Coons D B, Charbeneau T D, Rivera-Hidalgo F
Department of Periodontics, Baylor College of Dentistry, Dallas, TX 75246.
J Periodontol. 1989 Jan;60(1):23-30. doi: 10.1902/jop.1989.60.1.23.
The role of bacteria in the pathogenesis of periodontal disease is controversial. Although bacterial penetration has been demonstrated in human periodontitis, relationships of bacteria to varying levels of periodontal health in other animals has not been well documented. In this study of beagle dog periodontium, bacteria were counted within the various tissue regions of sites which exhibited periodontal health, gingivitis, or periodontitis. Affected sites within whole block sections from two aged beagle dogs were prepared for investigation by light (LM) and scanning electron microscopy (SEM), and bacterial counts were subjected to statistical analysis for differences. Periodontitis sites viewed with LM had more bacteria than healthy sites. Neither LM nor SEM observations yielded any other differences in bacterial counts between the levels of periodontal health. When viewed using SEM, the sulcular epithelium had more bacteria than the other tissue regions in diseased sites. Relative to the number of bacteria in plaque, however, counts from all microscopic observations were very low. These findings indicate that the presence of bacteria within the periodontium is of questionable significance in the pathogenesis of spontaneous periodontal disease in beagle dogs.
细菌在牙周病发病机制中的作用存在争议。虽然在人类牙周炎中已证实有细菌侵入,但细菌与其他动物不同程度牙周健康状况之间的关系尚未得到充分记录。在这项对比格犬牙周组织的研究中,对表现为牙周健康、牙龈炎或牙周炎的部位的不同组织区域内的细菌进行了计数。从两只老年比格犬的整块组织切片中选取受影响的部位,通过光学显微镜(LM)和扫描电子显微镜(SEM)进行观察,并对细菌计数进行统计学分析以比较差异。光学显微镜观察显示,牙周炎部位的细菌比健康部位更多。光学显微镜和扫描电子显微镜观察均未发现牙周健康水平不同的部位在细菌计数上有其他差异。扫描电子显微镜观察发现,患病部位龈沟上皮的细菌比其他组织区域更多。然而,相对于菌斑中的细菌数量,所有显微镜观察得到的计数都非常低。这些发现表明,牙周组织中细菌的存在对于比格犬自发性牙周病发病机制的意义存疑。