牙周组织炎症性疾病中牙周袋的微生物景观

S. V. Miklyaev, O. M. Leonova, A. Sushchenko, A. D. Kozlov, Ismail F. Agarizaev, A. V. Novikov
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引用次数: 2

摘要

的相关性。研究牙周组织炎症性疾病中牙周袋的微生物组成对有效治疗和了解这些疾病的发病阶段具有直接的重要意义。目的:研究牙周组织炎症性疾病患者牙周袋的微生物景观。材料和方法:选择年龄在20至45岁之间的62例患者,根据牙周炎的形式分为两组:1组为局部侵袭性牙周炎,2组为慢性全身性牙周炎,3组为慢性全身性牙周炎加重。研究材料取自牙周袋,并通过培养和微生物学方法进行检查。结果和讨论。结果表明,不同深度牙周袋中微生物组合的比例和数量不同。在局部侵袭性牙周炎中,在不超过4 mm的牙周袋内主要发现兼性Gr+(放线菌)和Gr-(金黄色葡萄球菌、密氏杆菌)厌氧菌。在中度的广泛性慢性牙周炎中,在牙周袋中存在与局部形式相同的微生物,但在兼性需氧菌中更为常见。随着兼性厌氧菌引起的广泛性慢性牙周炎的加重,金黄色葡萄球菌更为常见,放线菌comitans的比例和数量显著增加。结论。研究结果表明,在牙周组织炎症性疾病中,栖息在牙周袋内的微生物主要属于兼性Gr+和Gr-厌氧菌、专性Gr+和Gr-厌氧菌和酵母真菌。
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Microbiological landscape of the periodontal pocket in inflammatory diseases in the periodontal tissues
Relevance. The study of the microbiological composition of periodontal pockets in inflammatory diseases of periodontal tissues is of great importance directly for the effective treatment and understanding of the pathogenetic stages of these diseases. Objective: to study the microbiological landscape of periodontal pockets with inflammatory diseases of periodontal tissues. Materials and Methods. 62 patients aged 20 to 45 years were selected and divided into groups depending on the form of periodontitis: with localized aggressive periodontitis - group №1, group №2 - with chronic generalized periodontitis, group № 3 - with exacerbation of chronic generalized periodontitis. The material for the study was taken from the periodontal pockets and examined by cultural and microbiological methods. Results and Discussion. It was found that the proportion and number of microbial associations in the periodontal pockets of different depths differs. In localized aggressive periodontitis, mainly facultative Gr+ (A. actinomycetemcomitans) and Gr- (St. aureus, Str. mitis) anaerobes were found in the periodontal pockets no more than 4 mm. In generalized chronic periodontitis of moderate degree, the same microorganisms were present in the periodontal pockets as in the localized form, but Str. mitis was more common among facultative aerobes. With the exacerbation of generalized chronic periodontitis from facultative anaerobes, St. aureus was more common and the proportion and number of A. actinomycetemcomitans significantly increased. Conclusion. According to the results of the study, the microorganisms that inhabit the periodontal pockets in inflammatory diseases of periodontal tissues mainly belong to facultative Gr+ and Gr - anaerobes, obligate Gr+ and Gr-anaerobes and yeast fungi.
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0.50
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发文量
43
审稿时长
8 weeks
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