Comprehensive analysis of secondary dental root canal infections : a combination of culture and culture-independent approaches reveals new insights

Persistence of microorganisms or reinfections are the main reasons for failure of root canal therapy. Very few studies to date have included culture-independent methods to assess the microbiota, including non-cultivable microorganisms. The aim of this study was to combine culture methods with culture-independent cloning methods to analyze the microbial flora of root-filled teeth with periradicular lesions. Twenty-one samples from previously root-filled teeth were collected from patients with periradicular lesions. Microorganisms were cultivated, isolated and biochemically identified. In addition, ribosomal DNA of bacteria, fungi and archaea derived from the same samples was amplified and the PCR products were used to construct clone libraries. DNA of selected clones was sequenced and microbial species were identified, comparing the sequences with public databases. Microorganisms were found in 12 samples with culture-dependent and -independent methods combined. The number of bacterial species ranged from 1 to 12 in one sample. The majority of the 26 taxa belonged to the phylum Firmicutes (14 taxa), followed by Actinobacteria, Proteobacteria and Bacteroidetes. One sample was positive for fungi, and archaea could not be detected. The results obtained with both methods differed. The cloning technique detected several as-yet-uncultivated taxa. Using a combination of both methods 13 taxa were detected that had not been found in root-filled teeth so far. Enterococcus faecalis was only detected in two samples using culture methods. Combining the culture-dependent and -independent approaches revealed new candidate endodontic pathogens and a high diversity of the microbial flora in root-filled teeth with periradicular lesions. Both methods yielded differing results, emphasizing the benefit of combined methods for the detection of the actual microbial diversity in apical periodontitis.

Medienart:

E-Artikel

Erscheinungsjahr:

2012

Erschienen:

2012

Enthalten in:

Zur Gesamtaufnahme - volume:7

Enthalten in:

PloS one - 7(2012), 11 vom: 03., Seite e49576

Sprache:

Englisch

Beteiligte Personen:

Anderson, Annette Carola [VerfasserIn]
Hellwig, Elmar [VerfasserIn]
Vespermann, Robin [VerfasserIn]
Wittmer, Annette [VerfasserIn]
Schmid, Michael [VerfasserIn]
Karygianni, Lamprini [VerfasserIn]
Al-Ahmad, Ali [VerfasserIn]

Links:

Volltext

Themen:

DNA, Ribosomal
Journal Article
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 07.05.2013

Date Revised 09.04.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1371/journal.pone.0049576

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM222629819