华西口腔医学杂志

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5种牙周龈下可疑致病微生物与慢性牙周炎局部不同牙周状态间的关系

周婷  谢红  岳朝晖   

  1. 贵州省人民医院口腔科,贵阳 550002
  • 收稿日期:2012-11-10 修回日期:2013-05-15 出版日期:2013-10-01 发布日期:2013-10-01
  • 通讯作者: 谢红,Tel:13985133663
  • 作者简介:周婷(1980—),女,贵州人,主治医师,硕士
  • 基金资助:

    贵州省科技厅社会攻关基金资助项目[黔科合SY(2010)3088号]

Relationships of five periodontal pathogens causing subgingival plaque in patients with chronic periodontitis under different periodontal conditions

Zhou Ting, Xie Hong, Yue Zhaohui.   

  1. Dept. of Stomatology, The People’s Hospital of Guizhou Province, Guiyang 550002, China
  • Received:2012-11-10 Revised:2013-05-15 Online:2013-10-01 Published:2013-10-01

摘要:

目的  观察5种龈下微生物检出水平与慢性牙周炎局部牙周状态的关系。方法  选择20例慢性牙周炎患者的80个位点及10例牙周健康者的20个位点为观察位点,采集龈下微生物样本,记录牙周探诊深度(PD),根据所测位点的PD进行分组。PD≤4 mm为A组,4 mm<PD≤6 mm为B组,PD>6 mm为C组,健康对照组为H组。通过聚合酶链反应(PCR)和DNA探针反杂交技术半定量检测各组伴放线菌嗜血菌、牙龈卟啉单胞菌、福赛斯坦纳菌、齿垢密螺旋体和中间普氏菌的检出率和检出水平。结果  B、C组牙龈卟啉单胞菌、福赛斯坦纳菌、齿垢密螺旋体和中间普氏菌的检出率和检出水平均高于H组,A组牙龈卟啉单胞菌的检出率和检出水平也高于H组,C组福赛斯坦纳菌和齿垢密螺旋体检出水平高于B组,以上差异均有统计学意义(P<0.05);伴放线菌嗜血菌在各组间的检出率及检出水平都无明显差异。结论  随着牙周袋的加深,牙龈卟啉单胞菌、福赛斯坦纳菌、齿垢密螺旋体和中间普氏菌体的阳性检出率和检出水平都有随之增加的趋势;牙龈卟啉单胞菌与慢性牙周炎的早期炎症关系较为密切,而福赛斯坦纳菌和齿垢密螺旋体与中重度慢性牙周炎炎症位点的严重程度有关。

关键词: 慢性牙周炎, 牙周致病微生物, 聚合酶链反应

Abstract:

Objective  This study aimed to assess the relationship between the distributions of Haemophilus aggregati-bacter (H. aggregatibacter ), Porphyromonas gingivalis (P. gingivalis ), Prevotella intermedia (P. intermedia), Tannerella forsythensis (T. forsythensis ), and Treponema denticola (T. denticola) in subgingival plaque and different periodontal con-ditions of chronic periodontitis. Methods Twenty patients (80 sites) with chronic periodontitis and ten healthy subjects (20 sites) were included. The study sites were distributed into different groups according to the differences in their pocket probing depths (PD). The groups were described as follows: group A, PD≤4 mm; group B, 4 mm<PD≤6 mm; group C, PD>6 mm. Semi-quantification of the subgingival microorganism samples was analyzed by polymerase chain reaction (PCR) and reverse hybridization assay. Results  The prevalence rates and quantities of P. gingivalis, P. intermedia, T. forsythensis, and T. den-ticola were significantly higher in groups B and C than in the healthy group. Higher prevalence rates and quantities of P. gingivalis were detected in group A than in the healthy group. The quantities of T. forsythensis and T. denticola were also significantly higher in group C than in group B. However, the prevalence rates and quantities of H. aggregatibacter showed no significant difference among the groups. Conclusion  The prevalence rates and levels of P. gingivalis, P. intermedia, T. forsythensis, and T. denticola possibly increased as the depths of the periodontal pockets increased. The quantity of P. gingi-valis was correlated with the early stage of chronic periodontitis. The quantities of T. forsythensis and T. denticola were asso-ciated with local development of moderate or severe chro-nic periodontitis.

Key words: chronic periodontitis, periodontal patho-gens, polymerase chain reaction