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Relationship of Oral Bacterial Load Over One Year of Smoking Cessation

  • Kim, Sunghyun (Department of Clinical Laboratory Science, College of Health Sciences, Catholic University of Pusan) ;
  • Seo, Min-Seock (Department of Conservative Dentistry, Wonkwang University Daejeon Dental Hospital) ;
  • Hwang, Soo-Jeong (Department of Dental Hygiene, College of Medical Science, Konyang University)
  • Received : 2019.08.26
  • Accepted : 2019.10.01
  • Published : 2019.12.31

Abstract

Background: Smoking exerts an adverse effect on the periodontal tissue by reorganizing the ecosystem of oral microorganisms and is considered to be an important factor in the development of periodontal disease. Although cross-sectional studies on smokers and non-smokers have been attempted to investigate the microbial differences in periodontal oral cavity, only few studies have been conducted to investigate the changes in oral microorganisms during smoking cessation. The purpose of this study was to investigate the changes of bacteria in saliva and gingival crevicular fluid (GCF) over a period of one year among 11 smokers trying to quit smoking. Methods: Eleven smokers trying to quit smoking visited the clinic at baseline, two weeks, two months, four months, six months, and 12 months to give saliva and GCF samples. The amounts of 16S rRNA, Porphyromonas gingivalis, Treponema denticola, Prevotella intermedia, Fusobacterium nucleatum subsp. nucleatum, Streptococcus mutans, and Streptococcus sobrinus in saliva and GCF were quantified using real-time polymerase chain reaction TaqMan probe assay. The results were analyzed by nonparametric statistical analysis using Friedman test and Spearman correlation coefficient. Results: After cessation of smoking, the amounts of 16S rRNA corresponding to P. gingivalis, F. nucleatum, P. intermedia, and T. denticola in saliva decreased and then again increased significantly. The amount of F. nucleatum 16S rRNA in GCF decreased significantly after smoking cessation. Positive correlations were observed between 16S rRNA and F. nucleatum and between F. nucleatum and T. denticola in saliva and GCF. Conclusion: Even if the number of subjects in this study was small, we suggest that smoking cessation may reduce the total bacterial amount and F. nucleatum in GCF. However, the results regarding changes in the microbial ecosystem due to smoking or smoking cessation were inconsistent. Therefore, further in-depth studies need to be carried out.

Keywords

References

  1. van Winkelhoff AJ, Bosch-Tijhof CJ, Winkel EG, van der Reijden WA: Smoking affects the subgingival microflora in periodontitis. J Periodontol 72: 666-671, 2001. https://doi.org/10.1902/jop.2001.72.5.666
  2. Preshaw PM, Heasman L, Stacey F, Steen N, McCracken GI, Heasman PA: The effect of quitting smoking on chronic periodontitis. J Clin Periodontol 32: 869-879, 2005. https://doi.org/10.1111/j.1600-051X.2005.00779.x
  3. Hwang SJ, Kim YK, Yang SJ, Cho HJ: Influence of smoking on matrix-metalloproteinase-9 in the gingival crevicular fluid. J Dent Hyg Sci 11: 339-344, 2011.
  4. Kumar PS, Matthews CR, Joshi V, de Jager M, Aspiras M: Tobacco smoking affects bacterial acquisition and colonization in oral biofilms. Infect Immun 79: 4730-4738, 2011. https://doi.org/10.1128/IAI.05371-11
  5. Zeller I, Hutcherson JA, Lamont RJ, et al.: Altered antigenic profiling and infectivity of Porphyromonas gingivalis in smokers and non-smokers with periodontitis. J Periodontol 85: 837-844, 2014. https://doi.org/10.1902/jop.2013.130336
  6. Shah SA, Ganesan SM, Varadharaj S, Dabdoub SM, Walters JD, Kumar PS: The making of a miscreant: tobacco smoke and the creation of pathogen-rich biofilms. NPJ Biofilms Microbiomes 3: 26, 2017. https://doi.org/10.1038/s41522-017-0033-2
  7. Johnson NW: The role of the dental team in tobacco cessation. Eur J Dent Educ 8 Suppl 4: 18-24, 2004. https://doi.org/10.1111/j.1399-5863.2004.00318.x
  8. Delima SL, McBride RK, Preshaw PM, Heasman PA, Kumar PS: Response of subgingival bacteria to smoking cessation. J Clin Microbiol 48: 2344-2349, 2010. https://doi.org/10.1128/JCM.01821-09
  9. Liu KH, Hwang SJ: Effect of smoking cessation for 1 year on periodontal biomarkers in gingival crevicular fluid. J Periodontal Res 51: 366-375, 2016. https://doi.org/10.1111/jre.12316
  10. Hyvarinen K, Laitinen S, Paju S, et al.: Detection and quantification of five major periodontal pathogens by single copy gene-based real-time PCR. Innate Immun 15: 195-204, 2009. https://doi.org/10.1177/1753425908101920
  11. Wade WG: The oral microbiome in health and disease. Pharmacol Res 69: 137-143, 2013. https://doi.org/10.1016/j.phrs.2012.11.006
  12. Bizzarro S, Loos BG, Laine ML, Crielaard W, Zaura E: Subgingival microbiome in smokers and non-smokers in periodontitis: an exploratory study using traditional targeted techniques and a next-generation sequencing. J Clin Periodontol 40: 483-492, 2013. https://doi.org/10.1111/jcpe.12087
  13. Mysak J, Podzimek S, Sommerova P, et al.: Porphyromonas gingivalis: major periodontopathic pathogen overview. J Immunol Res 2014: 476068, 2014. https://doi.org/10.1155/2014/476068
  14. Shiloah J, Patters MR, Waring MB: The prevalence of pathogenic periodontal microflora in healthy young adult smokers. J Periodontol 71: 562-567, 2000. https://doi.org/10.1902/jop.2000.71.4.562
  15. Moon JH, Lee JH, Lee JY: Subgingival microbiome in smokers and non-smokers in Korean chronic periodontitis patients. Mol Oral Microbiol 30: 227-241, 2015. https://doi.org/10.1111/omi.12086
  16. Wu J, Peters BA, Dominianni C, et al.: Cigarette smoking and the oral microbiome in a large study of American adults. ISME J 10: 2435-2446, 2016. https://doi.org/10.1038/ismej.2016.37
  17. Lira-Junior R, Akerman S, Klinge B, Bostrom EA, Gustafsson A: Salivary microbial profiles in relation to age, periodontal, and systemic diseases. PLoS One 13: e0189374, 2018. https://doi.org/10.1371/journal.pone.0189374
  18. Kubota M, Tanno-Nakanishi M, Yamada S, Okuda K, Ishihara K: Effect of smoking on subgingival microflora of patients with periodontitis in Japan. BMC Oral Health 11: 1, 2011. https://doi.org/10.1186/1472-6831-11-1
  19. Delima SL, McBride RK, Preshaw PM, Heasman PA, Kumar PS: Response of subgingival bacteria to smoking cessation. J Clin Microbiol 48: 2344-2349, 2010. https://doi.org/10.1128/JCM.01821-09
  20. Shakhatreh MAK, Khabour OF, Alzoubi KH, Masadeh MM, Hussein EI, Bshara GN: Alterations in oral microbial flora induced by waterpipe tobacco smoking. Int J Gen Med 11: 47-54, 2018. https://doi.org/10.2147/IJGM.S150553