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Quantitative analysis of periodontal pathogens present in the saliva of geriatric subjects

  • Shet, Uttom K. (Department of Oral & Maxillofacial Surgery, Dental Science Research Institute, Chonnam National University School of Dentistry) ;
  • Oh, Hee-Kyun (Department of Oral & Maxillofacial Surgery, Dental Science Research Institute, Chonnam National University School of Dentistry) ;
  • Kim, Hye-Jeong (Department of Dental Education, Dental Science Research Institute, Chonnam National University School of Dentistry) ;
  • Chung, Hyun-Ju (Department of Periodontology, Dental Science Research Institute, Chonnam National University School of Dentistry) ;
  • Kim, Young-Joon (Department of Periodontology, Dental Science Research Institute, Chonnam National University School of Dentistry) ;
  • Kim, Ok-Su (Department of Periodontology, Dental Science Research Institute, Chonnam National University School of Dentistry) ;
  • Choi, Hong-Ran (Department of Oral Pathology, Dental Science Research Institute, Chonnam National University School of Dentistry) ;
  • Kim, Ok-Jun (Department of Oral Pathology, Dental Science Research Institute, Chonnam National University School of Dentistry) ;
  • Lim, Hoi-Jeong (Department of Orthodontics, Dental Science Research Institute, Chonnam National University School of Dentistry) ;
  • Lee, Seok-Woo (Department of Dental Education, Dental Science Research Institute, Chonnam National University School of Dentistry)
  • Received : 2013.04.12
  • Accepted : 2013.08.07
  • Published : 2013.08.31

Abstract

Purpose: At present, information regarding periodontal disease in geriatric patients is scarce. The purpose of this study was to quantify the periodontal pathogens present in the saliva of Korean geriatric patients and assess the relationship between the bacterial levels and the periodontal condition. Methods: Six putative periodontal pathogens were quantified by using a real-time polymerase chain reaction assay in geriatric patient groups (>60 years) with mild chronic periodontitis (MCP), moderate chronic periodontitis (MoCP), and severe chronic periodontitis (SCP). The copy numbers of Porphyromonas gingivalis, Tannerella forsythia, Treponema denticola, Aggregatibacter actinomycetemcomitans, Fusobacterium nucleatum, and Prevotella intermedia were measured. Results: It was found that the bacterial copy numbers increased as the severity of the disease increased from MCP to SCP, except for P. intermedia. For P. intermedia, it was found that samples in the MCP group yielded the largest amount. It was also found that the quantities of P. gingivalis, T. forsythia, and T. denticola, the so-called "red complex" bacteria, were lower than those of F. nucleatum, A. actinomycetemcomitans, and P. intermedia in all of the samples. Conclusions: Collectively, the results of this study suggest that the levels of P. gingivalis, T. forsythia, F. nucleatum, and T. denticola present in saliva are associated with the severity of periodontal disease in geriatric patients.

Keywords

References

  1. Lee R. The outlook for population growth. Science 2011; 333:569-73. https://doi.org/10.1126/science.1208859
  2. Katz J, Wallet S, Cha S. Periodontal disease and the oralsystemic connection: "is it all the RAGE?". Quintessence Int 2010;41:229-37.
  3. Dave S, Van Dyke T. The link between periodontal disease and cardiovascular disease is probably inflammation. Oral Dis 2008;14:95-101. https://doi.org/10.1111/j.1601-0825.2007.01438.x
  4. Williams RC. Periodontal disease. N Engl J Med 1990;322: 373-82. https://doi.org/10.1056/NEJM199002083220606
  5. Pihlstrom BL, Michalowicz BS, Johnson NW. Periodontal diseases. Lancet 2005;366:1809-20. https://doi.org/10.1016/S0140-6736(05)67728-8
  6. Paster BJ, Boches SK, Galvin JL, Ericson RE, Lau CN, Levanos VA, et al. Bacterial diversity in human subgingival plaque. J Bacteriol 2001;183:3770-83. https://doi.org/10.1128/JB.183.12.3770-3783.2001
  7. Kroes I, Lepp PW, Relman DA. Bacterial diversity within the human subgingival crevice. Proc Natl Acad Sci U S A 1999;96:14547-52. https://doi.org/10.1073/pnas.96.25.14547
  8. Hunt RJ, Levy SM, Beck JD. The prevalence of periodontal attachment loss in an Iowa population aged 70 and older. J Public Health Dent 1990;50:251-6. https://doi.org/10.1111/j.1752-7325.1990.tb02131.x
  9. Gilbert GH, Heft MW. Periodontal status of older Floridians attending senior activity centers. J Clin Periodontol 1992;19:249-55. https://doi.org/10.1111/j.1600-051X.1992.tb00462.x
  10. Burt B; Research, Science and Therapy Committee of the American Academy of Periodontology. Position paper: epidemiology of periodontal diseases. J Periodontol 2005; 76:1406-19. https://doi.org/10.1902/jop.2005.76.8.1406
  11. Boehm TK, Scannapieco FA. The epidemiology, consequences and management of periodontal disease in older adults. J Am Dent Assoc 2007;138 Suppl:26S-33S. https://doi.org/10.14219/jada.archive.2007.0360
  12. Beck JD, Koch GG, Rozier RG, Tudor GE. Prevalence and risk indicators for periodontal attachment loss in a population of older community-dwelling blacks and whites. J Periodontol 1990;61:521-8. https://doi.org/10.1902/jop.1990.61.8.521
  13. Kononen E, Jousimies-Somer H, Asikainen S. The most frequently isolated gram-negative anaerobes in saliva and subgingival samples taken from young women. Oral Microbiol Immunol 1994;9:126-8. https://doi.org/10.1111/j.1399-302X.1994.tb00047.x
  14. Umeda M, Contreras A, Chen C, Bakker I, Slots J. The utility of whole saliva to detect the oral presence of periodontopathic bacteria. J Periodontol 1998;69:828-33. https://doi.org/10.1902/jop.1998.69.7.828
  15. Boutaga K, van Winkelhoff AJ, Vandenbroucke-Grauls CM, Savelkoul PH. The additional value of real-time PCR in the quantitative detection of periodontal pathogens. J Clin Periodontol 2006;33:427-33. https://doi.org/10.1111/j.1600-051X.2006.00925.x
  16. Boutaga K, Savelkoul PH, Winkel EG, van Winkelhoff AJ. Comparison of subgingival bacterial sampling with oral lavage for detection and quantification of periodontal pathogens by real-time polymerase chain reaction. J Periodontol 2007;78:79-86. https://doi.org/10.1902/jop.2007.060078
  17. Morillo JM, Lau L, Sanz M, Herrera D, Silva A. Quantitative real-time PCR based on single copy gene sequence for detection of Actinobacillus actinomycetemcomitans and Porphyromonas gingivalis. J Periodontal Res 2003; 38:518-24. https://doi.org/10.1034/j.1600-0765.2003.00684.x
  18. Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol 1999;4:1-6. https://doi.org/10.1902/annals.1999.4.1.1
  19. Cogulu D, Oncag O, Kutukculer N, Uzel A, Eronat C. The correlation between serum immunoglobulin A and immunoglobulin G levels and the presence of Treponema denticola in human periapical lesions. J Endod 2007;33: 1413-6. https://doi.org/10.1016/j.joen.2007.08.011
  20. Saito D, Coutinho LL, Borges Saito CP, Tsai SM, Hofling JF, Gonçalves RB. Real-time polymerase chain reaction quantification of Porphyromonas gingivalis and Tannerella forsythia in primary endodontic infections. J Endod 2009;35:1518-24. https://doi.org/10.1016/j.joen.2009.08.005
  21. Socransky SS, Haffajee AD, Cugini MA, Smith C, Kent RL Jr. Microbial complexes in subgingival plaque. J Clin Periodontol 1998;25:134-44. https://doi.org/10.1111/j.1600-051X.1998.tb02419.x
  22. Socransky SS, Haffajee AD. Periodontal microbial ecology. Periodontol 2000 2005;38:135-87. https://doi.org/10.1111/j.1600-0757.2005.00107.x
  23. Marsh PD, Moter A, Devine DA. Dental plaque biofilms: communities, conflict and control. Periodontol 2000 2011; 55:16-35. https://doi.org/10.1111/j.1600-0757.2009.00339.x
  24. Marsh PD. Dental plaque: biological significance of a biofilm and community life-style. J Clin Periodontol 2005;32 Suppl 6:7-15.
  25. Tanner AC, Kent R Jr, Kanasi E, Lu SC, Paster BJ, Sonis ST, et al. Clinical characteristics and microbiota of progressing slight chronic periodontitis in adults. J Clin Periodontol 2007;34:917-30. https://doi.org/10.1111/j.1600-051X.2007.01126.x
  26. van Winkelhoff AJ, Loos BG, van der Reijden WA, van der Velden U. Porphyromonas gingivalis, Bacteroides forsythus and other putative periodontal pathogens in subjects with and without periodontal destruction. J Clin Periodontol 2002;29:1023-8. https://doi.org/10.1034/j.1600-051X.2002.291107.x
  27. Holt SC, Ebersole JL. Porphyromonas gingivalis, Treponema denticola, and Tannerella forsythia: the "red complex", a prototype polybacterial pathogenic consortium in periodontitis. Periodontol 2000 2005;38:72-122. https://doi.org/10.1111/j.1600-0757.2005.00113.x
  28. Byrne SJ, Dashper SG, Darby IB, Adams GG, Hoffmann B, Reynolds EC. Progression of chronic periodontitis can be predicted by the levels of Porphyromonas gingivalis and Treponema denticola in subgingival plaque. Oral Microbiol Immunol 2009;24:469-77. https://doi.org/10.1111/j.1399-302X.2009.00544.x
  29. Saygun I, Nizam N, Keskiner I, Bal V, Kubar A, Acikel C, et al. Salivary infectious agents and periodontal disease status. J Periodontal Res 2011;46:235-9. https://doi.org/10.1111/j.1600-0765.2010.01335.x
  30. Liljemark WF, Bloomquist C. Human oral microbial ecology and dental caries and periodontal diseases. Crit Rev Oral Biol Med 1996;7:180-98. https://doi.org/10.1177/10454411960070020601
  31. Quirynen M, Van Assche N. Microbial changes after fullmouth tooth extraction, followed by 2-stage implant placement. J Clin Periodontol 2011;38:581-9. https://doi.org/10.1111/j.1600-051X.2011.01728.x
  32. Yasui M, Ryu M, Sakurai K, Ishihara K. Colonisation of the oral cavity by periodontopathic bacteria in complete denture wearers. Gerodontology 2012;29:e494-502. https://doi.org/10.1111/j.1741-2358.2011.00506.x
  33. Darout IA, Albandar JM, Skaug N. Correlations between bacterial levels in autologous subgingival plaque and saliva of adult Sudanese. Clin Oral Investig 2002;6:210-6. https://doi.org/10.1007/s00784-002-0177-0
  34. Consensus report. Periodontal diseases: pathogenesis and microbial factors. Ann Periodontol 1996;1:926-32. https://doi.org/10.1902/annals.1996.1.1.926
  35. Socransky SS, Haffajee AD, Smith C, Dibart S. Relation of counts of microbial species to clinical status at the sampled site. J Clin Periodontol 1991;18:766-75. https://doi.org/10.1111/j.1600-051X.1991.tb00070.x

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