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在牙周病患者龈下生物膜中检测肺炎戴阿李斯特菌。

Detection of Dialister pneumosintes in the subgingival biofilm of subjects with periodontal disease.

作者信息

Ferraro Cíntia Tereza Lima, Gornic Camila, Barbosa Adriana Sampaio, Peixoto Rafael J Marques, Colombo Ana Paula Vieira

机构信息

Dental School, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.

出版信息

Anaerobe. 2007 Oct-Dec;13(5-6):244-8. doi: 10.1016/j.anaerobe.2007.09.002. Epub 2007 Oct 4.

Abstract

Dialister pneumosintes has been indicated as a potentially new periodontopathic species. This study evaluated the prevalence of this microorganism in saliva and subgingival biofilm from subjects with different periodontal conditions. Subgingival biofilm and saliva samples from 48 subjects with periodontal health (PH) and 116 patients with chronic periodontitis (CP) were obtained. DNA was extracted from the samples and the presence of D. pneumosintes was determined by PCR. Differences in clinical parameters and frequency of D. pneumosintes between groups were sought by Mann-Whitney, Chi-square and Fisher's exact tests. Overall, D. pneumosintes was detected in 47.8% of the biofilm samples, but only in 3% of saliva samples. CP patients presented a significantly greater mean prevalence of this species in sites with periodontal health and periodontal infection (43.5+/-7.4% and 62.1+/-6.4%, respectively) than PH subjects (29.4+/-7.9%) (Mann-Whitney; p<0.01). Moreover, significant associations between the prevalence of D. pneumosintes and pocket depth (p=0.001), attachment loss (p=0.001) and bleeding on probing (GLM, p=0.014) were observed after adjusting for age and gender. These findings corroborate the association of D. pneumosintes with periodontitis.

摘要

肺炎戴阿利斯特菌已被认为是一种潜在的新型牙周病原菌。本研究评估了该微生物在不同牙周状况受试者的唾液和龈下生物膜中的患病率。采集了48名牙周健康(PH)受试者和116名慢性牙周炎(CP)患者的龈下生物膜和唾液样本。从样本中提取DNA,并通过PCR检测肺炎戴阿利斯特菌的存在。通过Mann-Whitney检验、卡方检验和Fisher精确检验来寻找两组之间临床参数和肺炎戴阿利斯特菌频率的差异。总体而言,在47.8%的生物膜样本中检测到肺炎戴阿利斯特菌,但仅在3%的唾液样本中检测到。CP患者在牙周健康部位和牙周感染部位该菌的平均患病率(分别为43.5±7.4%和62.1±6.4%)显著高于PH受试者(29.4±7.9%)(Mann-Whitney检验;p<0.01)。此外,在对年龄和性别进行校正后,观察到肺炎戴阿利斯特菌的患病率与牙周袋深度(p=0.001)、附着丧失(p=0.001)和探诊出血(广义线性模型,p=0.014)之间存在显著关联。这些发现证实了肺炎戴阿利斯特菌与牙周炎之间的关联。

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