Symptomatic and asymptomatic apical periodontitis associated with red complex bacteria: clinical and microbiological evaluation

Abstract

In this study, the association of red complex (RC) bacteria that include Treponema denticola, Tannerella forsythia and Porphyromonas gingivalis with acute, exacerbated or chronic apical periodontitis was evaluated. Seventy-one patients with periapical disease were evaluated by clinical examination and microbiological samples obtained from the root canals were analyzed by a polymerase chain reaction assay. Twenty-one (29.6%) samples were positive for RC bacteria, with T. denticola, T. forsythia and P. gingivalis being detected in 14 (19.7%), 10 (14.1%) and 6 (8.5%) samples, respectively. RC bacteria were mainly associated with acute apical periodontitis (29.2%) and phoenix abscess (63.2%), while they were only sporadically detected (7.1%) in patients with chronic apical periodontitis. Generally, RC bacteria were associated with pain and a higher frequency of intracanalar/intrasulcular pus drainage. Involvement of RC bacteria in symptomatic periapical disease should be suspected in the presence of particularly severe clinical pain and pus drainage.


Autore Pugliese

Tutti gli autori

  • CORRENTE M.

Titolo volume/Rivista

Non Disponibile


Anno di pubblicazione

2012

ISSN

1618-1247

ISBN

Non Disponibile


Numero di citazioni Wos

10

Ultimo Aggiornamento Citazioni

Non Disponibile


Numero di citazioni Scopus

13

Ultimo Aggiornamento Citazioni

Non Disponibile


Settori ERC

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Codici ASJC

Non Disponibile