New bacterial composition in primary and persistent/secondary endodontic infections with respect to clinical and radiographic findings

Copyright © 2014 American Association of Endodontists. Published by Elsevier Inc. All rights reserved..

INTRODUCTION: The aim of the present study was to analyze the microbiota of primary and secondary/persistent endodontic infections of patients undergoing endodontic treatment with respect to clinical and radiographic findings.

METHODS: Samples from the root canals of 21 German patients were taken using 3 sequential sterile paper points. In the case of a root canal filling, gutta-percha was removed with sterile files, and samples were taken using sterile paper points. The samples were plated, and microorganisms were then isolated and identified morphologically by biochemical analysis and sequencing the 16S rRNA genes of isolated microorganisms.

RESULTS: In 12 of 21 root canals, 33 different species could be isolated. Six (50%) of the cases with isolated microorganisms were primary, and 6 (50%) cases were endodontic infections associated with root-filled teeth. Twelve of the isolated species were facultative anaerobic and 21 obligate anaerobic. Monomicrobial infections were found for Enterococcus faecalis and Actinomyces viscosus. E. faecalis was most frequently isolated in secondary endodontic infections (33%). Moraxella osloensis was isolated from a secondary endodontic infection that had an insufficient root canal filling accompanied by a mild sensation of pain. A new bacterial composition compromising Atopobium rimae, Anaerococcus prevotii, Pseudoramibacter alactolyticus, Dialister invisus, and Fusobacterium nucleatum was recovered from teeth with chronic apical abscesses.

CONCLUSIONS: New bacterial combinations were found and correlated to clinical and radiographic findings, particularly to chronic apical abscesses. M. osloensis was detected in root canals for the second time and only in German patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2014

Erschienen:

2014

Enthalten in:

Zur Gesamtaufnahme - volume:40

Enthalten in:

Journal of endodontics - 40(2014), 5 vom: 26. Mai, Seite 670-7

Sprache:

Englisch

Beteiligte Personen:

Tennert, Christian [VerfasserIn]
Fuhrmann, Maximilian [VerfasserIn]
Wittmer, Annette [VerfasserIn]
Karygianni, Lamprini [VerfasserIn]
Altenburger, Markus J [VerfasserIn]
Pelz, Klaus [VerfasserIn]
Hellwig, Elmar [VerfasserIn]
Al-Ahmad, Ali [VerfasserIn]

Links:

Volltext

Themen:

Apical periodontitis
Dental trauma
Endodontic infection
Endodontic microorganisms
Journal Article
RNA, Bacterial
RNA, Ribosomal, 16S
Research Support, Non-U.S. Gov't
Root canal treatment

Anmerkungen:

Date Completed 26.07.2016

Date Revised 09.04.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.joen.2013.10.005

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM237699419