Detection of periodontal disease related bacteria from the implant-abutment interface in oral cavity

구강내 임플랜트-지대주 연결부에서 치주질환관련 세균의 검출

  • Han, Meung-Ju (Department of Prosthodontics, College of Dentistry, Chosun University) ;
  • Chung, Chae-Heon (Department of Prosthodontics, College of Dentistry, Chosun University) ;
  • Kim, Hee-Jung (Department of Prosthodontics, College of Dentistry, Chosun University) ;
  • Kook, Joong-Ki (Departtment of Biochemistry, College of Dentistry, Chosun University) ;
  • Yoo, So-Young (Departtment of Biochemistry, College of Dentistry, Chosun University)
  • 한명주 (조선대학교 치과대학 치과보철학교실) ;
  • 정재헌 (조선대학교 치과대학 치과보철학교실) ;
  • 김희중 (조선대학교 치과대학 치과보철학교실) ;
  • 국중기 (조선대학교 치과대학 구강생화학교실) ;
  • 유소영 (조선대학교 치과대학 구강생화학교실)
  • Published : 2008.04.30

Abstract

Statement of the problem: Implant systems result in gaps and cavities between implant and abutment that can act as a trap for bacteria and thus possibly cause inflammatory reactions in the peri-implant soft tissues. Purpose: Porphyromonas gingivalis, Prevotella intermedia, Tannerella forsythia, Treponema denticola, and Aggregatibacter actinomycetemcomitans, related to implant-abutment interface microleakage. Material and methods: Samples were taken from 27 subjects with sterilized paper points and were transported in $1{\times}PBS$. The detection of periodontopathogens were performed by polymerase chain reaction with species-specific primers based on 16S rDNA. Results: Our data showed that the detection rate of P. gingivalis and P. intermedia in implant fixture was 59% and 82% in patients respectively. Detection rate of P. gingivalis and P. intermedia in implant crevice was 44% and 82% in patients. Detection rate of P. gingivalis and P. intermedias in tongue was 82% and 82% in patients. Conclusion: Current implant systems cannot safely prevent microbial leakage and bacterial colonization of the inner part of the implant.

문제 진술: 임플랜트 시스템은 임플랜트와 지대주 사이에서 빈 공간이 발생하여 세균의 저장소로서 작용하게 되어 임플랜트 주위 연조직에 염증반응을 야기할 수 있다. 목 적: 이 연구의 목적은 임플랜트-지대주 간극의 미세 누출에 관여하는 치주질환원인균으로 추정되는 Porpyromonas gingivalis, Prevotella intermedia, Tannerella forsythia, Treponema denticola, Aggregatibacter actinomycetemcomitans의 검출률을 조사하는 것이다. 연구재료 및 방법: 시료채취는 27명의 환자들에서 행하였고 소독된 페이퍼포인트를 이용하여 $1{\times}PBS$로 옮겼다. 치주질환원인균의 검출은 16 rDNA에 근거한 종특이적인 프라이머를 지닌 중합효소체인반응을 이용하였다. 결과: 임플랜트 고정체내에서의 Porphyromonas gingivalis와 Prevotella intermedia의 검출률은 59%와 82%였다. 환자의 임플랜트 연구에서는 Porphyromonas gingivalis와 Prevotella intermedia의 검출률은 44%와 82%였다. 환자혀에서의 Porphyromonas gingivalis와 Prevotella intermedia의 검출률은 82%와 82%였다. 결 론: 현재의 임플랜트 시스템은 임플랜트 내부의 세균 군집화와 미세누출을 안전하게 예방할 수 없다.

Keywords

References

  1. Volker K, Georg C. Microbial leakage and marginal fit of the implant-abutment interface. Int J Oral Maxillofac Implants 1997;12:527-40
  2. Steinebrunner L, Wolfart S. In vitro Evaluation of Bacterial Leakage Along the Implant-Abutment Interface of Different Implant Systems. Int J Oral Maxillofac Implants 2005;20:875-81
  3. Gross M, Abramovich I, Weiss E. Microleakage at the abutment-implant interface of osseointegrated implants: a comparative study. Int J Oral Maxillofac Implants 1999;14:94-100
  4. Quirynen M, Bollen CML, Eyssen H. Microbial penetration along the implant components of the Branemark system. An in vitro study. Clin Oral Impl Res 1994;5:239-44 https://doi.org/10.1034/j.1600-0501.1994.050407.x
  5. Abrahamsson I, Berglundh T, Lindhe J. Soft tissue response to plaque formation at different implant systems. A comparative study in the dog. Clin Oral Impl Res 1998;9:73-9 https://doi.org/10.1034/j.1600-0501.1998.090202.x
  6. Mombelli A, Van Oosten M. The microbiota associated with successful or failing osseointegrated titanium im- plants. Oral Microbiology and Immunology 1987;2:145- 51 https://doi.org/10.1111/j.1399-302X.1987.tb00298.x
  7. Broggini N, McManus LM, Hermann JS. Persistent acute inflammation at the implant-abutment interface. J Dent Res 2003;82:232-7 https://doi.org/10.1177/154405910308200316
  8. Binon PP. The effect of implant/abutment hexagonal misfit on screw joint stability. Int J Prosthodont 1996;9:149-60
  9. Quirynen M, Van Steenberghe D. Bacterial colonisation of the interanl part of two-stage implants. An in vivo study. Clinial Oral Implants Research 1993;4:158-61 https://doi.org/10.1034/j.1600-0501.1993.040307.x
  10. Lim HH, Yoo SY, Kim KW, Kook JK. Frequency of species and biotypes of mutans streptococci isolated from dental plaque in the adolescents and adults. J Bacteriol Virol 2005;35:197-201
  11. Lee SE, Kim SY, Kim SJ Rhee JH. Direct identification of Vibrio vulnificus in clinical specimens by nested PCR. J Clin Microbiol 1998;36:2887-92
  12. Ashmito A, Chen C, Bakker I, Slots J. Polymerase chain reaction detection of 8 putative periodontal pathogens in subgingival plaque of gingivitis and advanced periodontitis lesions. Oral Microbiology and Immunology 1996;11:266- 73 https://doi.org/10.1111/j.1399-302X.1996.tb00180.x
  13. Stubbs S, Park SF, Bishop PA, Lewis MA. Direct detection of Prevotella intermedia and P. nigrescens in suppurative oral infection by amplification of 16S rRNA gene. J Med Microbiol 1999;48:1017-22 https://doi.org/10.1099/00222615-48-11-1017
  14. Grossi SG, Genco RJ, Machtei EE, Ho AW, Koch G, Dunfore R, Zambon JJ, Hausmann E. Assessment of risk for periodontal disease II Risk indicators for alveolar bone loss. J Periodontol 1995;66:23-9 https://doi.org/10.1902/jop.1995.66.1.23
  15. Grossi SG, Zambon JJ, Ho AW, Koch G, Dunford RG, Machtei EE, Norderyd OM Genco RJ. Assessment of risk for periodontal disease. I. Risk indicators for attachment loss. J Periodontol 1994;65:260-7 https://doi.org/10.1902/jop.1994.65.3.260
  16. Ximenez-Fyvie LA, Haffajee AD, Socransky SS. Comparison of the microbiota of supra-and subgingival plaque in health and periodontitis. J Clin Periodontol 2000;27:648-57 https://doi.org/10.1034/j.1600-051x.2000.027009648.x
  17. Gersdorf H, Meiissner A, Pelz K, Krekeler G, Gobel UB. Identification of Bacteroides forsythus in subgingival plaque from patients with advanced periodontitis. J Clin Microbiol 1993;31:941-6
  18. Holt SC, Bramanti TE. Factors in virulence expression and their role in periodontal disease pathogenesis. Crit Rev Oral Biol 1991;2:177-281 https://doi.org/10.1177/10454411910020020301
  19. Saito T, Ishihara K, Kato T, Okuda K. Cloning, expression and sequencing of a protease gene from Bacteroides forsythus ATCC 43037 in Escherichia coli. Infect Immun 1997;65:4888-91
  20. Okamato M, Maeda N, Kondo K, Leung KP. Hemolytic and hemagglutinating activities of Prevotella intermedia and Prevotella nigrescens. FEMS Microbiol Lett 1999;178:299-304 https://doi.org/10.1111/j.1574-6968.1999.tb08691.x
  21. Leung KP, Folk SP. Effects of porphyrins and inorganic ion on the growth of Prevotella intermedia. FEMS Microbiol Lett 2002;209:15-21 https://doi.org/10.1111/j.1574-6968.2002.tb11103.x
  22. Hakkarainen K, Asikainen S, Ainamo J. A 7-month study of sulcular fluid flow in the assessment of healing after debridement of deep pockets. J Periodontol 1986;57:14-9 https://doi.org/10.1902/jop.1986.57.1.14
  23. Lang NP, Joss A, Orsanic T, Gusberti FA, Siegrist BE. Bleedin on probing. A predictor for the progression of periodontal disease?. J Clin Periodontol 1986;590-6
  24. Kook JK, Sakamoto T, Nishi K, Kim MK, Seong JH, Son YN, Kim DK. Detection of Tannerella forsythia and/or Prevotella intermedia Might be useful for microbial predictive markers fot the outcome of initial periodontal treatment in Koreans. Microbiol Immunol 2005;49:9-16 https://doi.org/10.1111/j.1348-0421.2005.tb03634.x
  25. Jansen VK, Conrads G, Richter EJ. Microbial leakage and marginal fit of the implant-abutment interface. Int J Oral Maxillofac Implants 1997;12:527-40
  26. Dixon DL, Breeding LC, Sadler JP, Mckay ML. Comparison of screw loosening, rotation, and deflection among three implant designs. J Prosthet Dent 1995;74:270-8 https://doi.org/10.1016/S0022-3913(05)80134-9
  27. Besimo D, Bodenschatz V, Guggenheim R, Hassell T. Marginal fit of prefabircated crowns of the Ha-Ti implant system:An in vitro scanning electron microscopic study. Int J Prosthodont 1996;9:87-94