慢性牙周炎中可培养的龈下牙周病原菌的比例
Rate of cultivable subgingival periodontopathogenic bacteria in chronic periodontitis.
作者信息
Salari Mohammad Hossein, Kadkhoda Zainab
机构信息
Department of Pathobiology, School of Public Health and Institute of Public Health Research, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
J Oral Sci. 2004 Sep;46(3):157-61. doi: 10.2334/josnusd.46.157.
Although microbiological studies have identified more than 400 bacterial species in periodontal pockets, only a limited number have been implicated as periodontal pathogens. The purpose of this study was to investigate the incidence of cultivable subgingival periodontopathogenic bacteria in chronic periodontitis. Bacterial samples were collected with sterile paper points from the deepest periodontal pockets ((5 mm) of 203 patients: 92 males and 111 females, aged 35-55 years. The samples were cultured under anaerobic and capnophilic conditions using selective and non-selective media. Isolates were characterized to species level by conventional biochemical tests and a commercial rapid test system. The isolates were Actinobacillus actinomycetemcomitans (26.8%), Porphyromonas gingivalis (21.9%), Capnocytophaga sputigena (16.7%), Eikenella corrodens (13.2%), Prevotella intermedia (10.5 %), Prevotella disiens (3.1%), Peptostreptococcus micros (2.9%), Capnocytophaga gingivalis (2.2%), Prevotella corporis (1.8%), Peptostreptococcus magnus (1.3%) and Fusobacterium nucleatum (0.4%). No periodontopathogenic bacterial growth was observed in 14 of the samples (6.2%). The number of samples associated with monobacterial growth and polybacterial growth were 74.9% and 18.2% respectively. It is concluded that the bacterial composition associated with a number of patients' samples is quite complex, and that some of cultivable anaerobic and capnophilic bacteria act as periodontal pathogens in chronic periodontitis.
尽管微生物学研究已在牙周袋中鉴定出400多种细菌,但只有少数几种被认为是牙周病原体。本研究的目的是调查慢性牙周炎中可培养的龈下牙周病原菌的发生率。用无菌纸尖从203例患者(年龄35 - 55岁,92例男性和111例女性)最深的牙周袋(≥5 mm)中采集细菌样本。样本在厌氧和嗜二氧化碳条件下使用选择性和非选择性培养基进行培养。通过传统生化试验和商业快速检测系统将分离株鉴定到种水平。分离株包括伴放线放线杆菌(26.8%)、牙龈卟啉单胞菌(21.9%)、嗜二氧化碳噬纤维菌(16.7%)、腐蚀埃肯菌(13.2%)、中间普氏菌(10.5%)、解脲普氏菌(3.1%)、微小消化链球菌(2.9%)、牙龈嗜二氧化碳噬纤维菌(2.2%)、人体普氏菌(1.8%)、大消化链球菌(1.3%)和具核梭杆菌(0.4%)。14个样本(6.2%)未观察到牙周病原菌生长。与单一细菌生长和多细菌生长相关的样本数量分别为74.9%和18.2%。结论是,许多患者样本中的细菌组成相当复杂,并且一些可培养的厌氧和嗜二氧化碳细菌在慢性牙周炎中充当牙周病原体。