Clonality of Black-pigmented Anaerobes Isolated from Infected Root Canals and Subgingival Plaque in 12 Patients

M. Okamoto, Reiko Osada, T. Arai, N. Maeda
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Abstract

The purpose of this study was to investigate the clonal types of black-pigmented anaerobes isolated from infected root canals and subgingival plaque. Twelve patients, who had single-rooted teeth with selected chronic apical periodontitis and had not undergone endodontic treatment, were chosen for thisstudy. Microbiological specimens from the root canals were collected with three sizes of H-files, and thosefrom six subgingival sites of the same teeth were collected with paper points. The isolates were identified by the 16S rRNA gene-directed PCR method, and the gene types were determined by the arbitrarily primed PCR (AP-PCR) method. Porphyromonas gingivalis and Prevotella nigrescens were the most frequently isolated species from the root canals (41.7%) and from subgingival plaque samples (50.0%) in 12 patients, respectively. Four patients simultaneously harbored the same species in the root canal and subgingival plaque (three patients harbored P. nigrescens and one patient P. gingivalis). The AP-PCR patterns of isolates from the root canal and subgingival plaque were identical in at least three out of 12 patients. These results support the hypothesis that the pocket is one of the possible sources of root-canal infection.
12例感染根管及龈下菌斑中黑色厌氧菌的克隆分析
本研究的目的是研究从感染的根管和龈下菌斑中分离的黑色厌氧菌的克隆类型。本研究选择了12例患有慢性根尖牙炎且未接受根管治疗的单根牙患者。用三种大小的h锉采集根管微生物标本,用纸尖采集同一牙龈下6个部位微生物标本。采用16S rRNA基因定向PCR法对分离菌株进行鉴定,采用任意引物PCR (AP-PCR)法对分离菌株进行基因型鉴定。龈卟啉单胞菌和黑化普雷沃菌分别是12例患者根管和龈下菌斑中分离最多的菌种(41.7%)和龈下菌斑中分离最多的菌种(50.0%)。4例患者同时在根管和龈下菌斑中携带同一菌种(3例患者携带黑化假单胞菌,1例患者携带牙龈假单胞菌)。在12名患者中,至少有3名患者的根管和龈下菌斑分离物的AP-PCR模式相同。这些结果支持了根管袋是根管感染可能来源之一的假设。
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