key: cord-0907731-rxxcu9v7 authors: Berton, Federico; Rupel, Katia; Florian, Fiorella; Biasotto, Matteo; Pallavicini, Alberto; Di Lenarda, Roberto title: Dental calculus—a reservoir for detection of past SARS-CoV-2 infection date: 2021-05-26 journal: Clin Oral Investig DOI: 10.1007/s00784-021-04001-8 sha: 32ff0441d27b998707db8da9dbad954ca1ce91d6 doc_id: 907731 cord_uid: rxxcu9v7 nan used, as previous studies demonstrated its high sensitivity and specificity [5] . The results showed that SARS-CoV-2 RNA was detected in all POS subjects, in the two SUSP subjects, and one among CTRL subjects. Ct values are reported in Table 1 . Furthermore, one of the POS subjects resulted negative at a serologic assay while the other four subjects developed specific IgG antibodies. Samples were further analyzed using the CDC N1 assay, confirming the presence of SARS-CoV-2 RNA in one POS subject. The presence of SARS-CoV-2 RNA was confirmed by genomic sequencing of the amplicons obtained with the RdRp Institut Pasteur IP2 assay. Sanger sequencing was run at Eurofins Genomics facilities. Dental calculus has been previously analyzed, mostly for microbiome definition in archaeological human samples and serving as milieu for the preservation of genomic information. Similarly, dental calculus may be helpful to detect SARS-CoV-2 traces in previously infected and possibly also in asymptomatic or mild symptomatic patients that may not develop detectable antibodies, therefore lacking a method to confirm the occurred infection. Further studies are needed to define method's reliability, cost/effectiveness, and suitability for large-scale epidemiological studies or post-mortem analysis. Although our study has some limitations due to the small number of samples, we believe that its interest resides in the fact that it is the first describing the presence of SARS-CoV-2 RNA in dental calculus. Publisher's note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Serum-IgG responses to SARS-CoV-2 after mild and severe COVID-19 infection and analysis of IgG non-responders Prevalence of asymptomatic SARS-CoV-2 infection: a narrative review Lack of antibodies to SARS-CoV-2 in a large cohort of previously infected persons Pathogens and host immunity in the ancient human oral cavity Performance assessment of SARS-CoV-2 PCR assays developed by WHO referral laboratories