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Peri-implantitis-associated methanogens: a preliminary report
Souad Belkacemi1, Anthony Mazel2, Delphine Tardivo2
1Aix-Marseille Univ, IRD, MEPHI, IHU Méditerranée-Infection, Marseille, France.
Abstract:
Methanogens have already been described in periodontitis but not in peri-implantitis. Thirty peri-implantitis samples and 28 control samples were collected in 28 consenting peri-implantitis patients. PCR-sequencing of the 16S rRNA gene was used as a broad-spectrum screening method and results were further confirmed by real-time quantitative PCR targeting the mcrA genes. Results showed a methanogen community dominated by Methanobrevibacter oralis in 31/58 (51%) samples including 16/28 (57%) control samples and 15/30 (50%) peri-implantitis samples. Methanobrevibacter massiliense was detected in 5/58 (8.6%) samples including 3/28 (1%) control samples and 2/30 (6.7%) peri-implantitis samples. The prevalence of M. oralis or M. massiliense did not significantly differ in peri-implantitis and control samples (exact Fisher test, P = 0.61 and P = 0.67, respectively). Further ponderation of the methanogen load by the real-time quantitative PCR for actin human gene again indicated non-significant difference (Wilcoxon-Mann-Whitney test, P = 0.48 and P = 0.40, respectively). These data show that the prevalence of methanogens does not differ in peri-implantitis lesions and healthy sites, when individuals are their own control. These data do not allow assigning a specific pathogenic role to methanogens in peri-implantitis; methanogens rather are part of the commensal and normal flora of the oral cavity.
Insights
Methanogens, including Methanobrevibacter oralis, are common in the oral cavity and do not show increased prevalence in peri-implantitis compared to healthy sites. These findings suggest methanogens are part of normal oral flora, not specific pathogens in peri-implantitis.
Area of Science:
- Oral microbiology
- Periodontal disease research
- Implant dentistry
Background:
- Methanogens are known to be present in periodontitis.
- Their role in peri-implantitis, an inflammation around dental implants, is not well understood.
- This study investigates the presence and prevalence of methanogens in peri-implantitis.
Purpose of the Study:
- To determine if methanogens are more prevalent in peri-implantitis lesions compared to healthy peri-implant sites.
- To identify specific methanogen species associated with peri-implantitis.
- To assess the potential pathogenic role of methanogens in peri-implantitis.
Main Methods:
- Collected 30 peri-implantitis and 28 control samples from 28 patients.
- Utilized PCR-sequencing of the 16S rRNA gene for broad screening.
- Employed real-time quantitative PCR targeting mcrA genes for confirmation and load assessment.
Main Results:
- Methanogen communities, primarily Methanobrevibacter oralis, were detected in 51% of samples.
- Prevalence of Methanobrevibacter oralis and Methanobrevibacter massiliense did not significantly differ between peri-implantitis and control groups.
- Methanogen load also showed no significant difference between diseased and healthy sites.
Conclusions:
- The prevalence and load of methanogens are similar in peri-implantitis lesions and healthy peri-implant sites.
- Methanogens are likely part of the normal commensal flora of the oral cavity.
- Current data do not support a specific pathogenic role for methanogens in peri-implantitis.
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