原发性和永久性龋的链球菌生物型:一项病例对照研究。

Q3 Dentistry
Sonia B Bhardwaj, Urvashi Sharma, Manjula Mehta, Jyoti Sharma
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引用次数: 0

摘要

背景与目的:链球菌(streptococcus,主要是变形链球菌)是引起龋齿的病原微生物,但目前对其对牙齿水平的影响以及不同牙列阶段链球菌种类的分布尚不清楚。本研究评估了儿童和青少年龋齿的乳牙和恒牙中链球菌的分布。材料与方法:研究人群分为两组:2-5岁的乳牙龋齿患者和12-15岁的恒牙龋齿青少年。两组均包括年龄匹配的对照组。根据世界卫生组织(WHO)方案记录乳牙的龋缺补牙/恒牙的龋缺补牙(dmft/ dmft)指数评分。在无菌条件下从牙齿部位获得牙齿生物膜样本,并放置在无菌运输介质中。接种在特定培养基上进行,菌落计数,链球菌种类鉴定。结果:在原发性牙列龋患者中,鉴定出的链球菌种类为变形链球菌(S. mutans)、sobrinus、S. mitis、S. rattus和S. sanguis。在恒牙龋齿患者中,除了变形链球菌和隐球菌外,还发现了唾液链球菌、粪肠球菌(E. faecalis)、米氏链球菌和无糖链球菌。原发性龋齿组儿童变形链球菌菌落形成单位(CFU)水平显著高于对照组(p < 0.01)。而儿童健康对照组链球菌CFU与青少年健康对照组链球菌CFU/mL差异无统计学意义。结论:龋患者乳牙与恒牙链球菌种类分布差异有统计学意义(p < 0.01)。如何引用本文:Bhardwaj SB, Sharma U, Mehta M,等。原发性和永久性龋的链球菌生物型:一项病例对照研究。中华临床儿科杂志;2017;17(9):1014-1017。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Streptococci Biotypes in Primary and Permanent Caries: A Case-Control Study.

Background and aim: Streptococci, mainly mutans streptococci, are known as the causative microbes of dental caries, but there is limited clarity about their impact on the tooth level and the distribution of streptococci species in different dentition stages. This study evaluates the distribution of streptococci species in primary and permanent teeth in children and adolescents with caries.

Materials and methods: The study population consisted of two groups: subjects with caries in primary teeth aged 2-5 years and adolescents with caries in permanent teeth aged 12-15 years. Age-matched controls were included in both groups. The decayed, missing, and filled teeth for primary teeth/decayed, missing, and filled teeth for permanent teeth (dmft/DMFT) index score was recorded according to World Health Organization (WHO) protocol. Dental biofilm samples were obtained from tooth sites under sterile conditions and placed in sterile transport media. Inoculation was performed on specific media, colonies were counted, and streptococci species were identified.

Results: In subjects with primary dentition caries, the streptococci species identified were Streptococcus mutans (S. mutans), S. sobrinus, S. mitis, S. rattus, and S. sanguis. In subjects with caries in permanent teeth, S. salivarius, Enterococcus faecalis (E. faecalis), S. mitis, and S. agnosus were seen in addition to S. mutans and S. sobrinus. The levels of mutans streptococci colony-forming units (CFU) were significantly higher in the primary caries group in children (p < 0.01). However, the CFU of streptococci in the healthy control group in children was not statistically different from the CFU/mL of streptococci in the healthy control group in adolescents.

Conclusion: A significant difference (p < 0.01) in the streptococci species profile was observed between primary and permanent teeth with caries.

How to cite this article: Bhardwaj SB, Sharma U, Mehta M, et al. Streptococci Biotypes in Primary and Permanent Caries: A Case-Control Study. Int J Clin Pediatr Dent 2024;17(9):1014-1017.

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