华西口腔医学杂志 ›› 2018, Vol. 36 ›› Issue (1): 104-108.doi: 10.7518/hxkq.2018.01.020

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龋病微生物因素研究进展

陈婧(), 程磊, 周学东, 彭显()   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院,成都 610041
  • 收稿日期:2017-03-31 修回日期:2017-11-13 出版日期:2018-02-07 发布日期:2018-02-01
  • 作者简介:

    陈婧,学士,E-mail:sallychen.jc@gmail.com

  • 基金资助:
    [基金项目] 国家自然科学基金(81430011)

Recent achievements in the microbiological etiology of dental caries

Jing Chen(), Lei Cheng, Xuedong Zhou, Xian. Peng()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2017-03-31 Revised:2017-11-13 Online:2018-02-07 Published:2018-02-01
  • Supported by:
    Supported by: The National Natural Science Foundation of China (81430011).

摘要:

龋病是发病率最高的口腔慢性感染性疾病,以变异链球菌为代表的一系列细菌曾被认为是龋病的单一致病菌。然而,近几十年来,基于传统致病菌的防治手段未能有效降低龋病的发病率,人们逐渐认识到单一致病菌理论并不能全面反映疾病与微生物的关系。龋病病因学的微生物研究逐步从传统致病菌理论过渡至微生态失衡理论。目前,随着检测手段的不断发展,大量龋病微生物群落研究陆续开展,龋病“核心微生物组”的概念得以提出,即在龋病发生发展中起到关键作用的一组微生物,这将是未来龋病微生物因素研究的方向。

关键词: 龋病, 口腔微生物, 病因, 变异链球菌, 核心微生物组

Abstract:

Dental caries is the most common chronic infectious disease of the oral cavity. The bacterium Streptococcus mutans is the sole pathogen that causes this disease. However, substantial evidence suggests that prevention and treatment strategies developed from traditional “cariogenic pathogen theory” are inefficient in reducing the prevalence of dental caries. An increasing number of individuals adopt the ecological view of the microbiota in the pathogenesis of dental caries. Recent technological improvements have enabled the detection and analysis of oral microorganisms, and many studies have focused on this area. The core microbiota is defined as a cluster of microbes playing critical roles in the initial and development phases of dental caries and may provide future direction for microorganism-related etiological studies.

Key words: dental caries, oral microbiota, etiology, Streptococcus mutans, core microbiota

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