samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Dialister (genus level), oral bacterial microbiota by next-generation sequencing
Saliva samples · Sample type: Saliva
SMD 0.78 [0.48, 1.08]
GRADE not reported
5 studies
OSCC patients and healthy controls, saliva samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Capnocytophaga (genus level), oral bacterial microbiota by next-generation sequencing
Saliva samples · Sample type: Saliva
SMD 0.55 [0.23, 0.86]
GRADE not reported
8 studies
OSCC patients and healthy controls, saliva samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Veillonella (genus level), oral bacterial microbiota by next-generation sequencing
Saliva samples · Sample type: Saliva
SMD -0.54 [-0.87, -0.22]
GRADE not reported
8 studies
OSCC patients and healthy controls, saliva samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Parvimonas (genus level), oral bacterial microbiota by next-generation sequencing
Saliva samples · Sample type: Saliva
SMD 0.77 [0.17, 1.37]
GRADE not reported
6 studies
OSCC patients and healthy controls, saliva samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Neisseria (genus level), oral bacterial microbiota by next-generation sequencing
Saliva samples · Sample type: Saliva
SMD -0.47 [-1.05, 0.11]
GRADE not reported
7 studies
OSCC patients and healthy controls, saliva samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Actinobacteria (phylum level), oral bacterial microbiota by next-generation sequencing
Saliva samples · Sample type: Saliva
SMD -0.38 [-0.98, 0.21]
GRADE not reported
5 studies
OSCC patients and healthy controls, saliva samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Leptotrichia (genus level), oral bacterial microbiota by next-generation sequencing
Saliva samples · Sample type: Saliva
SMD -0.28 [-0.44, -0.12]
GRADE not reported
8 studies
OSCC patients and healthy controls, saliva samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Firmicutes (phylum level), oral bacterial microbiota by next-generation sequencing
Saliva samples · Sample type: Saliva
SMD -0.04 [-0.31, 0.23]
GRADE not reported
5 studies
OSCC patients and healthy controls, oral rinse samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Haemophilus (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse samples · Sample type: Oral rinse
SMD -0.20 [-0.41, 0.01]
GRADE not reported
2 studies
OSCC patients and healthy controls, oral rinse samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Neisseria (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse samples · Sample type: Oral rinse
SMD -0.27 [-0.76, 0.22]
GRADE not reported
2 studies
OSCC patients and healthy controls, oral rinse samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Bacteroidetes (phylum level), oral bacterial microbiota by next-generation sequencing
Oral rinse samples · Sample type: Oral rinse
SMD -0.23 [-1.14, 0.69]
GRADE not reported
2 studies
OSCC patients and healthy controls, oral rinse samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Actinomyces (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse samples · Sample type: Oral rinse
SMD -0.37 [-0.59, -0.16]
GRADE not reported
2 studies
OSCC patients and healthy controls, oral rinse samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Veillonella (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse samples · Sample type: Oral rinse
SMD 0.02 [-0.19, 0.24]
GRADE not reported
2 studies
OSCC patients and healthy controls, oral rinse samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Fusobacteria (phylum level), oral bacterial microbiota by next-generation sequencing
Oral rinse samples · Sample type: Oral rinse
SMD 0.60 [0.39, 0.82]
GRADE not reported
2 studies
OSCC patients and healthy controls, oral rinse samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Streptococcus (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse samples · Sample type: Oral rinse
SMD -0.35 [-0.63, -0.08]
GRADE not reported
3 studies
OSCC patients and healthy controls, oral rinse samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Fusobacterium (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse samples · Sample type: Oral rinse
SMD 0.68 [0.47, 0.88]
GRADE not reported
3 studies
OSCC patients and healthy controls, oral rinse samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Porphyromonas (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse samples · Sample type: Oral rinse
SMD -0.40 [-0.61, -0.18]
GRADE not reported
2 studies
OSCC patients and healthy controls, oral rinse samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Prevotella (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse samples · Sample type: Oral rinse
SMD 0.23 [-0.44, 0.90]
GRADE not reported
3 studies
OSCC patients and healthy controls, oral rinse samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Leptotrichia (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse samples · Sample type: Oral rinse
SMD 0.23 [0.02, 0.44]
GRADE not reported
2 studies
OSCC patients and healthy controls, oral rinse samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Actinobacteria (phylum level), oral bacterial microbiota by next-generation sequencing
Oral rinse samples · Sample type: Oral rinse
SMD -0.39 [-0.92, 0.13]
GRADE not reported
2 studies
OSCC patients and healthy controls, oral rinse samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Rothia (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse samples · Sample type: Oral rinse
SMD -0.38 [-0.92, 0.16]
GRADE not reported
2 studies
OSCC patients and healthy controls, oral rinse samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Alloprevotella (genus level), oral bacterial microbiota by next-generation sequencing
Oral rinse samples · Sample type: Oral rinse
SMD 0.59 [0.19, 0.99]
GRADE not reported
2 studies
OSCC patients and healthy controls, oral rinse samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Firmicutes (phylum level), oral bacterial microbiota by next-generation sequencing
Oral rinse samples · Sample type: Oral rinse
SMD -0.03 [-0.24, 0.18]
GRADE not reported
2 studies
OSCC patients and healthy controls, oral rinse samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Proteobacteria (phylum level), oral bacterial microbiota by next-generation sequencing
Oral rinse samples · Sample type: Oral rinse
SMD -0.26 [-0.51, -0.01]
GRADE not reported
2 studies
OSCC patients and healthy controls, oral swab samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Bacteroidetes (phylum level), oral bacterial microbiota by next-generation sequencing
Oral swab samples · Sample type: Oral swab
SMD 0.00 [-0.87, 0.86]
GRADE not reported
2 studies
OSCC patients and healthy controls, oral swab samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Prevotella (genus level), oral bacterial microbiota by next-generation sequencing
Oral swab samples · Sample type: Oral swab
SMD 0.96 [-0.86, 2.77]
GRADE not reported
2 studies
OSCC patients and healthy controls, oral swab samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Veillonella (genus level), oral bacterial microbiota by next-generation sequencing
Oral swab samples · Sample type: Oral swab
SMD -0.08 [-0.62, 0.45]
GRADE not reported
2 studies
OSCC patients and healthy controls, oral swab samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Parvimonas (genus level), oral bacterial microbiota by next-generation sequencing
Oral swab samples · Sample type: Oral swab
SMD 0.68 [-0.22, 1.58]
GRADE not reported
2 studies
OSCC patients and healthy controls, oral swab samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Capnocytophaga (genus level), oral bacterial microbiota by next-generation sequencing
Oral swab samples · Sample type: Oral swab
SMD 1.00 [0.59, 1.42]
GRADE not reported
2 studies
OSCC patients and healthy controls, oral swab samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Haemophilus (genus level), oral bacterial microbiota by next-generation sequencing
Oral swab samples · Sample type: Oral swab
SMD 0.00 [-0.39, 0.39]
GRADE not reported
2 studies
OSCC patients and healthy controls, oral swab samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Proteobacteria (phylum level), oral bacterial microbiota by next-generation sequencing
Oral swab samples · Sample type: Oral swab
SMD -0.24 [-0.96, 0.47]
GRADE not reported
2 studies
OSCC patients and healthy controls, oral swab samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Actinomyces (genus level), oral bacterial microbiota by next-generation sequencing
Oral swab samples · Sample type: Oral swab
SMD -0.55 [-1.01, -0.09]
GRADE not reported
2 studies
OSCC patients and healthy controls, oral swab samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Fusobacterium (genus level), oral bacterial microbiota by next-generation sequencing
Oral swab samples · Sample type: Oral swab
SMD 0.53 [0.26, 0.80]
GRADE not reported
3 studies
OSCC patients and healthy controls, oral swab samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Porphyromonas (genus level), oral bacterial microbiota by next-generation sequencing
Oral swab samples · Sample type: Oral swab
SMD 0.37 [0.11, 0.64]
GRADE not reported
3 studies
OSCC patients and healthy controls, oral swab samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Neisseria (genus level), oral bacterial microbiota by next-generation sequencing
Oral swab samples · Sample type: Oral swab
SMD 0.45 [-0.16, 1.05]
GRADE not reported
2 studies
OSCC patients and healthy controls, oral swab samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Actinobacteria (phylum level), oral bacterial microbiota by next-generation sequencing
Oral swab samples · Sample type: Oral swab
SMD -2.38 [-5.59, 0.83]
GRADE not reported
2 studies
OSCC patients and healthy controls, oral swab samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Gemella (genus level), oral bacterial microbiota by next-generation sequencing
Oral swab samples · Sample type: Oral swab
SMD -0.48 [-0.88, -0.09]
GRADE not reported
2 studies
OSCC patients and healthy controls, oral swab samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Leptotrichia (genus level), oral bacterial microbiota by next-generation sequencing
Oral swab samples · Sample type: Oral swab
SMD -0.18 [-0.93, 0.58]
GRADE not reported
2 studies
OSCC patients and healthy controls, oral swab samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Streptococcus (genus level), oral bacterial microbiota by next-generation sequencing
Oral swab samples · Sample type: Oral swab
SMD -1.07 [-2.19, 0.04]
GRADE not reported
2 studies
OSCC patients and healthy controls, oral swab samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Firmicutes (phylum level), oral bacterial microbiota by next-generation sequencing
Oral swab samples · Sample type: Oral swab
SMD -0.08 [-0.64, 0.48]
GRADE not reported
3 studies
OSCC patients and healthy controls, oral swab samplesOral squamous cell carcinoma (exposure group)Healthy controlsRelative abundance of Rothia (genus level), oral bacterial microbiota by next-generation sequencing
Oral swab samples · Sample type: Oral swab
SMD -0.33 [-1.08, 0.43]
GRADE not reported
2 studies

Included primary studies 16

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Al-Hebshi 2017
Inflammatory bacteriome featuring Fusobacterium nucleatum and Pseudomonas aeruginosa identified in association with oral squamous cell…
PMID:28500338
20171 other reviewnot statednot extracted yet
Granato 2021
Meta-omics analysis indicates the saliva microbiome and its proteins associated with the prognosis of oral cancer patients.
PMID:33839314
20211 other reviewnot statednot extracted yet
Zhu 2023
Convergent dysbiosis of upper aerodigestive microbiota between patients with esophageal and oral cavity squamous cell carcinoma.
PMID:36752573
20231 other reviewnot statednot extracted yet
Ganly 2019
Periodontal pathogens are a risk factor of oral cavity squamous cell carcinoma, independent of tobacco and alcohol and human papillomavirus.
PMID:30671943
2019this review onlynot statednot extracted yet
Guerrero-Preston 2016
16S rRNA amplicon sequencing identifies microbiota associated with oral cancer, human papilloma virus infection and surgical treatment.
PMID:27259999
2016this review onlynot statednot extracted yet
Haider 2024
THE ROLE OF THE ORAL MICROBIOME IN ORAL CANCER PATHOGENESIS
DOI:10.53555/jptcp.v31i1.3988
2024this review onlynot statednot extracted yet
He 2024
The potential value of oral microbial signatures for prediction of oral squamous cell carcinoma based on machine learning algorithms.
PMID:38695435
2024this review onlynot statednot extracted yet
Heng 2022
Oral Bacteriome and Mycobiome across Stages of Oral Carcinogenesis.
PMID:36445134
2022this review onlynot statednot extracted yet
Isono 2025
Involvement of Oral Microbiome in the Development of Oral Malignancy.
PMID:40002227
2025this review onlynot statednot extracted yet
Liu 2022
Metagenomic Analysis Reveals a Changing Microbiome Associated With the Depth of Invasion of Oral Squamous Cell Carcinoma.
PMID:35222330
2022this review onlynot statednot extracted yet
Takahashi 2019
Analysis of oral microbiota in Japanese oral cancer patients using 16S rRNA sequencing.
PMID:31109865
2019this review onlynot statednot extracted yet
Unlu 2024
Oral microbial dysbiosis in patients with oral cavity cancers.
PMID:38884817
2024this review onlynot statednot extracted yet
Wei 2025
Oral and intratumoral microbiota influence tumor immunity and patient survival.
PMID:40475759
2025this review onlynot statednot extracted yet
Yan 2023
Microbial Changes Associated With Oral Cavity Cancer Progression.
PMID:36939272
2023this review onlynot statednot extracted yet
Yang 2018
Oral Microbiota Community Dynamics Associated With Oral Squamous Cell Carcinoma Staging.
PMID:29774014
2018this review onlynot statednot extracted yet
Yang 2025
Microbiome Signatures and Dysbiotic Patterns in Oral Cancer and Precancerous Lesions.
PMID:40106821
2025this review onlynot statednot extracted yet

Overlap with other reviews

Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match). Only the non-Cochrane dental reviews have study lists, so overlap with Cochrane reviews is not counted yet.

Review question

ElementPlanned (methods)Found (results)
PopulationPatients with oral squamous cell carcinoma (OSCC) and healthy controlsOSCC cases and healthy controls (n=1,608: 813 OSCC, 795 controls)
InterventionOSCC (case status); oral bacterial microbiota assessed by next-generation sequencingOSCC (n=813)
ComparisonHealthy controlsHealthy controls (n=795)
OutcomesRelative abundance of bacterial taxa at phylum and genus level (mean and SD)Relative abundance of 5 phyla and 18 genera (SMD, 7 to 14 studies per taxon)
Study designsCase-control studiesCase-control studies (n=16)
TimingNot specifiedNot specified