DOI: 10.1111/j.1600-051x.1998.tb02388.x. Clinical and microbiological findings in elderly subjects with gingivitis or periodontitis

Clinical and microbiological findings in elderly subjects with gingivitis or periodontitis

10.1111/j.1600-051x.1998.tb02388.x

Crossref journal-article

Wiley

Journal of Clinical Periodontology (311)

Abstract

Abstract. The objective of the present study was to study the supra‐ and subgingival microflora by culture and cDNA probe methods in 20 elderly subjects who were between 62 and 93 years of age, 10 of them had gingivitis only, and 10 had periodontitis. B. forsythus (BF). P. gingivalis (PG), P intermedia (PI), P. nigrescens (PN), A. actinomycetemcomitans (AA), T. denticola (TD), and pathogen‐related oral spirochetes (PROS) were studied. Oral hygiene was similar and poor in both groups. The mean probing depth at sample sites was 6.7 mm (S.D±1.3) in the periodontitis group and 2.2 mm (S.D.±1.5) in the gingivitis group (F=17.75, p < 0.001). Mean clinical attachment levels (CAL) were 4.3 mm (S.D.±2.0) and 1.7 mm (S.D.±0.9) respectively (p < 0.001). Total viable counts >1.0×105 in supra‐gingival plaque samples were found in all periodontitis and in eight gingivitis subjects, 70× more black‐pigmented organisms were found in supra‐gingival and 185 times more in sub‐gingival plaque from the periodontitis group (p < 0.01). Culture data showed P nigresecens in 10% periodontitis and 50% gingivitis subjects (p < 0.03). In supra‐gingival samples by the Affirm™ DP test, BF was present in 50% periodontitis and 60% gingivitis while culture data were negative for all subjects, PG was found in 30%. periodontitis and 50% gingivitis subjects with TD in 70% periodontitis and in 30% gingivitis subjects. In the ub‐gingival plaque samples 80% periodontitis and 70% gingivitis subjects had >1×105 anaerobes. The total count of black‐pigmented organisms was significantly greater in the periodontitis elders (p < 0.001). cDNA probes by the Affirm™ DP test identified subgingival presence of BF (80%) PG (80%), PI(80%), AA (0%), TD (50%) in periodontitis subjects with BF (70%), PG (40%), PI (30%) and TD (20%) in gingivitis subjects. PROS were found in (80%) samples from periodontitis and in (60%) of gingivitis elderly. Only the quantities of PI (r=0.48, p < 0.01) and TD (r=0.37, p < 0.01) were associated with the disease definition. The smoking habit in the periodontitis group was significantly higher (p < 0.01). A history of smoking may contribe significantly to periodontitis in the presence of pathogens.

Bibliography

SchlegelâBregenzer, B., Persson, R. E., Lukehart, S., Braham, P., Oswald, T., & Persson, G. R. (1998). Clinical and microbiological findings in elderly subjects with gingivitis or periodontitis. Journal of Clinical Periodontology, 25(11), 897â907. Portico.

Authors 6

Bettina Schlegel‐Bregenzer (first)
Rigmor E. Persson (additional)
Sheila Lukehart (additional)
Pamela Braham (additional)
Teresa Oswald (additional)
G. Rutger Persson (additional)

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Dates

Type	When
Created	19 years, 8 months ago (Dec. 21, 2005, 3:25 a.m.)
Deposited	1 year, 10 months ago (Oct. 28, 2023, 4:43 a.m.)
Indexed	1 year, 1 month ago (Aug. 2, 2024, 9:30 p.m.)
Issued	26 years, 10 months ago (Nov. 1, 1998)
Published	26 years, 10 months ago (Nov. 1, 1998)
Published Online	19 years, 8 months ago (Dec. 21, 2005)
Published Print	26 years, 10 months ago (Nov. 1, 1998)

Funders 0

None

BibTeX

@article{Schlegel_Bregenzer_1998, title={Clinical and microbiological findings in elderly subjects with gingivitis or periodontitis}, volume={25}, ISSN={1600-051X}, url={http://dx.doi.org/10.1111/j.1600-051x.1998.tb02388.x}, DOI={10.1111/j.1600-051x.1998.tb02388.x}, number={11}, journal={Journal of Clinical Periodontology}, publisher={Wiley}, author={Schlegel‐Bregenzer, Bettina and Persson, Rigmor E. and Lukehart, Sheila and Braham, Pamela and Oswald, Teresa and Persson, G. Rutger}, year={1998}, month=nov, pages={897–907} }

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  "abstract": "<jats:p><jats:bold>Abstract. </jats:bold> The objective of the present study was to study the supra\u2010 and subgingival microflora by culture and cDNA probe methods in 20 elderly subjects who were between 62 and 93 years of age, 10 of them had gingivitis only, and 10 had periodontitis. <jats:italic>B. forsythus</jats:italic> (BF). <jats:italic>P. gingivalis (PG), P intermedia (PI), P. nigrescens (PN), A. actinomycetemcomitans (AA), T. denticola (TD)</jats:italic>, and pathogen\u2010related oral spirochetes (PROS) were studied. Oral hygiene was similar and poor in both groups. The mean probing depth at sample sites was 6.7 mm (S.D\u00b11.3) in the periodontitis group and 2.2 mm (S.D.\u00b11.5) in the gingivitis group (<jats:italic>F</jats:italic>=17.75, <jats:italic>p</jats:italic> &lt; 0.001). Mean clinical attachment levels (CAL) were 4.3 mm (S.D.\u00b12.0) and 1.7 mm (S.D.\u00b10.9) respectively (<jats:italic>p</jats:italic> &lt; 0.001). Total viable counts &gt;1.0\u00d710<jats:sup>5</jats:sup> in supra\u2010gingival plaque samples were found in all periodontitis and in eight gingivitis subjects, 70\u00d7 more black\u2010pigmented organisms were found in supra\u2010gingival and 185 times more in sub\u2010gingival plaque from the periodontitis group (<jats:italic>p</jats:italic> &lt; 0.01). Culture data showed <jats:italic>P nigresecens</jats:italic> in 10% periodontitis and 50% gingivitis subjects (<jats:italic>p</jats:italic> &lt; 0.03). In supra\u2010gingival samples by the Affirm\u2122 DP test, <jats:italic>BF</jats:italic> was present in 50% periodontitis and 60% gingivitis while culture data were negative for all subjects, <jats:italic>PG</jats:italic> was found in 30%. periodontitis and 50% gingivitis subjects with <jats:italic>TD</jats:italic> in 70% periodontitis and in 30% gingivitis subjects. In the ub\u2010gingival plaque samples 80% periodontitis and 70% gingivitis subjects had &gt;1\u00d710<jats:sup>5</jats:sup> anaerobes. The total count of black\u2010pigmented organisms was significantly greater in the periodontitis elders (<jats:italic>p</jats:italic> &lt; 0.001). cDNA probes by the Affirm\u2122 DP test identified subgingival presence of <jats:italic>BF</jats:italic> (80%) <jats:italic>PG</jats:italic> (80%), <jats:italic>PI</jats:italic>(80%), <jats:italic>AA</jats:italic> (0%), <jats:italic>TD</jats:italic> (50%) in periodontitis subjects with <jats:italic>BF</jats:italic> (70%), <jats:italic>PG</jats:italic> (40%), <jats:italic>PI</jats:italic> (30%) and <jats:italic>TD</jats:italic> (20%) in gingivitis subjects. PROS were found in (80%) samples from periodontitis and in (60%) of gingivitis elderly. Only the quantities of <jats:italic>PI</jats:italic> (<jats:italic>r</jats:italic>=0.48, <jats:italic>p</jats:italic> &lt; 0.01) and <jats:italic>TD</jats:italic> (<jats:italic>r</jats:italic>=0.37, <jats:italic>p</jats:italic> &lt; 0.01) were associated with the disease definition. The smoking habit in the periodontitis group was significantly higher (<jats:italic>p</jats:italic> &lt; 0.01). A history of smoking may contribe significantly to periodontitis in the presence of pathogens.</jats:p>",
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