Prevalence of periodontal pathogens in Brazilians with aggressive or chronic periodontitis

Objectives: Previous studies suggest differences between geographically and racially distinct populations in the prevalence of periodontopathic bacteria as well as greater periodontal destruction associated with infection by highly leucotoxic Actinobacillus actinomycetemcomitans. The present study e...

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Published in:	Journal of clinical periodontology Vol. 32; no. 8; pp. 860 - 866
Main Authors:	Cortelli, Jose R., Cortelli, Sheila Cavalca, Jordan, Shawn, Haraszthy, V. I., Zambon, J. J.
Format:	Journal Article
Language:	English
Published:	Oxford, UK Munksgaard International Publishers 01.08.2005
Subjects:	Acute Disease Adolescent Adult Aged Aggregatibacter actinomycetemcomitans - chemistry Aggregatibacter actinomycetemcomitans - isolation & purification bacterial pathogens Bacteroides - isolation & purification Brazil - epidemiology Campylobacter rectus - isolation & purification Chronic Disease Colony Count, Microbial Cross-Sectional Studies Dental Plaque - microbiology DNA, Bacterial - analysis Exotoxins - analysis Female Humans leucotoxin Logistic Models Male Middle Aged periodontal disease periodontitis Periodontitis - epidemiology Periodontitis - microbiology Porphyromonas gingivalis - isolation & purification Prevalence Prevotella intermedia - isolation & purification Brazil
ISSN:	0303-6979, 1600-051X
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Abstract	Objectives: Previous studies suggest differences between geographically and racially distinct populations in the prevalence of periodontopathic bacteria as well as greater periodontal destruction associated with infection by highly leucotoxic Actinobacillus actinomycetemcomitans. The present study examined these hypotheses in Brazilians with aggressive or chronic periodontitis. Materials and Methods: Clinical, radiographical, and microbiological assessments were performed on 25 aggressive periodontitis and 178 chronic periodontitis patients including 71 males and 132 females, 15–69 years of age. Results: The prevalence of Porphyromonas gingivalis was similar to that of other South American populations. The prevalence of A. actinomycetemcomitans and its highly leucotoxic subgroup was higher in Brazilians. Highly leucotoxic A. actinomycetemcomitans was more prevalent in aggressive periodontitis (χ2=27.83) and positively associated with deep pockets (>6 mm, χ2=18.26) and young age (<29 years, χ2=18.68). Greater mean attachment loss was found in subjects with highly leucotoxic A. actinomycetemcomitans than in subjects with minimally leucotoxic (p=0.0029) or subjects not infected (p=0.0001). Conclusion: These data support the hypothesis of differences between populations in the prevalence of periodontopathic bacteria and of greater attachment loss in sites infected with highly leucotoxic A. actinomycetemcomitans. Detection of highly leucotoxic A. actinomycetemcomitans in children and adolescents may be a useful marker for aggressive periodontitis.
AbstractList	Objectives: Previous studies suggest differences between geographically and racially distinct populations in the prevalence of periodontopathic bacteria as well as greater periodontal destruction associated with infection by highly leucotoxic Actinobacillus actinomycetemcomitans. The present study examined these hypotheses in Brazilians with aggressive or chronic periodontitis. Materials and Methods: Clinical, radiographical, and microbiological assessments were performed on 25 aggressive periodontitis and 178 chronic periodontitis patients including 71 males and 132 females, 15–69 years of age. Results: The prevalence of Porphyromonas gingivalis was similar to that of other South American populations. The prevalence of A. actinomycetemcomitans and its highly leucotoxic subgroup was higher in Brazilians. Highly leucotoxic A. actinomycetemcomitans was more prevalent in aggressive periodontitis (χ2=27.83) and positively associated with deep pockets (>6 mm, χ2=18.26) and young age (<29 years, χ2=18.68). Greater mean attachment loss was found in subjects with highly leucotoxic A. actinomycetemcomitans than in subjects with minimally leucotoxic (p=0.0029) or subjects not infected (p=0.0001). Conclusion: These data support the hypothesis of differences between populations in the prevalence of periodontopathic bacteria and of greater attachment loss in sites infected with highly leucotoxic A. actinomycetemcomitans. Detection of highly leucotoxic A. actinomycetemcomitans in children and adolescents may be a useful marker for aggressive periodontitis. Objectives: Previous studies suggest differences between geographically and racially distinct populations in the prevalence of periodontopathic bacteria as well as greater periodontal destruction associated with infection by highly leucotoxic Actinobacillus actinomycetemcomitans . The present study examined these hypotheses in Brazilians with aggressive or chronic periodontitis. Materials and Methods: Clinical, radiographical, and microbiological assessments were performed on 25 aggressive periodontitis and 178 chronic periodontitis patients including 71 males and 132 females, 15–69 years of age. Results: The prevalence of Porphyromonas gingivalis was similar to that of other South American populations. The prevalence of A. actinomycetemcomitans and its highly leucotoxic subgroup was higher in Brazilians. Highly leucotoxic A. actinomycetemcomitans was more prevalent in aggressive periodontitis ( χ 2 =27.83) and positively associated with deep pockets (>6 mm, χ 2 =18.26) and young age (<29 years, χ 2 =18.68). Greater mean attachment loss was found in subjects with highly leucotoxic A. actinomycetemcomitans than in subjects with minimally leucotoxic ( p =0.0029) or subjects not infected ( p =0.0001). Conclusion: These data support the hypothesis of differences between populations in the prevalence of periodontopathic bacteria and of greater attachment loss in sites infected with highly leucotoxic A. actinomycetemcomitans . Detection of highly leucotoxic A. actinomycetemcomitans in children and adolescents may be a useful marker for aggressive periodontitis. Previous studies suggest differences between geographically and racially distinct populations in the prevalence of periodontopathic bacteria as well as greater periodontal destruction associated with infection by highly leucotoxic Actinobacillus actinomycetemcomitans. The present study examined these hypotheses in Brazilians with aggressive or chronic periodontitis. Clinical, radiographical, and microbiological assessments were performed on 25 aggressive periodontitis and 178 chronic periodontitis patients including 71 males and 132 females, 15-69 years of age. The prevalence of Porphyromonas gingivalis was similar to that of other South American populations. The prevalence of A. actinomycetemcomitans and its highly leucotoxic subgroup was higher in Brazilians. Highly leucotoxic A. actinomycetemcomitans was more prevalent in aggressive periodontitis (chi2=27.83) and positively associated with deep pockets (>6 mm, chi2=18.26) and young age (<29 years, chi2=18.68). Greater mean attachment loss was found in subjects with highly leucotoxic A. actinomycetemcomitans than in subjects with minimally leucotoxic (p=0.0029) or subjects not infected (p=0.0001). These data support the hypothesis of differences between populations in the prevalence of periodontopathic bacteria and of greater attachment loss in sites infected with highly leucotoxic A. actinomycetemcomitans. Detection of highly leucotoxic A. actinomycetemcomitans in children and adolescents may be a useful marker for aggressive periodontitis. Previous studies suggest differences between geographically and racially distinct populations in the prevalence of periodontopathic bacteria as well as greater periodontal destruction associated with infection by highly leucotoxic Actinobacillus actinomycetemcomitans. The present study examined these hypotheses in Brazilians with aggressive or chronic periodontitis.OBJECTIVESPrevious studies suggest differences between geographically and racially distinct populations in the prevalence of periodontopathic bacteria as well as greater periodontal destruction associated with infection by highly leucotoxic Actinobacillus actinomycetemcomitans. The present study examined these hypotheses in Brazilians with aggressive or chronic periodontitis.Clinical, radiographical, and microbiological assessments were performed on 25 aggressive periodontitis and 178 chronic periodontitis patients including 71 males and 132 females, 15-69 years of age.MATERIALS AND METHODSClinical, radiographical, and microbiological assessments were performed on 25 aggressive periodontitis and 178 chronic periodontitis patients including 71 males and 132 females, 15-69 years of age.The prevalence of Porphyromonas gingivalis was similar to that of other South American populations. The prevalence of A. actinomycetemcomitans and its highly leucotoxic subgroup was higher in Brazilians. Highly leucotoxic A. actinomycetemcomitans was more prevalent in aggressive periodontitis (chi2=27.83) and positively associated with deep pockets (>6 mm, chi2=18.26) and young age (<29 years, chi2=18.68). Greater mean attachment loss was found in subjects with highly leucotoxic A. actinomycetemcomitans than in subjects with minimally leucotoxic (p=0.0029) or subjects not infected (p=0.0001).RESULTSThe prevalence of Porphyromonas gingivalis was similar to that of other South American populations. The prevalence of A. actinomycetemcomitans and its highly leucotoxic subgroup was higher in Brazilians. Highly leucotoxic A. actinomycetemcomitans was more prevalent in aggressive periodontitis (chi2=27.83) and positively associated with deep pockets (>6 mm, chi2=18.26) and young age (<29 years, chi2=18.68). Greater mean attachment loss was found in subjects with highly leucotoxic A. actinomycetemcomitans than in subjects with minimally leucotoxic (p=0.0029) or subjects not infected (p=0.0001).These data support the hypothesis of differences between populations in the prevalence of periodontopathic bacteria and of greater attachment loss in sites infected with highly leucotoxic A. actinomycetemcomitans. Detection of highly leucotoxic A. actinomycetemcomitans in children and adolescents may be a useful marker for aggressive periodontitis.CONCLUSIONThese data support the hypothesis of differences between populations in the prevalence of periodontopathic bacteria and of greater attachment loss in sites infected with highly leucotoxic A. actinomycetemcomitans. Detection of highly leucotoxic A. actinomycetemcomitans in children and adolescents may be a useful marker for aggressive periodontitis.
Author	Zambon, J. J. Cortelli, Sheila Cavalca Haraszthy, V. I. Cortelli, Jose R. Jordan, Shawn
Author_xml	– sequence: 1 givenname: Jose R. surname: Cortelli fullname: Cortelli, Jose R. organization: University of Taubate, Sao Paulo, Brazil – sequence: 2 givenname: Sheila Cavalca surname: Cortelli fullname: Cortelli, Sheila Cavalca organization: University of Taubate, Sao Paulo, Brazil – sequence: 3 givenname: Shawn surname: Jordan fullname: Jordan, Shawn organization: School of Dental Medicine, University at Buffalo, Buffalo, New York, USA – sequence: 4 givenname: V. I. surname: Haraszthy fullname: Haraszthy, V. I. organization: School of Dental Medicine, University at Buffalo, Buffalo, New York, USA – sequence: 5 givenname: J. J. surname: Zambon fullname: Zambon, J. J. organization: School of Dental Medicine, University at Buffalo, Buffalo, New York, USA
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References_xml	– reference: Lopez, N. J., Socransky, S. S., DaSilva, I., Japlit, M. R. & Haffajee, A. D. (2004) Subgingival microbiota of Chilean patients with chronic periodontitis. Journal of Periodontology 75, 717-725. – reference: Albandar, J. M., Muranga, M. B. & Rams, T. E. (2002) Prevalence of aggressive periodontitis in school attendees in Uganda. Journal of Clinical Periodontology 29, 823-831. – reference: Haubek, D., Ennibi, O. K., Poulsen, K., Benzarti, N. & Baelum, V. (2004) The highly leukotoxic JP2 clone of Actinobacillus actinomycetemcomitans and progression of periodontal attachment loss. Journal of Dental Research 83, 767-770. – reference: Haubek, D., Poulsen, K., Westergaard, J., Dahlen, G. & Kilian, M. (1996) Highly toxic clone of Actinobacillus actinomycetemcomitans in geographically widespread cases of juvenile periodontitis in adolescents of African origin. 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Snippet	Objectives: Previous studies suggest differences between geographically and racially distinct populations in the prevalence of periodontopathic bacteria as... Objectives: Previous studies suggest differences between geographically and racially distinct populations in the prevalence of periodontopathic bacteria as... Previous studies suggest differences between geographically and racially distinct populations in the prevalence of periodontopathic bacteria as well as greater...
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SubjectTerms	Acute Disease Adolescent Adult Aged Aggregatibacter actinomycetemcomitans - chemistry Aggregatibacter actinomycetemcomitans - isolation & purification bacterial pathogens Bacteroides - isolation & purification Brazil - epidemiology Campylobacter rectus - isolation & purification Chronic Disease Colony Count, Microbial Cross-Sectional Studies Dental Plaque - microbiology DNA, Bacterial - analysis Exotoxins - analysis Female Humans leucotoxin Logistic Models Male Middle Aged periodontal disease periodontitis Periodontitis - epidemiology Periodontitis - microbiology Porphyromonas gingivalis - isolation & purification Prevalence Prevotella intermedia - isolation & purification
Title	Prevalence of periodontal pathogens in Brazilians with aggressive or chronic periodontitis
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