Liang J P
College of Stomatology, Shanghai Second Medical University.
Zhonghua Kou Qiang Yi Xue Za Zhi. 1991 Jan;26(1):28-30, 62-3.
Anaerobes of 17 infected canals with periapical periodontitis were studied. Most of root flora were not only anaerobes but also aerobes. Anaerobes were predominant in chronic periapical periodontitis. Major anaerobes isolated from canals were peptostreptococcus, B. melaninogenicus and B. oralis. The chi-square results indicated that the peptostreptococcus were significantly related to apical radiolucency and B. melaninogenicus were significantly related to percussion or foul smell. Animal experiment results showed that rats inoculated with mixed flora developed many abscesses. But the monoinfected rats had infiltration of PMNs, dilation and hypermia of vessels. B. melaninogenicus, B. oralis and mixed flora had liquefied gelatin and indicated these bacteria had collagenase which could dissolve collagen fibers and significantly related to destroy of collagen fibers and bone in periapical tissues.
对17例患有根尖周炎的感染根管中的厌氧菌进行了研究。大多数根管菌群不仅包括厌氧菌,还包括需氧菌。厌氧菌在慢性根尖周炎中占主导地位。从根管中分离出的主要厌氧菌为消化链球菌、产黑色素普雷沃菌和口腔普雷沃菌。卡方检验结果表明,消化链球菌与根尖透影区显著相关,产黑色素普雷沃菌与叩痛或异味显著相关。动物实验结果显示,接种混合菌群的大鼠出现了许多脓肿。但单菌感染的大鼠有中性粒细胞浸润、血管扩张和充血。产黑色素普雷沃菌、口腔普雷沃菌和混合菌群能液化明胶,表明这些细菌具有胶原酶,可溶解胶原纤维,与根尖周组织中胶原纤维和骨的破坏显著相关。