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唾液采样在牙周炎患者中检测和定量[具体物质未给出]的有效性。

The Effectiveness of Salivary Sampling for the Detection and Quantification of in Periodontitis Patients.

作者信息

Khzam Nabil, Kujan Omar, Haubek Dorte, Arslan Aysen, Johansson Anders, Oscarsson Jan, Razooqi Zeinab, Miranda Leticia Algarves

机构信息

Dental School, The University of Western Australia, Nedlands, WA 6009, Australia.

NK Periodontics, Specialist Periodontal Private Practice, Applecross, WA 6152, Australia.

出版信息

Pathogens. 2024 Dec 7;13(12):1073. doi: 10.3390/pathogens13121073.

Abstract

The objective was to evaluate using unstimulated saliva in detecting and to compare the saliva and subgingival and mucosa membrane occurrence of this periodontal pathogen in patients diagnosed with advanced periodontitis. Patients with advanced forms of periodontitis ( = 220; mean age: 54.03 ± 03 years) at stage III/IV were sampled. Unstimulated saliva, buccal cheek mucosa, and pooled subgingival plaque samples were collected. The identification of was performed using qPCR. A descriptive analysis and Wilcoxon test and analysis of variance were performed. was isolated from 28.18% of the subjects. A total of 660 samples were obtained, 220 from unstimulated saliva, 220 from buccal cheek mucosa surfaces, and 220 from pooled subgingival plaque samples. was isolated from 21.80% of unstimulated saliva, 19.50% of buccal cheek swabs, and 17.70% of subgingival samples. There was a statistically significant difference between the presence of in the unstimulated saliva samples and in the buccal cheek mucosa swab samples and pooled subgingival plaque samples ( < 0.001). These results suggest that in advanced periodontitis, unstimulated saliva is representative of pooled subgingival plaque/buccal cheek mucosa samples and its use is adequate in the oral detection of in a cohort of patients with stage III and IV periodontitis.

摘要

目的是评估使用未刺激唾液进行检测,并比较被诊断为重度牙周炎患者的唾液、龈下菌斑和黏膜中这种牙周病原体的存在情况。选取处于III/IV期的重度牙周炎患者(n = 220;平均年龄:54.03 ± 03岁)作为样本。收集未刺激唾液、颊黏膜和混合龈下菌斑样本。使用定量聚合酶链反应(qPCR)进行该病原体的鉴定。进行了描述性分析、威尔科克森检验和方差分析。在28.18%的受试者中分离出该病原体。共获得660个样本,其中220个来自未刺激唾液,220个来自颊黏膜表面,220个来自混合龈下菌斑样本。在21.80%的未刺激唾液、19.50%的颊黏膜拭子和17.70%的龈下样本中分离出该病原体。未刺激唾液样本与颊黏膜拭子样本及混合龈下菌斑样本中该病原体的存在情况之间存在统计学显著差异(P < 0.001)。这些结果表明,在重度牙周炎中,未刺激唾液可代表混合龈下菌斑/颊黏膜样本,并且在III期和IV期牙周炎患者队列中,其用于口腔中该病原体的检测是足够的。

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