华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

慢性牙周炎患者龈下菌斑中福赛斯坦纳菌与临床指标的关系

杨禾1, 吴亚菲2, 赵蕾1, 孟姝1   

  1. 口腔生物医学工程教育部重点实验室四川大学,四川大学华西口腔医院牙周科,口腔生物医学工程教育部重点实验室四川大学,口腔生物医学工程教育部重点实验室四川大学四川成都610041
  • 收稿日期:2007-02-25 修回日期:2007-02-25 出版日期:2007-02-20 发布日期:2007-02-20
  • 通讯作者: 吴亚菲,Tel:028- 85501471
  • 作者简介:杨禾(1969-),女,贵州人,讲师,博士研究生
  • 基金资助:

    国家“十五”科技攻关资助项目(2004BA720A26)

Pr evalence of Tannerella forsythensis in Subgingival Microflor a of Chinese Chronic Per iodontitis Patients

YANG He1, WU Ya- fei2, ZHAO Lei1, MENG Shu1   

  1. 1. Key. Laboratory of Oral Biomedical Engineering of Ministry of Education, Sichuan University, Chengdu 610041, China; 2. Dept. of Periodontology, West China College of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2007-02-25 Revised:2007-02-25 Online:2007-02-20 Published:2007-02-20
  • Contact: WU Ya- fei,Tel:028- 85501471

摘要:

目的分析慢性牙周炎患者龈下菌斑中福赛斯坦纳菌(T.forsythensis)的分布情况,及其与牙周临床指标的关系,探讨T.forsythensis与慢性牙周炎发生发展的关系。方法采集108例慢性牙周炎患者的216个病变位点和108个健康位点的龈下菌斑,共324个样本,采用16S rRNA聚合酶链反应检测T.forsythensis的分布情况。对324个取样位点进行临床检查,记录探诊深度、临床附着丧失和探诊出血情况,分析T.forsythensis与临床指标的相互关系。结果慢性牙周炎患者病变位点与健康位点T.forsythensis的检出率分别为59.72%和3.70%,二者间有统计学差异(P<0.001)。随着探诊深度和临床附着丧失的增加,T.forsythensis的检出率也升高,Spearman相关系数分别为0.48和0.51。探诊出血阳性位点T.forsythensis的检出率为61.31%,明显高于探诊出血阴性位点的检出率8.80%(P<0.001)。结论T.forsythensis与慢性牙周炎发生、发展关系密切。

关键词: 牙周炎, 福赛斯坦纳菌, 聚合酶链反应

Abstract:

Objective The aim of this study was to investigate the prevalence of T.forsythensis in Chinese chronic periodontitis patients, and correlate it with clinical parameters. Methods 108 chronic periodontitis patients were selected according to clinical criteria. In each patient, subgingival plaque samples were collected from two of the periodontitis involved molar sites with the deepest periodontal pocket depth(diseased sites)and one healthy gingival sulcus (healthy sites). T.forsythensis was detected by 16S rRNA polymerase chain reaction. Clinical assessments including probing depth, clinical attachment loss and bleeding on probing, were made at sampling sites. Results The prevalence of T.forsythensis in diseased sites and healthy sites was 59.72% and 3.70% respectively(P <0.001). The prevalence of T.forsythensis was significantly higher in deeper pockets and more serious clinical attachment loss, Spearman rank correlation coefficient was 0.48 and 0.51 respectively. The prevalence of T.forsythensis in BOP (+)sites was 61.31%, and in BOP(- ) sites was 8.80%(P<0.001). Conclusion The prevalence of T.forsythensis was significantly correlated with clinical parameters, suggesting that T.forsythensis is closely related to chronic periodontitis in the Chinese population.

Key words: periodontitis, Tannerella forsythensis, polymerase chain reaction