Lu Wenxin, Wu Fanzi, Zhou Xinxuan, Wu Lan, Li Mingyun, Ren Biao, Guo Qiang, Huang Ruijie, Li Jiyao, Xiao Liying, Li Yan
State Key Laboratory of Oral Diseases, West China School of Stomatology, Sichuan University, Chengdu 610041, China. E-mail:
Nan Fang Yi Ke Da Xue Xue Bao. 2015 Dec;35(12):1710-4.
To establish a systematic method for isolation and identification of aerobic and facultative anaerobic bacteria in the oral cavity.
Samples of the saliva, dental plaque and periapical granulation tissue were collected from 20 subjects with healthy oral condition and from 8 patients with different oral diseases. The bacteria in the samples were identified by morphological identification, VITEK automatic microorganism identification and 16s rRNA gene sequencing.
VITEK automatic microorganism identification and 16s rRNA gene sequencing showed an agreement rate of 22.39% in identifying the bacteria in the samples. We identified altogether 63 bacterial genus (175 species), among which Streptococcus, Actinomyces and Staphylococcus were the most common bacterial genus, and Streptococcus anginosus, Actinomyces oris, Streptococcus mutans and Streptococcus mitis were the most common species. Streptococcus anginosus was commonly found in patients with chronic periapical periodontitis. Streptococcus intermedius and Staphylococcus aureus were common in patients with radiation caries, and in patients with rampant caries, Streptococcus mutans was found at considerably higher rate than other species.
Aerobic and facultative anaerobic bacteria are commonly found in the oral cavity, and most of them are gram-positive. 16s rRNA gene sequencing is more accurate than VITEK automatic microorganism identification in identifying the bacteria.
建立一种口腔需氧菌和兼性厌氧菌的系统分离与鉴定方法。
从20例口腔健康受试者和8例患有不同口腔疾病的患者中采集唾液、牙菌斑和根尖周肉芽组织样本。通过形态学鉴定、VITEK自动微生物鉴定和16s rRNA基因测序对样本中的细菌进行鉴定。
VITEK自动微生物鉴定和16s rRNA基因测序在鉴定样本中的细菌时显示出22.39%的一致率。我们共鉴定出63个细菌属(175种),其中链球菌属、放线菌属和葡萄球菌属是最常见的细菌属,而咽峡炎链球菌、口腔放线菌、变形链球菌和缓症链球菌是最常见的菌种。咽峡炎链球菌常见于慢性根尖周炎患者。中间型链球菌和金黄色葡萄球菌在放射性龋患者中常见,而在猖獗龋患者中,变形链球菌的检出率明显高于其他菌种。
口腔中常见需氧菌和兼性厌氧菌,且大多数为革兰氏阳性菌。在鉴定细菌方面,16s rRNA基因测序比VITEK自动微生物鉴定更准确。