Mombelli A, Rutar A, Lang N P
University of Bern, School of Dental Medicine, Switzerland.
J Clin Periodontol. 1995 Apr;22(4):300-5. doi: 10.1111/j.1600-051x.1995.tb00152.x.
The purpose of this study was to assess the oral clinical and microbiological status of young adults 6 years after puberty and to compare these findings with the conditions observed during puberty. Clinical and microbiological parameters were monitored in 42 individuals 10 x between the ages of 11 and 14 years. 33 individuals were re-examined 10 years after the start of this monitoring. Microbiology included 2 subgingival samples per subject taken from the mesiobuccal aspects of the upper 1st molars. The samples were subject to continuous anaerobic culturing. Individuals with a marked and sustained increase in mean papillary bleeding scores during puberty (group A, n = 16) differed 6 years later from individuals without pronounced puberty gingivitis (group C, n = 8) in several aspects. Individuals in group A had a significantly higher gingival bleeding tendency and an increased number of sites with more than 3 mm attachment loss. The subjects in group C showed the lowest anaerobic total cultivable counts. Spirochetes were detected only in group A subjects (4 samples in 3 individuals). In all positive sites, spirochetes had been identified at least 8 out of 10 times during puberty. A. actinomycetemcomitans was present in only one individual of group A. P. gingivalis had not been detected during puberty; none of the samples were P. gingivalis positive 6 years later. P. intermedia was found in 27% of all samples, isolates belonging to the P. melaninogenica group of black pigmenting anaerobes had a frequency of 6%, 6 years after puberty.(ABSTRACT TRUNCATED AT 250 WORDS)
本研究的目的是评估青春期后6年的年轻成年人的口腔临床和微生物学状况,并将这些结果与青春期时观察到的情况进行比较。对42名年龄在11至14岁之间的个体进行了临床和微生物学参数监测。在该监测开始10年后,对33名个体进行了重新检查。微生物学检测包括从每位受试者上颌第一磨牙的近中颊侧采集2份龈下样本。样本进行连续厌氧培养。青春期期间平均乳头出血评分显著且持续增加的个体(A组,n = 16)在6年后与无明显青春期牙龈炎的个体(C组,n = 8)在几个方面存在差异。A组个体的牙龈出血倾向显著更高,且附着丧失超过3 mm的部位数量增加。C组受试者的厌氧总可培养菌数最低。仅在A组受试者中检测到螺旋体(3名个体中的4份样本)。在所有阳性部位,青春期期间螺旋体在10次检测中至少被鉴定出8次。伴放线放线杆菌仅在A组的1名个体中存在。青春期期间未检测到牙龈卟啉单胞菌;6年后所有样本中均无牙龈卟啉单胞菌阳性。中间普氏菌在所有样本中的检出率为27%,属于产黑色素普氏菌属的黑色色素厌氧菌分离株的检出频率为6%,在青春期后6年。(摘要截断于250字)