10 至 14 岁儿童牙龈炎斑块治疗过程中微生物关联的物种特征

Hristina Tankova, Zornitsa Lazarova
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摘要

目的:评估 10-14 岁斑块诱发牙龈炎儿童治疗期间龈下生物膜微生物联合的物种特征。材料和方法研究对象为 34 名患有牙菌斑引起的牙龈炎的儿童。每位患者采集三份龈下生物膜样本:第一份样本--首次就诊时;第二份样本--两周后;第三份样本--一个月后。每个儿童选取 5 颗牙齿,从中取样进行 PCR 检测,以检测 9 种对照菌株的龈下微生物(放线菌、牙龈球菌、齿孢子菌、连翘菌、中间球菌、微小球菌、F. nuleatum、E. nodatum、C. gingivalis)。结果:所有接受检查的儿童在治疗开始前都分离到了牙龈球菌(绿色复合菌群),并且在与中间念珠菌(橙色复合菌群)的微生物关联中观察到了不可或缺的牙龈球菌。在其他病例中,可观察到与 7-8 种微生物的结合,其组成更为复杂。治疗开始一个月后,55% 以上的样本中没有分离到牙周病原体,或仅分离到牙龈球菌(C. gingivallis)一种微生物。微生物组合主要是 2 到 4 种微生物。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
SPECIES CHARACTERISTICS OF MICROBIAL ASSOCIATIONS IN THE COURSE OF TREATMENT OF 10 TO 14-YEAR-OLD CHILDREN WITH PLAQUE-INDUCED GINGIVITIS
Aim: Еvaluation of the species characteristics of subgingival biofilm microbial associations during treatment of children with plaque-induced gingivitis aged 10-14 years. Materials and methods: The subject of the study were 34 children with plaque-induced gingivitis. Three samples of subgingival biofilm are taken per patient: 1st sample - at the first visit; 2nd sample - two weeks later; 3rd the sample - one month later. Five teeth per child are selected from which a sample is taken for PCR testing for 9 control strains of subgingival microorganisms (A. actinomycetemcomitans, P. gingivalis, T. denticola, T. forsythia, P. intermedia, P. micros, F. nuleatum, E. nodatum, C. gingivalis). Results: C. gingivalis (green complex) is isolated in all examined children before the start of treatment and is indispensably observed in microbial associations with P. intermedia (orange complex). In other cases, associations with 7-8 microorganisms are observed and in a more complex composition. One month after the start of treatment, no periodontopathogens or only C. gingivallis as a single microorganism was is isolated in more than 55% of the samples examined. Microbial associations are predominantly 2 to 4 microorganisms.
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