Bacteroides forsythus in adult gingivitis and periodontitis.
Bacteroides forsythus in adult gingivitis and periodontitis.
复制标题
福赛拟杆菌在成人牙龈炎和牙周炎中的作用。
DOI:
10.1111/j.1399-302x.1987.tb00299.x
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发表时间:
1987
影响因子:
--
通讯作者:
Slots,J
中科院分区:
文献类型:
--
作者:
Lai,CH;Listgarten,MA;Shirakawa,M;Slots,J
Bacteroides forsythus, a newly named species from the human mouth, possesses a distinct cell wall ultrastructure and a unique set of cell surface antigens. To determine the distribution ofB. forsythusin the periodontal region, supragingival plaque was collected from 16 healthy adults and from 11 adults with mild gingivitis, 12 with severe gingivitis and 17 with periodontitis. Subgingival samples from 27 diseased sites were examined as well.B. forsythuswas located in plaque smears by indirect immunofluorescence microscopy. Rabbit antibody toB. forsythusstrain FDC 335 constituted the primary antibody and fluoresceinlabelled goat‐antirabbit antibody the secondary antibody. There was a significant difference (p<0.05) between the proportions ofB. forsythusin supragingival samples of healthy subjects (0.2%) vs. individuals with mild gingivitis (1.3%), severe gingivitis (1.0%) and adult periodontitis (0.9%). A significant difference (p< 0.001) inB. forsythusproportions was also detected between supragingival (0.9%) and subgingival (15.3%) samples from adult periodontitis patients. In a separate study, patients previously treated for moderate to severe adult periodontitis were monitored over a 12‐month period for evidence of disease recurrence. A significant increase in the proportions ofB. forsythuswas found at sites with breakdown as compared to stable sites. Breakdown was defined as loss of attachment of 2 mm or more from base line, as measured from a reference stent, or a probing depth increase of 3 mm or more. These results support the assertion thatB. forsythusis associated with advanced periodontitis as well as recurrent periodontitis. Monitoring the subgingival proportions ofB. forsythusmay be of diagnostic value in patients on maintenance therapy. WhetherB. forsythuscauses periodontal disease or is a secondary colonizer of periodontal lesions remains to be determined.