Department of Operative and Preventive Dentistry, University Witten/Herdecke, Witten, Germany.
Oral Dis. 2011 Oct;17(7):642-52. doi: 10.1111/j.1601-0825.2011.01815.x. Epub 2011 May 24.
The purpose of this study was to quantify nine selected cariogenic bacteria in plaque from sound root surfaces and initial carious root lesions using TaqMan PCR and to analyse a putative dependence on the kind of initial periodontal treatment.
Fifty-four subjects with generalized chronic periodontitis were randomly allocated to one of the following initial periodontal therapies: full-mouth disinfection, full-mouth scaling and root planing or scaling and root planing within 7 days. Plaque samples were taken before and after periodontal treatment and analysed by TaqMan PCR.
The quantity of the cariogenic bacteria Actinomyces spp., Streptococcus mutans, Streptococcus sobrinus, Lactobacilllus spp., Rothia dentocariosa, Parvimonas micra, Propionibacterium acnes and Neisseria mucosa were significantly higher, while the quantity of Veillonella parvula was significantly lower on initial carious lesions than on the sound surfaces both before and after periodontal therapy. No significant differences could be found in any of the tested bacteria except P. micra on initial carious lesions and sound surfaces for both examinations between the groups.
All the nine species analysed were found to be present in initial carious root lesions as well as sound root surfaces but in different quantities, independent of the different periodontal therapies.
本研究旨在使用 TaqMan PCR 定量分析牙菌斑中 9 种致龋菌在健康根面和早期龋损根面的含量,并分析其与初始牙周治疗方式的相关性。
54 名患有广泛性慢性牙周炎的受试者被随机分配到以下三种初始牙周治疗方式之一:全口消毒、全口刮治和根面平整或 7 天内的刮治和根面平整。在牙周治疗前后采集菌斑样本,并通过 TaqMan PCR 进行分析。
在牙周治疗前后,与健康根面相比,早期龋损根面的致龋菌放线菌属、变形链球菌、远缘链球菌、乳杆菌属、齿垢密螺旋体、小韦荣球菌、痤疮丙酸杆菌和黏膜奈瑟菌的数量明显更高,而中间普氏菌的数量明显更低。除了小韦荣球菌在两种检查中,在初始龋损和健康根面的组间差异无统计学意义外,其他细菌在初始龋损和健康根面的组间差异均无统计学意义。
在所分析的 9 种细菌中,所有这些细菌都存在于早期龋损根面和健康根面中,但数量不同,与不同的牙周治疗方式无关。