Özçelık Semra, Gedık Tuğçe, Gedık Rüştü, Malatyali Erdoğan
Cumhuriyet Üniversitesi Tıp Fakültesi, Parazitoloji Anabilim Dalı, Sivas, Türkiye.
Turkiye Parazitol Derg. 2010;34(4):155-9. doi: 10.5152/tpd.2010.03.
Entamoeba gingivalis and Trichomonas tenax can cause gingivitis and scale. In this study, the prevalence of E. gingivalis and T. tenax were investigated among patients who were admitted to the Cumhuriyet University, Faculty of Dentistry.
Two scraping samples were taken from 220 patients (ages varying from 12 to 75 years) and a questionnaire including fifteen parameters was applied to all patients. The samples were diluted in Physiological Saline and examined immediately by Tech Lab Entamoeba Kit and Robinson Medium.
Oral protozoa were detected in 58 (26.4%) of 220 scraping samples. In 48 (21.8%) of the positive 58 specimens, E. gingivalis was detected alone whereas T. tenax was present in only two (1%) specimens. In 8 (3.6%) specimens, E. gingivalis and T. tenax were identified together. Gender, age groups, dental caries and the number, shape disorders, systemic diseases, tooth pain, joint problems and wisdom teeth were not found to be significant with the presence of oral protozoa. However, gum problems, presence of tartar, smoking habits, brushing habits and control habits were found to be statistically significantly related with the presence of oral protozoa.
In the present study, E. gingivalis and T. tenax were found to be common. These parasites, with additional parameters, may lead to gingivitis and scale.
齿龈内阿米巴和口腔毛滴虫可引起牙龈炎和牙垢。本研究调查了居米什尔大学牙科学院收治患者中齿龈内阿米巴和口腔毛滴虫的感染率。
从220名患者(年龄在12至75岁之间)采集两份刮片样本,并对所有患者应用包含15项参数的问卷。样本用生理盐水稀释后,立即采用Tech Lab Entamoeba试剂盒和罗宾逊培养基进行检测。
在220份刮片样本中,58份(26.4%)检测到口腔原虫。在58份阳性样本中的48份(21.8%)中,仅检测到齿龈内阿米巴,而仅在两份(1%)样本中发现口腔毛滴虫。在8份(3.6%)样本中,同时检测到齿龈内阿米巴和口腔毛滴虫。未发现性别、年龄组、龋齿及数量、形态异常、全身性疾病、牙痛、关节问题和智齿与口腔原虫的存在有显著关联。然而,发现牙龈问题、牙垢的存在、吸烟习惯、刷牙习惯和口腔检查习惯与口腔原虫的存在在统计学上有显著关联。
在本研究中,发现齿龈内阿米巴和口腔毛滴虫很常见。这些寄生虫加上其他因素,可能导致牙龈炎和牙垢。