对早产和/或体重过轻母亲牙周病原体的检测

Nayra Rodrigues de Vasconcelos Calixto, C. Alves, Luciene Maria Gomes Abreu, É. Thomaz, F. Vidal, Isaac Suzart Filho, F. Lopes
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引用次数: 8

摘要

本研究旨在评估口腔内牙周病原体与早产(PTB)和/或低出生体重(LBW)之间的可能关系。材料与方法采用病例对照研究方法,在产后48小时内采集4个部位的龈下生物膜标本,采用聚合酶链反应(PCR)检测牙周病原菌中间普氏菌(Pi)、核梭菌(Fn)、牙龈卟啉单胞菌(Pg)、齿状密螺旋体(Td)、连翘Tannerella (Tf)、放线菌comitans (Aa)。将母亲分为病例组(婴儿体重< 2500g和/或胎龄< 37周)和对照组(婴儿体重≥2500g和胎龄≥37周)。采用卡方检验和比值比(Odds Ratio, OR)获得的相关性度量来估计变量之间的相关性。结果微生物学分析结果显示,PTB和LBW与口腔内大多数牙周病原体无显著相关性,甚至与牙周炎的临床表现有关。结论:鉴于新近出生的母亲的牙龈下生物膜中存在大量牙周病原体,本研究结果可为进一步研究牙周炎与PTB和/或LBW之间的病理生理学关系奠定基础。关键词:低出生体重儿;早产儿。牙周疾病。细菌。聚合酶链反应。
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Detection of periodontal pathogens in mothers of preterm birth and/or low weight
Background The present study aims to estimate the possible relationship between periodontal pathogens in the oral cavity and the birth of Preterm Birth (PTB) and/or Low Birth Weight (LBW). Material and Methods It’s a case- control study with the subgengival biofilm samples were collected from four sites up deeper until 48 hours postpartum and were processes by Polymerase Chain Reaction (PCR) for presence the periodontal pathogens Prevotella intermedia (Pi), Fusobacterium nucleatum (Fn), Porphyromonas gingivalis (Pg), Treponema denticola (Td), Tannerella forsythia (Tf) e Aggregatibacter actinomycetemcomitans (Aa). The mothers were divided into case grup (babies weighing < 2500g and/or gestational age < 37 weeks) and control group (babies weighing ≥ 2500g and gestational age ≥ 37 weeks). Chi-square test and the measure of association obtained by Odds Ratio (OR) were used to estimate the association between the variables. Results Microbial analyses results showed no significant association between PTB and LBW with most periodontal pathogens in the oral cavity, even with association with the clinical presence of periodontitis. Conclusions given the high presence of periodontal pathogens in the biofilm subgengival of recent mothers, it is suggested that the findings of this research serve as the basis for future studies on the pathophysiology involved in the relationship between periodontitis and PTB and/or LBW. Key words:Low Birth Weight Infant. Premature Infant. Periodontal Diseases. Bacteria. Polymerase Chain Reaction.
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