Quantification of Porphyromonas gingivalis and fimA genotypes in smoker chronic periodontitis

Sílvia R L Teixeira1, Flávia Mattarazo, Magda Feres

  • 1Department of Microbiology, Institute of Biomedical Sciences, University of São Paulo, São Paulo 05508-900, Brazil.

Abstract

Insights

Porphyromonas gingivalis fimA genotype IV is linked to greater disease severity in smokers with chronic periodontitis. This study found genotype IV levels increased with probing depth, unlike genotype II.

Area of Science:

  • Periodontology
  • Microbiology
  • Oral Health

Background:

  • Porphyromonas gingivalis fimA genotypes show in vitro virulence but limited human disease association.
  • Chronic periodontitis affects smokers, with disease severity varying among individuals.

Purpose of the Study:

  • To correlate Porphyromonas gingivalis fimA genotypes II and IV levels with probing depth in smokers with chronic periodontitis.
  • To investigate the association between specific P. gingivalis genotypes and periodontal disease severity.

Main Methods:

  • Real-time PCR analysis of 168 subgingival samples from 20 untreated smoker chronic periodontitis patients.
  • Samples were categorized by probing depth: shallow (≤3 mm), intermediate (4-6 mm), and deep (≥7 mm).
  • Quantification of P. gingivalis and its fimA genotypes II and IV.

Main Results:

  • P. gingivalis and fimA genotype IV were detected in all subjects; fimA genotype II in 90%.
  • Genotype IV levels showed a positive association with increased probing depth.
  • Genotype II levels did not correlate with probing depth, suggesting other genotypes are more prevalent.

Conclusions:

  • Porphyromonas gingivalis fimA genotype IV is associated with increased disease severity in smokers with chronic periodontitis.
  • This finding highlights the potential role of specific P. gingivalis genotypes in periodontal disease progression in this patient group.