Clinic of Cranio-Maxillo-Facial and Oral Surgery and Implantology, Medical University of Warsaw, 4 Lindleya Str., 02-005 Warsaw, Poland.
Department of Orthodontics, Medical University of Warsaw, 59 Nowogrodzka Str., 02-006 Warsaw, Poland.
Biomed Res Int. 2017;2017:8106491. doi: 10.1155/2017/8106491. Epub 2017 Sep 10.
The oral cavity environment may be colonized by polymicrobial communities with complex, poorly known interrelations. The aim of this study was to determine oral microbiota diversity in order to prevent the spread of infectious microorganisms that are risk factors for human health complications in patients requiring treatment due to various disabilities. The study examined Polish adults aged between 40 and 70 years; parasitological, microbiological, and mycological data collected before treatment were analyzed. The diversity of oral microbiota, including relatively high prevalences of some opportunistic, potentially pathogenic strains of bacteria, protozoans, and fungi detected in the patients analyzed, may result in increasing risk of disseminated infections from the oral cavity to neighboring structures and other organs. Increasing ageing of human populations is noted in recent decades in many countries, including Poland. The growing number of older adults with different oral health disabilities, who are more prone to development of oral and systemic pathology, is an increasing medical problem. Results of this retrospective study showed the urgent need to pay more attention to the pretreatment examination of components of the oral microbiome, especially to the strains, which are etiological agents of human opportunistic infections and are particularly dangerous for older adults.
口腔环境可能被微生物群落定植,这些群落之间的相互关系复杂且知之甚少。本研究旨在确定口腔微生物群落的多样性,以预防传染性微生物的传播,这些微生物是因各种残疾而需要治疗的患者发生人类健康并发症的危险因素。本研究检查了年龄在 40 至 70 岁之间的波兰成年人;分析了治疗前收集的寄生虫学、微生物学和 mycological 数据。口腔微生物群落的多样性,包括在分析的患者中检测到的一些机会性、潜在致病性细菌、原生动物和真菌的相对较高的流行率,可能会增加口腔到邻近结构和其他器官的播散性感染的风险。在包括波兰在内的许多国家,近几十年来,人口老龄化的趋势越来越明显。越来越多的有不同口腔健康障碍的老年人更容易发生口腔和全身病理学,这是一个日益严重的医学问题。这项回顾性研究的结果表明,迫切需要更加关注口腔微生物组成分的预处理检查,特别是对于那些作为人类机会性感染病因的菌株,这些菌株对老年人尤其危险。