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Updated: May 24, 2026

Oral Biofilm Sampling for Microbiome Analysis in Healthy Children
Published on: December 31, 2017
[Relationship between the preterm low birth weight infant and the periodontal pathogen bacteria in maternal saliva]
Zhi-bin Chen1, Lu He, Jun Kang
1Department of Periodontology, Peking University School & Hospital of Stomatology, Beijing 100081, China.
Insights
Maternal saliva analysis revealed higher levels of Porphyromonas gingivalis (Pg), Tannerella forsythia (Tf), and Treponema Denticola (Td) in mothers of preterm and/or low birth weight (PLBW) infants. Pg detection specifically showed a potential link to PLBW outcomes.
Area of Science:
- Microbiology
- Periodontology
- Obstetrics
Background:
- The oral microbiome composition in mothers may influence pregnancy outcomes.
- Specific anaerobic bacteria have been implicated in various health conditions.
Purpose of the Study:
- To explore the association between maternal salivary levels of Porphyromonas gingivalis (Pg), Tannerella forsythia (Tf), and Treponema Denticola (Td) and preterm and/or low birth weight (PLBW) infants.
Main Methods:
- A retrospective case-control study involving 110 mothers (72 PLBW, 38 NBW) from Beijing hospitals.
- Saliva samples were analyzed using PCR for the presence of Pg, Tf, and Td.
- Periodontal parameters including plaque index, probing depth, bleeding index, and clinical attachment loss were assessed.
Main Results:
- Significantly higher clinical attachment loss (CAL) was observed in the PLBW group compared to the NBW group.
- Porphyromonas gingivalis (Pg) was detected at higher rates in the PLBW group (94.4%) versus the NBW group (78.9%).
- Pg-positive mothers exhibited poorer periodontal health and lower infant birth weights compared to Pg-negative mothers.
Conclusions:
- Elevated levels of Pg, Tf, and Td were found in the saliva of mothers with both PLBW and normal birth weight infants.
- The presence of Porphyromonas gingivalis (Pg) in maternal saliva is suggested to be associated with preterm and/or low birth weight outcomes.
Objective:
To investigate the possible relationship between the preterm and/or low birth weight (PLBW) and three anaerobic microorganisms in saliva of their mothers, including Porphyromonas gingivalis (Pg), Tannerella forsythia (Tf), Treponema Denticola (Td).
Methods:
110 retrospective cases were collected from 4 hospitals in Beijing urban and suburban areas. PLBW group included 72 subjects and NBW group included 38 subjects. They were made up of 2:1 matched data. Nonstimulated saliva samples were collected from all the individuals. The periodontal examinations included plaque index (PLI), probing depth (PD), bleeding index (BI), and clinical attachment loss (CAL) were performed in 1-1.5 years after preterm. According to the PCR results in their saliva, they were divided into positive group and negative group of Pg, Tf, Td.
Results:
CAL in PLBW and NBW groups were 0.18 (0.00, 4.97) mm and 0.08 (0.00, 1.81) mm respectively which was significantly different (P<0.05). The detection rates of Pg in PLBW and NBW groups were 94.4% and 78.9% respectively (P<0.05). The detection rates of Tf were 84.7% and 94.7% respectively (P>0.05). The detection rates of Td were 86.1% and 89.5% respectively (P>0.05). The clinical parameters of CAL [2.25(0.54, 4.00) mm, 1.44(0.63, 3.80) mm], PD[(2.47 ± 0.43) mm, (1.94 ± 0.39) mm], PLI (1.80 ± 0.44, 1.36 ± 0.34) in Pg positive group was significantly higher than those in Pg negative group. The birth weight of Pg positive group [(2 482.95 ± 813.17) g] was significantly lower than Pg negative group [(3 425.00 ± 1 024.36) g]. CAL [0.14(0.00,4.9) mm, 0.03(0.00,0.44) mm], PD[(2.44 ± 0.46) mm, (2.17 ± 0.38) mm] were significantly different between Tf positive and negative group. PD [(2.44 ± 0.46) mm, (2.14 ± 0.43) mm] and BI (2.31 ± 0.86, 1.83 ± 0.68) were significantly different between Td positive and negative group.
Conclusion:
There is higher level of Pg, Tf and Td in the saliva of both PLBW and NBW groups. The detection of Pg may be related to PLBW.
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