Razina I N, Chesnokova M G, Nedoseko V B
Omsk State Medical University, Omsk, Russia.
Stomatologiia (Mosk). 2017;96(4):4-6. doi: 10.17116/stomat20179644-6.
The aim of the study was to assess the correlation of Candida spp. incidence in periodontal tissues with various clinical manifestations of chronic periodontal disease (CPD). Ninety patients with CPD were included in the study in which Candida spp. was evaluated in periodontal pockets content and gingival biopsy material. In severe CPD more Candida spp. were seen in gingival biopsy than in periodontal pockets (p=0.0006). Candida spp. incidence and quantity correlated directly with the disease grade showing incidence increase from 40 to 73.3% and quantity increase from 0.8±0.18 до 3.6±0.49 lg CFU/ml in light and severe CPD, correspondingly Candida spp. had statistically significant association with cyanotic gingival color (p=0.0018), tongue plaque and swelling (р=0.0042), lip exfoliation (р=0.0030), periodontal pockets depth >5 mm (р=0.0030), oral mucosa hyperemia (р=0.0157), alveolar bone destruction >1/2 of root length (р=0.0157). These data prove the relevance of Candida spp. and mycological assessment of gingival biopsy in CPD patients.
本研究的目的是评估牙周组织中念珠菌属的发生率与慢性牙周病(CPD)各种临床表现之间的相关性。90例CPD患者纳入本研究,对牙周袋内容物和牙龈活检材料中的念珠菌属进行评估。在重度CPD患者中,牙龈活检中发现的念珠菌属比牙周袋中更多(p = 0.0006)。念珠菌属的发生率和数量与疾病分级直接相关,在轻度和重度CPD中,发生率分别从40%增至73.3%,数量从0.8±0.18增至3.6±0.49 lg CFU/ml。念珠菌属与牙龈发蓝(p = 0.0018)、舌苔和肿胀(p = 0.0042)、唇部脱屑(p = 0.0030)、牙周袋深度>5 mm(p = 0.0030)、口腔黏膜充血(p = 0.0157)、牙槽骨破坏超过牙根长度的1/2(p = 0.0157)具有统计学显著相关性。这些数据证明了念珠菌属以及对CPD患者牙龈活检进行真菌学评估的相关性。