Quantification of periodontal pathogens by paper point sampling from the coronal and apical aspect of periodontal lesions by real-time PCR

Clin Oral Investig. 2010 Oct;14(5):533-41. doi: 10.1007/s00784-009-0333-x. Epub 2009 Aug 20.

Abstract

The present study compared the recovery of six periodontal pathogens by paper point samples from two different aspects of periodontal lesions by quantitative real-time polymerase chain reaction (PCR). Twenty patients with untreated chronic periodontitis were randomized into two groups. Before subgingival instrumentation and after 10 weeks samples in group A were taken first with a paper point half length (HP) of the probing depth, then with a paper point full length (FP) at the same site. In group B sampling sequence was reversed. Analysis by real-time PCR enabled quantification of six bacteria as well as total bacterial count (TBC). Statistical analysis included t test, Kappa, and Spearman's correlations. Higher TBC could be harvested by use of FP than by HP (mean of differences of ln-transformed counts before therapy: -0.791, CI [-1.515, -0.068], SD 0.770, p = 0.034; after therapy: -0.563, CI [-1.151, 0.024], SD 0.625, p = 0.059). The plaque composition regarding total target pathogens was similar for both samples. Both, for TBC as well as for single target bacteria a strong positive correlation was found between HP and FP (Kappa, Spearman correlation: Aggregatibacter actinomycetemcomitans 0.807, 0.778; Fusobacterium nucleatum 0.573, 0.772; Porphyromonas gingivalis 0.733, 0.824; Prevotella intermedia 0.480, 0.756; Treponema denticola 0.807, 0.814; and Tannerella forsythia 0.692, 0.695). The recovery of target pathogens was similar following sampling at various depths of the periodontal lesion.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aggregatibacter actinomycetemcomitans / isolation & purification
  • Bacterial Load
  • Bacteroides / isolation & purification
  • Chronic Periodontitis / microbiology*
  • Chronic Periodontitis / therapy
  • Cross-Over Studies
  • Dental Plaque / microbiology
  • Dental Scaling
  • Female
  • Follow-Up Studies
  • Fusobacterium nucleatum / isolation & purification
  • Gram-Negative Bacteria / classification
  • Gram-Negative Bacteria / isolation & purification*
  • Humans
  • Male
  • Middle Aged
  • Periodontal Pocket / microbiology*
  • Periodontal Pocket / therapy
  • Polymerase Chain Reaction / methods*
  • Porphyromonas gingivalis / isolation & purification
  • Prevotella intermedia / isolation & purification
  • Root Planing
  • Specimen Handling / instrumentation
  • Specimen Handling / methods*
  • Subgingival Curettage
  • Treponema denticola / isolation & purification