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Comparative Microbiological Characteristics of Failing Implants and Periodontally Diseased Teeth
Author(s) -
Listgarten Max A.,
Lai ChernHsiung
Publication year - 1999
Publication title -
journal of periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.036
H-Index - 156
eISSN - 1943-3670
pISSN - 0022-3492
DOI - 10.1902/jop.1999.70.4.431
Subject(s) - microbiology and biotechnology , fusobacterium , periodontitis , porphyromonas gingivalis , prevotella intermedia , bacteroides , medicine , fusobacterium nucleatum , bacteroidaceae , biology , capnocytophaga , dentistry , bacteria , genetics
Background: The purpose of this report was to compare the distribution of periodontal pathogens recovered from failing implants and teeth with adult and recurrent forms of periodontitis. Methods: A total of 41 consecutive microbial samples from patients with failing implants (IMP) were received at the Microbiology Testing Laboratory (MTL) of the University of Pennsylvania over a 2‐year period. Paired control samples were selected from samples received concurrently by MTL from 41 patients with a diagnosis of adult periodontitis (AP) and 41 with a diagnosis of recurrent or refractory periodontitis (RP). Patients' mean ages for the 3 categories were 59, 47, and 53 years, respectively. Samples were collected with paper points or scalers and shipped in prereduced medium by express mail to the laboratory where they were processed within 48 hours from the time of collection. Culture was used for detection of A. actinomycetemcomitans, C. rectus, P. intermedia/nigrescens, E. corrodens, P. micros, Capnocytophaga and Fusobacterium sp., enteric Gram‐negative rods, Enterococcus and Staphylococcus sp. , and yeast. P. gingivalis and B. forsythus were detected by indirect immunofluorescence. Morphotypes were enumerated by dark‐field microscopy. Results: The most frequently detected microorganisms from IMP were B. forsythus (59%), spirochetes (54%), Fusobacterium (41%), P. micros (39%), and P. gingivalis (27%). Recovery levels (mean ± SD) were 1±1, 4±5, 4±5, 9±11, 1±2, respectively. The most frequently detected organisms for AP were B. forsythus (83%), Fusobacterium (80%), spirochetes (79%), P. gingivalis (59%), P. micros (51%), and E. corrodens (37%) , at levels 2±2, 5±4, 9±6, 4±5, and 6±7, respectively. Corresponding data for RP were B. forsythus (85%) , Fusobacterium (83%), P. gingivalis (60%), spirochetes (59%), C. rectus (56%), and P. micros (56%), at levels of 3±2, 8±8, 4±4, 2±2, 1±1, and 9±10, respectively. Conclusions: These results indicate that the detection frequency and levels of recovery of some periodontal pathogens in failing implants are significantly different from that of teeth with periodontitis; however, the detection frequency and levels of recovery are similar in teeth affected by adult and refractory (recurrent) forms of periodontitis. J Periodontol 1999;70:431‐437.

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