Abstract

The age of inflammatory periodontal disease (PD) manifestations has tended to decrease over the past decades. The study of the range of periodontal pathogens in young people and their influence on the PD manifestation contributes to the predictor identification for the early prevention of this pathology.The aim was to study the correlation between the range of periodontal pathogens in the dentoalveolar sulcus/periodontal pocket (DS/PC) contents and the clinical PD manifestations in young people.We examined 28 patients (23.1 ± 0.93 years) with dental biofilm-induced gingivitis (BG), 24 patients (30.7 ± 0.6 years) with aggressive periodontitis (AgP), and 87 clinically periodontally healthy patients (21.1 ± 0.49 years) (Control). The hygiene index and the periodontal status were determined in all patients. DNA of five periodontal pathogens was identified by PCR in the DS/PC contents. The statistical analysis was performed in Statistica 13.3. The critical significance level was p ≤ 0.05.DNA was not observed in 60.9 % of the control group samples and 7.1 % of the BG group samples. In other cases, the bacteria were found separately and as part of bacterial complexes. P.g. and T.f. were most often detected in all groups. P.g. (U = 474, р < 0.01) and A.a. (U = 209, р >< 0.05) significantly contributed to the plaque formation in the control group, T.d. – in BG and AgP groups (U = 37.5, р >< 0.05 and U = 34, р >< 0.05, respectively). In the AgP group, purulent discharge was more often recorded if T.d. was detected in the PC contents (χ2 = 5.53, р >< 0.05). T.f. + P.i. and P.g. + T.f. + P.i. complexes were exclusively associated with PD. Complexes of four bacteria were found only in the AgP group. The association of periodontal pathogens and their complexes with different PD forms was revealed.>< 0.01) and A.a. (U = 209, р <0.05) significantly contributed to the plaque formation in the control group, T.d. – in BG and AgP groups (U = 37.5, р <0.05 and U = 34, р <0.05, respectively). In the AgP group, purulent discharge was more often recorded if T.d. was detected in the PC contents (χ2 = 5.53, р <0.05). T.f. + P.i. and P.g. + T.f. + P.i. complexes were exclusively associated with PD. Complexes of four bacteria were found only in the AgP group.The association of periodontal pathogens and their complexes with different PD forms was revealed.

Highlights

  • The age of inflammatory periodontal disease (PD) manifestations has tended to decrease over the past decades

  • The study of the range of periodontal pathogens in young people and their influence on the PD manifestation contributes to the predictor identification for the early prevention of this pathology

  • The aim was to study the correlation between the range of periodontal pathogens in the dentoalveolar sulcus/periodontal pocket (DS/PC) contents and the clinical PD manifestations in young people

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Summary

Частота встречаемости в группе

У молодых людей из группы Контроль наиболее часто выявлялись двухкомпонентные комплексы, содержащие вид P.g.: в 4,6 % случаях обнаруживался комплекс P.g. О влиянии каждого из пяти пародонтопатогенов на развитие патологических изменений в тканях пародонта судили по наличию статистически значимых различий между группой Контроль и группами пациентов с ВЗП в зависимости от представленности каждого из этих видов бактерий в собранном материале (U-критерий Манна–Уитни). Что при наличии патогена T.d. у пациентов c АП чаще, чем при его отсутствии, регистрировались случаи гноетечения (χ2 = 5,53, р < 0,05), причем расчет критерия. Проведенное исследование показало, что в изученных образцах, собранных у 139 молодых людей как с ВЗП, так и без клинических проявлений ВЗП, наиболее часто обнаруживались виды P.g. и T.f. Патоген P.g. ранее был признан ключевым индуктором воспалительных процессов в тканях пародонта [7, 22].

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