Kobayashi N, Ishihara K, Sugihara N, Kusumoto M, Yakushiji M, Okuda K
Department of Pediatric Dentistry, Tokyo Dental College, Chiba, Japan.
J Periodontal Res. 2008 Apr;43(2):156-61. doi: 10.1111/j.1600-0765.2007.01005.x.
The purpose of this study was to determine the time of infection by anaerobic gram-negative rods associated with periodontal disease, and to clarify their transmission from mother to child.
Seventy-eight Japanese children (including 10 siblings), aged from 3 to 9 years, and 68 mothers, were enrolled in this study. Colonization by 11 periodontal bacterial species was determined using polymerase chain reaction amplification of samples of subgingival plaque obtained from the children and their mothers.
The detection rates of Porphyromonas gingivalis, Tannerella forsythensis and Treponema denticola increased in children after the age of 6 years. We found a high consistency in colonization by P. gingivalis, T. denticola, Prevotella intermedia and Prevotella nigrescens in 9 of the 10 siblings. The average number of bacterial species in plaque samples harboring Fusobacterium nucleatum and/or Fusobacterium periodonticum was significantly greater than in those without, in both children and mothers. Kappa statistical analysis revealed that the detection of Capnocytophaga gingivalis, Capnocytophaga ochracea, Campylobacter rectus and T. denticola in children was consistent with that in the mother.
Periodontal bacterial colonization in Japanese children increased with age and was associated with F. nucleatum and/or periodonticum, and the bacterial flora in children was similar to that in their mothers.
本研究旨在确定与牙周疾病相关的厌氧革兰氏阴性菌的感染时间,并阐明其母婴传播情况。
本研究纳入了78名3至9岁的日本儿童(包括10对兄弟姐妹)和68名母亲。通过聚合酶链反应扩增从儿童及其母亲处获取的龈下菌斑样本,来确定11种牙周细菌的定植情况。
6岁以上儿童牙龈卟啉单胞菌、福赛坦纳菌和具核梭杆菌的检出率升高。我们发现10对兄弟姐妹中有9对的牙龈卟啉单胞菌、具核梭杆菌、中间普氏菌和变黑普氏菌定植情况高度一致。在儿童和母亲中,含有具核梭杆菌和/或牙周梭杆菌的菌斑样本中的细菌种类平均数量显著多于不含这些细菌的样本。卡方统计分析显示,儿童中牙龈二氧化碳嗜纤维菌、微黄二氧化碳嗜纤维菌、直肠弯曲菌和具核梭杆菌的检出情况与母亲一致。
日本儿童的牙周细菌定植随年龄增长而增加,且与具核梭杆菌和/或牙周梭杆菌有关,儿童的细菌菌群与其母亲相似。