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一组巴西混合牙列期儿童唾液中四种假定的牙周病原菌的患病率:1年纵向研究

Prevalence of four putative periodontopathic bacteria in saliva of a group of Brazilian children with mixed dentition: 1-year longitudinal study.

作者信息

Sakai Vivien T, Campos Marinele R, Machado Maria Aparecida A M, Lauris José Roberto P, Greene Andrew S, Santos Carlos F

机构信息

Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil.

出版信息

Int J Paediatr Dent. 2007 May;17(3):192-9. doi: 10.1111/j.1365-263X.2006.00813.x.

Abstract

AIM

This study aimed at evaluating the prevalence of putative periodontal pathogens (Actinobacillus actinomycetemcomitans, Porphyromonas gingivalis, Prevotella nigrescens, Treponema denticola) in saliva of children with mixed dentition at two different time points, correlating these findings with a clinical parameter of gingival health.

DESIGN

Polymerase chain reaction (PCR) detection was used to determine the prevalence of these bacteria in saliva of 64 children in 2003 and 60 children in 2004. Gingival health was assessed by gingival index.

RESULT

Sixty-two (96.9%) and 50 (83.3%) children presented low gingival inflammation, whereas 2 (3.1%) and 10 (16.7%) had moderate scores in 2003 and 2004, respectively. Majority of the children (81.3% in 2003 and 73.3% in 2004) had detectable levels of at least one of the bacteria. The prevalence found was of 4.7% and 1.7% for A. actinomycetemcomitans, 6.3% and 8.3% for P. gingivalis, 23.4% and 48.3% for P. nigrescens (P < 0.05), and 71.9% and 50% for T. denticola (P < 0.05) in 2003 and 2004, respectively. No significant relationship between gingival index and presence of these bacteria and combination of different species was found.

CONCLUSION

A high percentage of children harboured at least one of the putative periodontal pathogens in saliva, but presented periodontally healthy conditions.

摘要

目的

本研究旨在评估处于混合牙列期的儿童在两个不同时间点唾液中假定的牙周病原体(伴放线放线杆菌、牙龈卟啉单胞菌、变黑普氏菌、具核梭杆菌)的流行情况,并将这些结果与牙龈健康的临床参数相关联。

设计

采用聚合酶链反应(PCR)检测法来确定2003年64名儿童和2004年60名儿童唾液中这些细菌的流行情况。通过牙龈指数评估牙龈健康状况。

结果

2003年和2004年分别有62名(96.9%)和50名(83.3%)儿童牙龈炎症程度较低,而分别有2名(3.1%)和10名(16.7%)儿童牙龈炎症程度为中度。大多数儿童(2003年为81.3%,2004年为73.3%)唾液中可检测到至少一种细菌。2003年和2004年,伴放线放线杆菌的流行率分别为4.7%和1.7%,牙龈卟啉单胞菌为6.3%和8.3%,变黑普氏菌为23.4%和48.3%(P<0.05),具核梭杆菌为71.9%和50%(P<0.05)。未发现牙龈指数与这些细菌的存在及不同菌种组合之间存在显著相关性。

结论

高比例儿童唾液中携带至少一种假定的牙周病原体,但牙周状况健康。

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