Risk indicators for harboring periodontal pathogens.

Abstract

The risk for harboring 6 putative periodontal pathogens in 4 selected periodontal pockets, in whole saliva, or in either site (i.e., orally) was determined in 52 Caucasians, 49 African-Americans, 48 Asian-Americans, and 50 Hispanics living in Los Angeles. 16S rRNA PCR analysis assessed the presence of Actinobacillus actinomycetemcomitans, Bacteroides forsythus, Porphyromonas gingivalis, Prevotella intermedia, Prevotella nigrescens, and Treponema denticola. Step-wise regression analysis determined the relationship between the occurrence of each organism and various explanatory variables (risk indicators). Periodontal probing depth or disease severity was positively associated with all 6 study organisms. African-Americans carried an increased risk for harboring P. gingivalis in saliva (odds ratio [OR] 2.95) and orally (OR 2.66), and a reduced risk for harboring T. denticola orally (OR 0.34). Asian-Americans showed an increased risk for harboring A. actinomycetemcomitans in periodontal pockets (OR 6.63) and P. gingivalis in periodontal pockets (OR 5.39), in saliva (OR 5.74), and orally (OR 5.81). Hispanics demonstrated an increased risk for harboring A. actinomycetemcomitans in periodontal pockets (OR 12.27) and P. gingivalis in periodontal pockets (OR 6.07), in saliva (OR 8.72), and orally (OR 7.98). Age was positively associated with the prevalence of P. gingivalis in saliva (OR 1.20) and orally (OR 1.20), and of A. actinomycetemcomitans orally (OR 1.18). The male gender was a risk factor for harboring P. intermedia in periodontal pockets (OR 2.40), in saliva (OR 3.31), and orally (OR 4.25), and for harboring P. nigrescens in saliva (OR 2.85). The longer the subjects resided in the United States, the less likely A. actinomycetemcomitans was detected orally (OR 0.82). Former smokers demonstrated a decreased risk for harboring A. actinomycetemcomitans in saliva (OR 0.23). Current smokers displayed an increased risk for harboring T. denticola in periodontal pockets (OR 4.61). The number of dental visits in the past 10 years was inversely related to the prevalence of P. intermedia orally (OR 0.96). The prevalence of P. intermedia in saliva was positively associated with the length of time from the last dental visit (OR 1.01). This study suggests that genetic and/or environmental factors predispose subjects to oral colonization by putative periodontal pathogens.