Hashimura T, Sato M, Hoshino E
Department of Oral Microbiology, Niigata University School of Dentistry, Japan.
Int Endod J. 2001 Sep;34(6):463-70. doi: 10.1046/j.1365-2591.2001.00419.x.
The purpose of this study was to detect Slackia exigua from root canal samples using a sensitive PCR amplification method. Mogibacterium timidum and Eubacterium saphenum were also included because of their culture-difficult properties.
The species-specific PCR primers were prepared according to 16S rDNA sequence analysis data, and confirmed to be effective for PCR amplification as species-specific, respectively. A total of 36 clinical samples were obtained during the first visit of root canal treatment.
The sensitivity of detection was a minimum of 10 organisms for S. exigua and five organisms for M. timidum and E. saphenum, respectively. In seven cases of pulpitis, Sexigua was detected in two cases (29%), and M. timidum in two cases (29%), but E. saphenum was not detected. In 17 cases of root canal treatment, S. exigua was detected in seven cases (41%), M. timidum in 12 cases (71%) and E. saphenum in four cases (24%). In 12 cases of root canal retreatment, S. exigua was detected in three cases (25%), M. timidum in three cases (25%) and E. saphenum in two cases (17%).
S. exigua, M. timidum and E. saphenum were present in root canal systems, and may be associated with pulpal and periradicular pathosis.
本研究旨在使用灵敏的聚合酶链反应(PCR)扩增方法从根管样本中检测纤细斯莱克氏菌。由于难培养的特性,胆怯沼杆菌和隐蔽真杆菌也被纳入研究。
根据16S核糖体DNA(rDNA)序列分析数据制备物种特异性PCR引物,并分别确认为对PCR扩增有效且具有物种特异性。在根管治疗首次就诊期间共获取36份临床样本。
检测灵敏度分别为纤细斯莱克氏菌至少10个菌、胆怯沼杆菌和隐蔽真杆菌至少5个菌。在7例牙髓炎病例中,2例(29%)检测到纤细斯莱克氏菌,2例(29%)检测到胆怯沼杆菌,但未检测到隐蔽真杆菌。在17例根管治疗病例中,7例(41%)检测到纤细斯莱克氏菌,12例(71%)检测到胆怯沼杆菌,4例(24%)检测到隐蔽真杆菌。在12例根管再治疗病例中,3例(25%)检测到纤细斯莱克氏菌,3例(25%)检测到胆怯沼杆菌,2例(17%)检测到隐蔽真杆菌。
纤细斯莱克氏菌、胆怯沼杆菌和隐蔽真杆菌存在于根管系统中,可能与牙髓和根尖周病变有关。