Kim Sung-Geun, Hong Ji-Youn, Shin Seung-Il, Moon Ji-Hoi, Lee Jin-Yong, Herr Yeek
Department of Periodontology, School of Dentistry, Kyung Hee University, Seoul, Korea .
Department of Periodontology, School of Dentistry, Kyung Hee University, Seoul, Korea.; Department of Periodontology, Institute of Oral Biology, School of Dentistry, Kyung Hee University, Seoul, Korea.
J Periodontal Implant Sci. 2016 Feb;46(1):35-45. doi: 10.5051/jpis.2016.46.1.35. Epub 2016 Feb 15.
Porphyromonas gingivalis fimA is a virulence factor associated with periodontal diseases, but its role in the pathogenesis of peri-implantitis remains unclear. We aimed to evaluate the relationship between the condition of peri-implant tissue and the distribution of P. gingivalis fimA genotypes in Koreans using a new primer.
A total of 248 plaque samples were taken from the peri-implant sulci of 184 subjects. The control group consisted of sound implants with a peri-implant probing depth (PD) of 5 mm or less with no bleeding on probing (BOP). Test group I consisted of implants with a peri-implant PD of 5 mm or less and BOP, and test group II consisted of implants with a peri-implant PD of more than 5 mm and BOP. DNA was extracted from each sample and analyzed a using a polymerase chain reaction (PCR) with P. gingivalis-specific primers, followed by an additional PCR assay to differentiate the fimA genotypes in P. gingivalis-positive subjects.
The Prevalence of P. gingivalis in each group did not significantly differ (P>0.05). The most predominant fimA genotype in all groups was type II. The prevalence of type Ib fimA was significantly greater in test group II than in the control group (P<0.05).
The fimA type Ib genotype of P. gingivalis was found to play a critical role in the destruction of peri-implant tissue, suggesting that it may be a distinct risk factor for peri-implantitis.
牙龈卟啉单胞菌菌毛蛋白A(Porphyromonas gingivalis fimA)是一种与牙周疾病相关的毒力因子,但其在种植体周围炎发病机制中的作用尚不清楚。我们旨在使用一种新引物评估韩国人种植体周围组织状况与牙龈卟啉单胞菌fimA基因型分布之间的关系。
从184名受试者的种植体周围龈沟中采集了总共248份菌斑样本。对照组由种植体周围探诊深度(PD)为5毫米或更小且探诊无出血(BOP)的健康种植体组成。试验组I由种植体周围PD为5毫米或更小且有BOP的种植体组成,试验组II由种植体周围PD大于5毫米且有BOP的种植体组成。从每个样本中提取DNA,并使用牙龈卟啉单胞菌特异性引物通过聚合酶链反应(PCR)进行分析,随后进行额外的PCR检测以区分牙龈卟啉单胞菌阳性受试者中的fimA基因型。
每组中牙龈卟啉单胞菌的患病率无显著差异(P>0.05)。所有组中最主要的fimA基因型是II型。试验组II中Ib型fimA的患病率显著高于对照组(P<0.05)。
发现牙龈卟啉单胞菌的fimA Ib型基因型在种植体周围组织破坏中起关键作用,表明它可能是种植体周围炎的一个独特危险因素。