Nair Vijita Vijay, Karibasappa G N, Dodamani Arun, Prashanth V K
Department of Public Health Dentistry, ACPM Dental College and Hospital, Dhule, Maharashtra, India.
J Indian Prosthodont Soc. 2016 Oct-Dec;16(4):346-351. doi: 10.4103/0972-4052.176536.
Loss of teeth affects the individual's health. Many factors determine the need to wear a removable dental prosthesis. Due to nature of design, age and lack of awareness, prosthesis often are neglected to maintain in an aseptic condition leading to microbial contamination. This provided an impetus for the present study with the aim of determining the microbial contamination of removable dental prosthesis.
Total, 45 patients wearing removable dental prosthesis were randomly selected. Patients were divided into three groups as per duration of usage since 1 month, 6 month and ≥1 year. Sterile cotton swab moistened with phosphate buffer saline (PBS) was used to collect swab from the fitting areas of prosthesis. Swab samples was inserted immediately into the sterile tube containing 1 ml of PBS solution, 10 μl PBS is inoculated on the blood agar and MacConkey agar plates using spread plate technique. Samples were cultured and incubated at 37°C for 48 h. Calibrated microbiologist isolated, identified and counted microorganisms using colony counter. Depending on the nature of data, statistical analysis was done applying Kruskal-Wallis test, Mann-Whitney U-test and Chi-square test.
Streptococcus species and Staphylococcus aureus were the common microorganisms isolated in all three groups and was statistically significant at <0.05. Candida albicans, Diptheroid, Escherichia coli, Micrococcus species were isolated from Group II and Group III.
There is a linear increase in microbial contamination of removable dental prosthesis as the duration of usage increases and might increase the susceptibility of individuals' to many diseases.
牙齿缺失会影响个人健康。许多因素决定了佩戴可摘局部义齿的必要性。由于设计特点、患者年龄以及缺乏相关意识,义齿常常被忽视保持无菌状态,从而导致微生物污染。这为本研究提供了动力,旨在确定可摘局部义齿的微生物污染情况。
总共随机选取了45名佩戴可摘局部义齿的患者。根据使用时间将患者分为三组,分别为使用1个月、6个月和≥1年。用磷酸盐缓冲盐水(PBS)浸湿的无菌棉拭子从义齿的贴合部位采集样本。拭子样本立即插入含有1毫升PBS溶液的无菌管中,使用涂布平板技术将10微升PBS接种到血琼脂和麦康凯琼脂平板上。样本进行培养,并在37°C下孵育48小时。经过校准的微生物学家使用菌落计数器分离、鉴定并计数微生物。根据数据性质,应用Kruskal-Wallis检验、Mann-Whitney U检验和卡方检验进行统计分析。
链球菌属和金黄色葡萄球菌是在所有三组中均分离出的常见微生物,差异具有统计学意义(P<0.05)。白色念珠菌、类白喉杆菌、大肠杆菌、微球菌属是从第二组和第三组中分离出的。
随着可摘局部义齿使用时间的增加,其微生物污染呈线性增加,这可能会增加个体对多种疾病的易感性。