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通过培养和聚合酶链反应方法检测坏死牙髓根管中的粪肠球菌。

Detection of Enterococcus faecalis in Necrotic Teeth Root Canals by Culture and Polymerase Chain Reaction Methods.

作者信息

Cogulu Dilsah, Uzel Atac, Oncag Ozant, Aksoy Semiha C, Eronat Cemal

机构信息

Ege University, School of Dentistry, Department of Pedodontics, Bornova-Izmir,TURKEY.

出版信息

Eur J Dent. 2007 Oct;1(4):216-21.

Abstract

OBJECTIVES

The aim of this study was to investigate the presence of Enterococcus faecalis in endodontic infections in both deciduous and permanent teeth by culture and polymerase chain reaction (PCR) methods.

METHODS

A total of 145 children aged 5-13 years old were involved in this study. The presence of E. faecalis in necrotic deciduous and permanent teeth root canals was studied using culture and polymerase chain reaction methods.

RESULTS

Among 145 molar teeth, 57% (n=83) presented necrotic asymptomatic pulp tissues and were included in this study. Culture and PCR methods detected the test species in 18 and 22 of 83 teeth involved, respectively. E. faecalis was cultured from 8 (18%) of 45 necrotic deciduous teeth and from 10 (26%) of 38 necrotic permanent teeth. PCR detection identified the target species in 10 (22%) and 12 (32%) of necrotic deciduous and permanent teeth respectively. Statistically significant difference in the presence of E. faecalis in deciduous and permanent teeth was found by culture and PCR methods (P=0.03 and 0.02, respectively). The difference in the presence of E. faecalis between two different methods was not statistically significant (P>.05).

CONCLUSIONS

The results of the present study confirm that both culture and PCR methods are sensitive to detect E. faecalis in root canals.

摘要

目的

本研究旨在通过培养和聚合酶链反应(PCR)方法调查粪肠球菌在乳牙和恒牙牙髓感染中的存在情况。

方法

本研究共纳入145名5 - 13岁的儿童。采用培养和聚合酶链反应方法研究坏死乳牙和恒牙根管中粪肠球菌的存在情况。

结果

在145颗磨牙中,57%(n = 83)呈现坏死无症状牙髓组织并纳入本研究。培养法和PCR法分别在83颗受试牙齿中的18颗和22颗检测到受试菌种。从45颗坏死乳牙中的8颗(18%)和38颗坏死恒牙中的10颗(26%)培养出粪肠球菌。PCR检测分别在10颗(22%)坏死乳牙和12颗(32%)坏死恒牙中鉴定出目标菌种。培养法和PCR法在乳牙和恒牙中粪肠球菌存在情况的差异具有统计学意义(P值分别为0.03和0.02)。两种不同方法在粪肠球菌存在情况方面的差异无统计学意义(P > 0.05)。

结论

本研究结果证实培养法和PCR法在检测根管中粪肠球菌时均具有敏感性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab9d/2609913/be54b29df4e6/a5-fig1.jpg

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