Murad C F, Sassone L M, Faveri M, Hirata R, Figueiredo L, Feres M
Proclin Department, School of Dentistry, Rio de Janeiro State University, Rio de Janeiro, Brazil.
Proclin Department, School of Dentistry, Rio de Janeiro State University, Rio de Janeiro, Brazil.
J Endod. 2014 Jul;40(7):899-906. doi: 10.1016/j.joen.2014.02.010. Epub 2014 Apr 8.
INTRODUCTION: The aim of the present study was to investigate the composition of the root canal microbiota in endodontic failures in order to identify and quantify these microorganisms. METHODS: Microbiological samples were taken from 36 root canals with persistent endodontic infection. The presence, levels, and proportions of 79 bacterial species were determined by checkerboard DNA-DNA hybridization. The Pearson correlation coefficient was used to investigate the relations between bacterial counts and clinical conditions (P ≤ .05). RESULTS: Enterococcus faecium (36%), Streptococcus epidermidis (36%), Eubacterium saburreum (28%), Parvimonas micra (28%), Streptococcus sanguis (28%), Capnocytophaga sputigena (28%), Leptotrichia buccalis (28%), Enterococcus faecalis (28%), and Staphylococcus warneri (28%) were the most prevalent species; and there was a low prevalence of Treponema socranskii (3%), Fusobacterium periodonticum (3%), Capnocytophaga gingivalis (3%), and Spiroplasma ixodetis (3%). The highest mean levels were found for the following species: E. faecium, Dialister pneumosintes, Staphylococcus epidermidis and Helicobacter pylori. There was a statistically significant difference between the levels of gram-negative species and gram-positive species (13.5 × 10(5) vs 6.5 × 10(5), respectively). A positive correlation was found between the area of the periapical lesion and the levels of gram-negative and rod species (P < .05). CONCLUSIONS: The microbiota from teeth with persistent apical periodontitis presents a mixed and complex profile, hosting E. faecium and S. epidermidis as the most highly prevalent species. No correlation was found between any of the species tested and clinical findings; however, periapical lesions with the largest areas presented higher counts of gram-negative and rod species.
引言:本研究旨在调查根管治疗失败病例中根管微生物群的组成,以便识别和量化这些微生物。 方法:从36个存在持续性根管感染的根管中采集微生物样本。通过棋盘式DNA-DNA杂交法确定79种细菌的存在、水平和比例。采用Pearson相关系数研究细菌计数与临床状况之间的关系(P≤0.05)。 结果:屎肠球菌(36%)、表皮葡萄球菌(36%)、萨氏真杆菌(28%)、微小单胞菌(28%)、血链球菌(28%)、生痰二氧化碳嗜纤维菌(28%)、颊纤毛菌(28%)、粪肠球菌(28%)和沃氏葡萄球菌(28%)是最常见的菌种;而索氏密螺旋体(3%)、牙周梭杆菌(3%)、牙龈二氧化碳嗜纤维菌(3%)和蜱传螺旋体(3%)的患病率较低。以下菌种的平均水平最高:屎肠球菌、嗜肺戴阿李斯特菌、表皮葡萄球菌和幽门螺杆菌。革兰氏阴性菌和革兰氏阳性菌的水平之间存在统计学显著差异(分别为13.5×10⁵和6.5×10⁵)。根尖周病变面积与革兰氏阴性菌和杆状菌种的水平之间存在正相关(P<0.05)。 结论:患有持续性根尖周炎的牙齿的微生物群呈现出混合且复杂的特征,屎肠球菌和表皮葡萄球菌是最常见的菌种。在所测试的任何菌种与临床发现之间均未发现相关性;然而,面积最大的根尖周病变中革兰氏阴性菌和杆状菌种的数量较多。
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