Herrera David, Contreras Adolfo, Gamonal Jorge, Oteo Alfonso, Jaramillo Adriana, Silva Nora, Sanz Mariano, Botero Javier Enrique, León Rubén
ETEP Research Group, Faculty of Dentistry, University Complutense, Madrid, Spain.
J Clin Periodontol. 2008 Feb;35(2):106-13. doi: 10.1111/j.1600-051X.2007.01170.x. Epub 2007 Dec 13.
To investigate the subgingival microbiota of distinct periodontitis patient populations, in Chile, Colombia and Spain, using identical clinical and bacteriological methods.
In this multicentre study, 114 chronic periodontitis patients were selected. Patients were examined using an identical clinical protocol and pooled subgingival samples were obtained from each patient. Samples were processed in the three laboratories by means of culturing under identical clinical and microbiological protocols. Total anaerobic counts and frequency of detection and proportions of nine periodontal pathogens were calculated. Variables were analysed by means of anova, chi(2), Kruskal-Wallis and Dunn's multiple comparison tests.
The Colombian population demonstrated greater severity of periodontitis, with significantly deeper mean probing pocket depth, and had a significantly lower percentage of current smokers. When comparing samples from the three patient populations, the total counts were significantly higher in the Colombian patients. The numbers of putative pathogens differed among groups. Tannerella forsythia was found less frequently in Chilean samples, while Parvimonas micra and enteric rods differed significantly among the three population groups.
Significant differences among Chile, Colombia and Spain existed regarding the frequency and proportions of specific periodontal pathogens in the subgingival microbiota of periodontitis patients.
采用相同的临床和细菌学方法,调查智利、哥伦比亚和西班牙不同牙周炎患者群体的龈下微生物群。
在这项多中心研究中,选取了114例慢性牙周炎患者。采用相同的临床方案对患者进行检查,并从每位患者获取龈下混合样本。三个实验室按照相同的临床和微生物学方案通过培养对样本进行处理。计算总厌氧菌计数以及九种牙周病原体的检出频率和比例。通过方差分析、卡方检验、Kruskal-Wallis检验和邓恩多重比较检验对变量进行分析。
哥伦比亚人群的牙周炎病情更严重,平均探诊深度显著更深,且当前吸烟者的比例显著更低。比较三个患者群体的样本时,哥伦比亚患者的总菌数显著更高。不同组之间假定病原体的数量存在差异。在智利样本中福赛坦纳菌的检出频率较低,而微小单胞菌和肠道杆菌在三个群体之间存在显著差异。
智利、哥伦比亚和西班牙在牙周炎患者龈下微生物群中特定牙周病原体的频率和比例方面存在显著差异。