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Robust Ligature-Induced Model of Murine Periodontitis for the Evaluation of Oral Neutrophils
Published on: January 21, 2020
Human cytomegalovirus and Epstein-Barr virus type 1 in periodontal abscesses
1Department of Periodontology, Gülhane Military Medical Academy, Ankara, Turkey. saygunisil@hotmail.com
Objectives:
Recent studies have linked herpesviruses to severe types of periodontal disease, but no information exists on their relationship to periodontal abscesses. The present study determined the presence of human cytomegalovirus (HCMV) and Epstein-Barr virus type 1 (EBV-1) in periodontal abscesses and the effect of treatment on the subgingival occurrence of these viruses.
Material And Methods:
Eighteen adults with periodontal abscesses participated in the study. Subgingival samples were collected from each patient with sterile curettes from an abscess-affected site and a healthy control site. HCMV and EBV-1 were identified by polymerase chain reaction at the time of the abscess and at 4 months after surgical and systemic doxycycline therapy.
Results:
HCMV was detected in 66.7% of periodontal abscess sites and in 5.6% of healthy sites (P=0.002). EBV-1 occurred in 72.2% of abscess sites but not in any healthy site (P<0.001). HCMV and EBV-1 co-infection was identified in 55.6% of the abscess sites. Posttreatment, HCMV and EBV-1 were not found in any study site.
Conclusions:
HCMV and EBV-1 genomes are commonly found in periodontal abscesses. These data favor a model in which a herpesvirus infection of the periodontium impairs the host defense and serves as a platform for the entrance of bacterial pathogens into gingival tissue with subsequent risk of abscess development.
Insights
Herpesviruses, including human cytomegalovirus (HCMV) and Epstein-Barr virus type 1 (EBV-1), are frequently detected in periodontal abscesses. Treatment eliminated these viruses, suggesting their role in abscess development.
Area of Science:
- Oral microbiology
- Virology
- Periodontology
Background:
- Herpesviruses are linked to severe periodontal disease.
- The role of herpesviruses in periodontal abscesses is unknown.
Purpose of the Study:
- Determine the presence of human cytomegalovirus (HCMV) and Epstein-Barr virus type 1 (EBV-1) in periodontal abscesses.
- Assess the impact of treatment on HCMV and EBV-1 occurrence.
Main Methods:
- Subgingival samples were collected from 18 adults with periodontal abscesses.
- Samples were taken from abscess sites and healthy control sites.
- HCMV and EBV-1 were detected using polymerase chain reaction before and after treatment.
Main Results:
- HCMV was found in 66.7% of abscess sites vs. 5.6% of healthy sites.
- EBV-1 was found in 72.2% of abscess sites vs. 0% of healthy sites.
- HCMV and EBV-1 co-infection occurred in 55.6% of abscess sites; treatment cleared both viruses.
Conclusions:
- HCMV and EBV-1 are common in periodontal abscesses.
- Herpesvirus infection may compromise host defenses, facilitating bacterial entry and abscess formation.
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