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Published on: May 21, 2015
Coronal and Root Canal Microbiota in Apical Periodontitis with Different PAI.
Adelaide Teofani1, Antonio Libonati2, Valeria Unida3
1Department of Biology, University of Rome Tor Vergata, Via della Ricerca Scientifica 1, 00133 Rome, Italy.
Bacterial communities in apical periodontitis differ from oral mucosa, with higher PAI indices showing reduced diversity and increased anaerobic bacteria. This study reveals key microbial shifts in endodontic infections.
Area of Science:
- Microbiology
- Endodontics
- Oral Pathology
Background:
- Apical periodontitis is an inflammatory condition originating from oral pathogens in necrotic root canals.
- Understanding the microbial landscape of endodontic infections is crucial for effective treatment.
Purpose of the Study:
- To compare bacterial community profiles in primary endodontic infections with varying periapical (PAI) indices against oral mucosa controls.
- To identify shifts in microbial composition associated with the severity of apical periodontitis.
Main Methods:
- 16S ribosomal RNA gene amplicon sequencing was employed to analyze microbial communities.
- Samples were collected from oral mucosa (controls), and endodontic necrotic tissues from patients with PAI-1 and PAI-3 indices.
- A total of 31 patients were included in the study.
Main Results:
- Significant differences in bacterial phyla distribution were observed: Firmicutes predominated in controls and PAI-1, while Bacteroidetes was dominant in PAI-3.
- The abundance of Synergistetes was higher in PAI groups compared to controls.
- Apical periodontitis samples, particularly those with higher PAI, exhibited diminished microbial diversity and an increased presence of strict anaerobes.
Conclusions:
- The bacterial composition in apical periodontitis differs significantly from the oral mucosa.
- Increased periapical index (PAI) correlates with reduced microbial diversity and a shift towards anaerobic bacteria in endodontic infections.
- These findings highlight distinct microbial profiles associated with apical periodontitis severity.
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