华西口腔医学杂志

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不同龋敏感儿童菌斑中变异链球菌数量及菌群比例的定量分析

赵河川1,2 陈霄迟2,3 徐韬2   

  1. 1.重庆医科大学附属口腔医院预防科·口腔疾病与生物医学重庆市重点实验室,重庆 400015;2.北京大学口腔医学院·口腔医院预防教研室;3.生物教研室,北京 100081
  • 出版日期:2013-12-01 发布日期:2013-12-01
  • 通讯作者: 陈霄迟,Tel:010-82195535
  • 作者简介:赵河川(1984—),女,四川人,主治医师,博士

Quantitative analysis of Streptococcus mutans and its proportion in the dental plaque of different caries-susceptible children

Zhao Hechuan1,2, Chen Xiaochi2,3, Xu Tao2.   

  1. 1. Dept. of Preventive Dentistry, The Affiliated Hospital of Stomato-logy, Chongqing Medical University, Chongqing Key Laboratory for Oral Disease and Biomedical Sciences, Chongqing 400015, China; 2. Dept. of Preventive Dentistry, Peking University School and Hospital of Stomatology, Beijing 100081, China; 3. Dept. of Oral Biology, Peking University School and Hospital of Stomatology, Beijing 100081, China
  • Online:2013-12-01 Published:2013-12-01

摘要:

目的 比较不同龋敏感儿童口腔菌斑中变异链球菌数量及其在菌群中比例的差异。方法 采集26名3~4岁不同龋敏感的儿童牙面菌斑,运用TaqMan探针实时荧光定量聚合酶链反应(PCR)检测有龋组和无龋组儿童菌斑中变异链球菌和总菌数量,以及变异链球菌在总菌群中所占的比例,并对结果进行分析比较。结果 有龋组和无龋组儿童每毫克菌斑中变异链球菌菌落数分别为1.33×105、1.16×103 CFU·mg-1,二者间差异有统计学意义(P=0.033);每毫克干重菌斑中总菌落数分别为7.17×107、1.01×108 CFU·mg-1,二者间差异无统计学意义(P=0.418);有龋组和无龋组变异链球菌在总菌中所占比例分别为0.058 6和0.018 6,二者间差异有统计学意义(P=0.008)。结论 无龋与患龋儿童牙面总菌群数量差异无显著性,但患龋儿童牙面菌斑中变异链球菌数量更多,在总菌群中所占比例更大。提示菌斑中变异链球菌与总菌的比例与儿童患龋风险密切相关,可以作为评估龋易感性和预测龋病发展趋势的新指标。

关键词: 龋齿, 乳牙, 牙菌斑, 变异链球菌, 实时荧光定量聚合酶链反应

Abstract:

Objective  To determine the quantity of Streptococcus mutans (S. mutans) and the ratio of S. mutans to total bacteria in the dental plaque of different caries-susceptible children. Methods  Dental plaque samples from 26 children aged 3 years old to 4 years old were collected. The quantities of S. mutans and total bacteria were determined by TaqMan real-time fluorescence quantitative polymerase chain reaction (PCR). The ratio of S. mutans to total bacteria in children with and without caries was calculated and statistically analyzed. Results  In children with and without caries, the quantities of S. mutans were 1.33×105 and 1.16×103 CFU·mg-1, the total bacteria were 7.17×107 and 1.01×108 CFU·mg-1, and the ratios of S. mutans to total bacteria were 0.058 6 and 0.018 6, respectively. Significant differences were observed in the quantities of S. mutans and the total bacteria as well as in the ratios of S. mutans to total bacteria of the two groups (P=0.033, 0.418, 0.008). Conclusion  The quantities of total bacteria of the two groups show negligible difference. However, the quantity of S. mutans and the ratio of S. mutans to total bacteria in caries-susceptible children are higher than those in caries-free children. Therefore, the ratios of S. mutans to total bacteria in plaque are closely associated with the prevalence of dental caries in children.

Key words: dental caries, deciduous tooth, dental plaque, Streptococcus mutans, real-time fluorescence quantita-tive polymerase chain reaction